Walker Tom W M, Byrne Sinead, Donnellan John, McArdle Neonin, Kerin Michael J, McCann Patick J
Department of Oral & Maxillofacial, University Hospital, Galway, Ireland.
Br J Oral Maxillofac Surg. 2012 Oct;50(7):631-5. doi: 10.1016/j.bjoms.2011.09.025. Epub 2011 Dec 20.
The pattern, presentation, and volume of facial injury in the west of Ireland are subjectively different from that in the United Kingdom. We know of no prospective regional study of facial injury in Ireland to date, and nationally there is no system in place to collect data on injury. The epidemiology of facial trauma has important implications for the development of health services, the education and training of clinicians, workforce planning, prevention of injury, and promotion of health. Over one week we did a multicentre prospective data collection study involving all emergency departments in the west of Ireland. All patients who attended with facial injuries were included, and those with injuries solely of the scalp and neck were excluded. The proforma recorded patients' characteristics, details of injury and presentation, treatment and follow-up. It also included relation with sport, alcohol, assault, and animals. During the study period 325 patients were injured (5% of attendances at emergency departments in the region). The mean was 29.8%, and 68% were male. Falls caused 39% of injuries, sport 27%, and assault 14%. Sixteen percent of patients were treated in oral and maxillofacial surgery departments, and 16% in plastics, and ear, nose and throat (ENT) departments combined. There were 166 serious injuries. The busiest 24h were from Saturday at 09:00. Forty-five percent presented between 1 and 2h after injury. Different approaches and methods may be needed to prevent injury because of differences in aetiology, and staff in emergency departments will need training in this area, given the large proportion of facial injuries in the region.
爱尔兰西部面部损伤的模式、表现及数量在主观上与英国不同。截至目前，我们尚未知晓爱尔兰有关于面部损伤的前瞻性区域研究，而且在全国范围内也没有收集损伤数据的系统。面部创伤的流行病学对于卫生服务的发展、临床医生的教育与培训、劳动力规划、损伤预防及健康促进具有重要意义。在一周多的时间里，我们开展了一项多中心前瞻性数据收集研究，涵盖了爱尔兰西部的所有急诊科。所有因面部损伤前来就诊的患者均被纳入，仅头皮和颈部受伤的患者被排除。调查表记录了患者的特征、损伤及表现细节、治疗与随访情况。其中还包括与运动、酒精、袭击及动物的关系。在研究期间，有325名患者受伤（占该地区急诊科就诊人数的5%）。平均年龄为29.8岁，68%为男性。跌倒导致39%的损伤，运动导致27%，袭击导致14%。16%的患者在口腔颌面外科接受治疗，16%在整形外科以及耳鼻喉科联合科室接受治疗。有166例重伤。最繁忙的24小时是从周六09:00开始。45%的患者在受伤后1至2小时内前来就诊。鉴于病因存在差异，可能需要采取不同的方法和措施来预防损伤，而且鉴于该地区面部损伤比例较大，急诊科工作人员需要在这方面接受培训。
