Gazal Giath
Department of Oral and Maxillofacial Surgery, College of Dentistry, Taibah University, Almadinah Almunawwarah, Saudi Arabia.
Eur J Dent. 2015 Jan-Mar;9(1):87-91. doi: 10.4103/1305-7456.149650.
This study was aimed to assess the impacts of delay treatment of mandibular fracture and its complications. In addition risk variables related such as time to repair, fracture types, substance abuse, causes, surgical management, muddling or complications and duration of clinic stay were also evaluated.
The data of patients attending the Newcastle General Hospital, UK for the management of mandibular fractures were probed. This retrospective clinical trial conducted over 6 months, included 91 patients attending trauma operating theatre during weekdays or weekends. Data were analyzed for time to admission and treatment and its relationships to various factors using SPSS version 20 (SPSS Inc., Chicago, IL).
Time to treatment from the point of admission was 31.50 ± 3.83 h during week days that has been significantly more for patients attending the hospital at weekends or nights. Similar trend was observed for total summative time from the incident to treatment analysis.
This investigation has demonstrated that the rate of infection and postoperative complications following surgical treatment of mandible fractures can be eased off by reducing the waiting time from presentation to the emergency and to the operating theater.
本研究旨在评估下颌骨骨折延迟治疗及其并发症的影响。此外，还评估了相关风险变量，如修复时间、骨折类型、药物滥用、病因、手术管理、混淆或并发症以及住院时间。
对英国纽卡斯尔综合医院治疗下颌骨骨折患者的数据进行了探究。这项为期6个月的回顾性临床试验纳入了91名在工作日或周末前往创伤手术室的患者。使用SPSS 20版软件（SPSS公司，伊利诺伊州芝加哥）对入院和治疗时间及其与各种因素的关系进行了分析。
工作日从入院到治疗的时间为31.50±3.83小时，周末或夜间就诊的患者这一时间段明显更长。从事故到治疗分析的总累计时间也观察到了类似趋势。
本研究表明，通过减少从就诊到急诊以及到手术室的等待时间，可以降低下颌骨骨折手术治疗后的感染率和术后并发症。
