Traffic accidents, maxillofacial injuries and risk factors: A systematic review of observational studies

Nóbrega, Lorena Marques da; Bernardino, Ítalo de Macedo; Leal, Paula Miliana; Martins, Carolina Castro; Granville‐Garcia, Ana Flávia; Cavalcanti, Silvana Maria de Morais

doi:10.1111/jebm.12332

Cited by 16 publications

(37 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some authors ( 4 , 19 , 22 ) attribute the higher prevalence of traffic accidents to changes in habits and social dynamics that require the use of motor vehicles. In Brazil, these accidents are an important public health problem as a result of limited awareness of road safety, inadequate road conditions without improvement or expansion of the road network, the use of old vehicles without safety features, nonuse of seat belts or helmets, and consumption of alcohol or other drugs ( 2 , 8 , 15 , 19 ).…”

Section: Discussionmentioning

confidence: 99%

“…Maxillofacial trauma (MFT) is particularly important because it is responsible for a large fraction of emergency visits and the morbidity and mortality in trauma centers, which is reflected in a lack of hospital and polyclinic beds, in addition to the costs associated with the treatment, recovery and rehabilitation of these patients ( 1 - 4 ).…”

Section: Introductionmentioning

confidence: 99%

“…The severity of MFT contributes to sequelae and severe and even fatal complications. In addition, MFT has social impacts: unemployment, low social support and more functional and esthetic problems due to numerous permanent defects, deformities and scars, which affects the individual’s quality of life and directly influences his or her return to social and productive life and reliance on social security programs ( 4 , 21 - 23 ). The discussion of this topic is relevant regarding the social security policies in Brazil and around the world.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Porto¹,

Yw²,

Fd³

2021

Med Oral

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Porto¹,

Yw²,

Fd³

2021

Med Oral

View full text Add to dashboard Cite

show abstract

“…Statistics from developed countries show that physical assault is the most common cause of trauma whereas among developing countries road traffic accidents (RTA) are the leading factor. 4,5,6 The WHO has documented that nearly one-third of traumatic injuries reported in developing countries are due to road traffic accidents (RTA) which significantly contribute towards increased mortality rates. 7,8 The purpose of the current study was to assess the association of age, gender, and mechanism of injuries in patients presenting at tertiary care facilities of Karachi, Pakistan.…”

Section: Introductionmentioning

confidence: 99%

Patterns of Facial Fractures Associated with Socio-demographic and Causative Factors: A Multi-Center Analysis from Karachi

Alam¹,

Mohiuddin²,

Hosein³

et al. 2019

J Pak Dent Assoc

View full text Add to dashboard Cite

Beenish Fatima Alam 1 BDS, MSc, MFDS RCSED ORIGINAL ARTICLE OBJECTIVE: To assess the association of age, gender, and mechanism of injuries in patients presenting at tertiary care facilities of Karachi, Pakistan. METHODOLOGY: A retrospective analysis of 1038 patients visiting private and public tertiary care dental hospital was conducted. Data was collected by means of a comprehensive history, clinical examination and radiological investigation. Qualitative variables were calculated as frequencies and percentage whereas means and standard deviation of quantitative variables were analyzed. Association among dependent and independent variables were assessed by Chi square test. RESULTS: A total of 1038 patients reported, which included 85 % males and 15 % females. Road traffic accidents accounted for 43% of injuries in males and 12% in females and were followed by falls in 15% males and 8% females. Body of mandible was the most frequently affected bone accounting for 32%, while condyle was next commonly involved. Left side of mandible was noted to be more frequently affected. Only 6% of fractures involved the zygomatic region. CONCLUSION: In this study RTA's were the most common cause of injuries among males and females in the second and third decades of life while in young children falls predominated. The mandibular body was the most frequently involved site followed by the condyle.

show abstract

“…understanding the factors associated with the severity, length of stay, and hospital cost of OMFT cases becomes essential for health management and public policies. 8,[14][15][16] From another perspective, psychosocial problems related to OMFT are also related to low schooling, unemployment, and social support, associated with quality of life and individual capacity to perform daily activities. 5,10,13 Epidemiological studies have described different patterns of OMFT regarding the etiology and occurrence.…”

mentioning

confidence: 99%

Pattern of oral and maxillofacial trauma and associated factors: An 8‐year prospective study

Porto

Barbirato

Cavalcanti

et al. 2022

Dental Traumatology

View full text Add to dashboard Cite

Background/Aims: Oral and maxillofacial trauma (OMFT) is a public health problem due to its high occurrence and demand for resources for its management and the financial and social impact of OMFT victims on the health system. The aim of this study was to conduct an 8-year prospective analysis of OMFT cases from an emergency service. Materials and Methods: A hospital-based 8-year prospective study on OMFT and associated factors was performed on data from December 2011 to December 2019. Data regarding sociodemographic (gender, age, and skin color) and socio-economic profiles (educational level, family income, and occupation), OMFT profile (etiology, OMFT type, and treatment), associated factors [alcohol consumption and personal protective equipment (PPE) use], OMFT occurrence (injury day and hour), length of hospital stay, and cost were collected. Descriptive and inferential analyses of data were performed.Results: Most OMFT cases involved men with low schooling and family income, resulting from traffic accidents. OMFT severity was associated with longer hospital stay, higher hospital costs and nonuse of PPE, midface fractures (mainly orbital-zygomatic fractures), closed reduction, and open reduction/internal fixation. Traffic accidents were the main cause of longer hospital stays for victims aged 41-60 years with better socio-economic status compared with cases that had higher hospital costs. In general, higher hospital costs were associated with victims of violence under 40 years of age, with low schooling and farmers. Alcohol consumption and non-use of PPE also contributed to increasing the length of hospital stay. Conclusion:Oral and maxillofacial trauma severity was associated with longer hospital stay and higher hospital costs. Associated factors such as alcohol consumption and non-use of PPE contributed to increase the length of hospital stay and OMFT severity.

show abstract

Traffic accidents, maxillofacial injuries and risk factors: A systematic review of observational studies

Cited by 16 publications

References 42 publications

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

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

Patterns of Facial Fractures Associated with Socio-demographic and Causative Factors: A Multi-Center Analysis from Karachi

Pattern of oral and maxillofacial trauma and associated factors: An 8‐year prospective study

Contact Info

Product

Resources

About