Facial trauma and postinterventional quality of life in the Northern Territory, Australia

Thomas, Mahiban; Jameson, Carolyn

doi:10.1016/j.ijom.2007.08.453

Cited by 4 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Sixty percent of all facial fractures seen in the NT occur in Aboriginal and Torres Strait Islander patients and more than 90% are the result of assault [4]. The incidence of mandibular fractures in Aboriginal and Torres Strait Islander people in the NT is reported to be 155 per 100,000 of population, while facial fractures in the NT overall were close to 120 per 100,000 of population [4]. Thomas and Scott (2009) report that of 236 consecutive patients with facial fracture, 88% of injuries are linked with alcohol intoxication and all were secondary to assault.…”

Section: Alcohol - Related Harmmentioning

confidence: 99%

“…The most common alcohol-related problems encountered in the NT include trauma, assault, delinquent behaviour, interpersonal violence and facial injury [2]. Facial trauma frequently require surgical treatment [3] and occurs at an extremely high rate and is most frequently the result of interpersonal violence linked with alcohol in the NT [4]. Furthermore, the incidence of mandibular fracture is the highest in the Territory, and is second only to Greenland worldwide [4].…”

Section: Introductionmentioning

confidence: 99%

“…Facial trauma frequently require surgical treatment [3] and occurs at an extremely high rate and is most frequently the result of interpersonal violence linked with alcohol in the NT [4]. Furthermore, the incidence of mandibular fracture is the highest in the Territory, and is second only to Greenland worldwide [4]. Aboriginal and Torres Strait Islander people, who comprise 32% (66,600) of the NT population [5] , are at much greater risk of engaging in high risk drinking and are more vulnerable to alcohol -related injury and death [6,7].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

High risk alcohol-related trauma among the Aboriginal and Torres Strait Islanders in the Northern Territory

Jayaraj

Thomas

Thomson

et al. 2012

Subst Abuse Treat Prev Policy

View full text Add to dashboard Cite

High risk drinking is linked with high rates of physical harm. The reported incidence of alcohol - related trauma among Aboriginal and Torres Strait Islander people in the Northern Territory is the highest in the world. Facial fractures are common among young Aboriginal and Torres Strait Islanders. They are often linked with misuse of alcohol in the Northern Territory and are frequently secondary to assault. This review focuses on alcohol-related trauma in the Territory and draws attention to an urgent need for preventative health approach to address this critical issue.

show abstract

Section: Alcohol - Related Harmmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

High risk alcohol-related trauma among the Aboriginal and Torres Strait Islanders in the Northern Territory

Jayaraj

Thomas

Thomson

et al. 2012

Subst Abuse Treat Prev Policy

View full text Add to dashboard Cite

show abstract

“…Further, it has been reported that most of the assaults against women in remote NT communities are perpetrated by a drunken husband or other family member. Alcohol-related facial trauma is common, with an estimated 350 cases per year admitted to the Maxillofacial Surgery Unit of the Royal Darwin Hospital (RDH) [11,12]. Many of these admissions, approximately 80% are of Indigenous people [12].…”

Section: Introductionmentioning

confidence: 99%

Prevention of Alcohol-Related Crime and Trauma (PACT): brief interventions in routine care pathway – a study protocol

et al. 2013

View full text Add to dashboard Cite

BackgroundGlobally, alcohol-related injuries cause millions of deaths and huge economic loss each year . The incidence of facial (jawbone) fractures in the Northern Territory of Australia is second only to Greenland, due to a strong involvement of alcohol in its aetiology, and high levels of alcohol consumption. The highest incidences of alcohol-related trauma in the Territory are observed amongst patients in the Maxillofacial Surgery Unit of the Royal Darwin Hospital. Accordingly, this project aims to introduce screening and brief interventions into this unit, with the aims of changing health service provider practice, improving access to care, and improving patient outcomes.MethodsEstablishment of Project Governance: The project governance team includes a project manager, project leader, an Indigenous Reference Group (IRG) and an Expert Reference Group (ERG).Development of a best practice pathway: PACT project researchers collaborate with clinical staff to develop a best practice pathway suited to the setting of the surgical unit. The pathway provides clear guidelines for screening, assessment, intervention and referral.Implementation: The developed pathway is introduced to the unit through staff training workshops and associate resources and adapted in response to staff feedback.Evaluation: File audits, post workshop questionnaires and semi-structured interviews are administered.DiscussionThis project allows direct transfer of research findings into clinical practice and can inform future hospital-based injury prevention strategies.

show abstract

“…Facial fractures in the NT are close to 120 per 100,000 of population, and in Indigenous people occur at a massive 155 per 100,000 [21]. Personal assaults, fights, and violence account for 91% of all facial traumas in the NT [21]: 72% of these patients are injured by an intoxicated person when they were also intoxicated, and another 8% are by an intoxicated person when they were sober. Most assaults against women in remote NT communities are alcohol-related, and are perpetrated by a husband or other family member [22].…”

Section: Introductionmentioning

confidence: 99%

Study Protocol: Screening and Treatment of Alcohol-Related Trauma (START) – a randomised controlled trial

Jayaraj

Thomas

Kavanagh

et al. 2012

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundThe incidence of mandibular fractures in the Northern Territory of Australia is very high, especially among Indigenous people. Alcohol intoxication is implicated in the majority of facial injuries, and substance use is therefore an important target for secondary prevention. The current study tests the efficacy of a brief therapy, Motivational Care Planning, in improving wellbeing and substance misuse in youth and adults hospitalised with alcohol-related facial trauma.Methods and designThe study is a randomised controlled trial with 6 months of follow-up, to examine the effectiveness of a brief and culturally adapted intervention in improving outcomes for trauma patients with at-risk drinking admitted to the Royal Darwin Hospital maxillofacial surgery unit. Potential participants are identified using AUDIT-C questionnaire. Eligible participants are randomised to either Motivational Care Planning (MCP) or Treatment as Usual (TAU). The outcome measures will include quantity and frequency of alcohol and other substance use by Timeline Followback. The recruitment target is 154 participants, which with 20% dropout, is hoped to provide 124 people receiving treatment and follow-up.DiscussionThis project introduces screening and brief interventions for high-risk drinkers admitted to the hospital with facial trauma. It introduces a practical approach to integrating brief interventions in the hospital setting, and has potential to demonstrate significant benefits for at-risk drinkers with facial trauma.Trial RegistrationThe trial has been registered in Australian New Zealand Clinical Trials Registry (ANZCTR) and Trial Registration: ACTRN12611000135910.

show abstract

Facial trauma and postinterventional quality of life in the Northern Territory, Australia

Cited by 4 publications

References 0 publications

High risk alcohol-related trauma among the Aboriginal and Torres Strait Islanders in the Northern Territory

High risk alcohol-related trauma among the Aboriginal and Torres Strait Islanders in the Northern Territory

Prevention of Alcohol-Related Crime and Trauma (PACT): brief interventions in routine care pathway – a study protocol

Study Protocol: Screening and Treatment of Alcohol-Related Trauma (START) – a randomised controlled trial

Contact Info

Product

Resources

About