Maxillofacial trauma due to traffic accidents and falls: an exploratory study of associated factors

Abstract

Background This study aimed to determine the pattern of Maxillofacial trauma (MFT) due to traffic accidents and falls in a reference hospital in a rural region of northeastern Brazil between December 2011 and December 2018 and to identify associated factors. Material and Methods This was a cross-sectional study using 585 medical records of patients with MFT. The data were subjected to a Poisson-Tweedie multiple regression analysis to estimate the Prevalence ratio (PR), with a 95% confidence interval (95% CI) and a significance level of p <0.05. Results MFT due to traffic accidents was more prevalent among patients 21 to 40 years old (PR=2.30; 95% CI=1.20-4.41; p <0.001) diagnosed with zygomatic-orbital complex fractures (PR=1.80; 95% CI=1.08-2.98; p =0.023). Falls were more frequent among older groups of 41 to 60 years (PR=1.83; 95% CI=1.09-3.06; p =0.022) and over 61 years (PR=2.23; 95% CI=1.09-3.06; p =0.022). In traffic accidents, alcohol consumption increased the length of stay (PR=2.081; 95% CI=1.553-2.787; p <0.001), and patients who did not use personal protective equipment (PPE) had higher hospital costs (PR=179.964; 95% CI=1.485-1.994; p <0.001) for this etiology. Traffic accidents and falls are two of the main etiologies of MFT, especially for males in the young adult age group (traffic accidents) and those above 41 years (falls). Alcohol consumption and the nonuse of PPE influenced the length of the hospital stay and hospital costs. Conclusions Strategies to confront this problem, such as road and highway improvements, effective enforcement of laws and intersectoral coordination involving the entire community to implement policies and prevention programs targeted at these populations, can be implemented. Key words: Maxillofacial Injuries, public policy, hospital cost.

Factors predicting oral and maxillofacial fractures after falling and factors predicting the duration of treatment

“…28,29 One study also suggested that falling strongly influenced the length of hospital stay and hospital costs for maxillofacial injuries. 6 Although potential factors associated with an increased risk of hospital admission have been previously examined for patients with oral and maxillofacial injuries caused by falling, no studies to date have determined the factors influencing long treatment durations. 3 Hirobe et al 30 analyzed the factors influencing the long-term hospitalization of cyclists and motorcyclists with oral and maxillofacial injuries.…”

“…Falling is the most common mechanism of unintentional injury, and the consequent oral and maxillofacial injuries have been extensively examined. 2,3,5,6,[9][10][11][12][13][14][15][16][17][18][19][20][21] Romeo et al 9 analyzed the characteristics of female patients with maxillofacial trauma in 14 maxillofacial surgery departments on 5 continents. They found that falling was the most common cause of maxillofacial trauma, followed by motor vehicle collisions and assault.…”

Impacto da implementação do serviço de residência em cirurgia e traumatologia buco-maxilo-facial em um hospital público em Campina Grande-PB

“…Para os pacientes vítimas de acidentes de trânsito, o custo hospitalar total foi de R$ 150.635,56, com uma média de R$ 500,41 por paciente. Sobre a média de permanência de internação hospitalar entre todos os acidentados, observou-se uma permanência de 1,18 dias (gasto médio geral por internação de R$ 330,96) (Porto, Cavalcanti, Forte, 2021).…”

Mapping Evidence on the Epidemiology and Cost Associated with Maxillofacial Injury among Adults in Sub-Saharan Africa: A Scoping Review Protocol

“…Studies have identified the commonest mechanisms of injury in the maxillofacial region as; motor vehicle and motorcycle collisions [ 12 , 13 , 14 ], assault [ 8 , 15 , 16 ], and falls [ 17 , 18 ]. Additionally, MI has been identified as one of the commonest forms of injury in gender-based violence [ 19 , 20 , 21 ].…”