颌面创伤评分系统在确定印度颌面创伤患者经济负担中的作用。
Role of maxillofacial trauma scoring systems in determining the economic burden to maxillofacial trauma patients in India.
作者信息
Ramalingam Sundar
机构信息
Lecturer, Department of Maxillofacial Surgery, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia.
出版信息
J Int Oral Health. 2015 Apr;7(4):38-43.
BACKGROUND
The objective of this study was to evaluate the association between severity of maxillofacial injuries determined by trauma scoring systems and its economic burden to patients in terms of cost and duration of hospitalization.
MATERIALS AND METHODS
Following ethical approval a retrospective chart review was undertaken at Meenakshi Ammal Dental College and Hospital to identify patients admitted with maxillofacial injuries between January 2006 and December 2008. Patients with incomplete records, associated injuries, debilitating systemic diseases and patients treated under local anesthesia were excluded. Details regarding the nature and severity of injury and treatment were recorded in addition to the total treatment cost and duration of hospitalization. Maxillofacial injury severity was scored using maxillofacial injury severity score (MFISS) and facial injury severity scale (FISS). The MFISS and FISS scores were correlated with two surrogate markers of the economic burden namely cost and duration of hospitalization.
RESULTS
A total of 162 patients with maxillofacial injuries were identified (108 males, 54 females; mean age = 32.4 years). Road traffic accidents were the cause of injury in 114 patients (70.4%) and only 29 patients (17.9%) had medical insurance coverage. The mean MFISS and FISS scores were 14.04 (standard deviation [SD] = 9.19; range = 3-42) and 4.40 (SD = 3.17; range = 1-14), respectively. The mean cost and duration of hospitalization of the patients were Indian rupees (INR) 13877.28 (SD = 8252.59; range = INR 5250-42960) and 4.12 days (SD = 1.5; range = 2-8 days) respectively. Pearson's correlation between the MFISS and FISS scores and the cost and duration of hospitalization, revealed statistically significant correlations (MFISS vs. cost - R = 0.862, P < 0.001; MFISS vs. duration - R = 0.828, P < 0.01; FISS vs. cost - R = 0.845, P < 0.01; FISS vs. duration - R = 0.819, P < 0.01).
CONCLUSION
Based on the results of this study, maxillofacial injury severity measured by MFISS and FISS scores are predictable indicators of the economic burden to the patients.
背景
本研究的目的是评估创伤评分系统所确定的颌面损伤严重程度与其给患者带来的经济负担（包括费用和住院时长）之间的关联。
材料与方法
在获得伦理批准后，对米纳克希·阿玛尔牙科学院及医院进行了一项回顾性病历审查，以确定2006年1月至2008年12月期间因颌面损伤入院的患者。排除记录不完整、伴有其他损伤、患有使人衰弱的全身性疾病以及在局部麻醉下接受治疗的患者。除了记录治疗总费用和住院时长外，还记录了损伤的性质和严重程度以及治疗的详细情况。使用颌面损伤严重程度评分（MFISS）和面部损伤严重程度量表（FISS）对颌面损伤严重程度进行评分。将MFISS和FISS评分与经济负担的两个替代指标（即费用和住院时长）进行相关性分析。
结果
共确定了162例颌面损伤患者（男性108例，女性54例；平均年龄 = 32.4岁）。114例患者（70.4%）的损伤原因是道路交通事故，只有29例患者（17.9%）有医疗保险。MFISS和FISS评分的平均值分别为14.04（标准差[SD] = 9.19；范围 = 3 - 42）和4.40（SD = 3.17；范围 = 1 - 14）。患者的平均费用和住院时长分别为印度卢比（INR）13877.28（SD = 8252.59；范围 = INR 5250 - 42960）和4.12天（SD = 1.5；范围 = 2 - 8天）。MFISS和FISS评分与费用和住院时长之间的Pearson相关性分析显示，具有统计学意义的相关性（MFISS与费用 - R = 0.862，P < 0.001；MFISS与时长 - R = 0.828，P < 0.0！；FISS与费用 - R = 0.845，P < 0.01；FISS与时长 - R = 0.819，P < 0.01）。
结论
基于本研究结果，通过MFISS和FISS评分衡量的颌面损伤严重程度是患者经济负担的可预测指标。
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