人际暴力与老年面部创伤的严重程度增加有关。

Interpersonal Violence Is Associated With Increased Severity of Geriatric Facial Trauma.

作者信息

Cillo Joseph E, Holmes Talmage M

机构信息

Assistant Professor and Program Director, Division of Oral and Maxillofacial Surgery, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA.

Faculty, College of Health Sciences, Walden University, Minneapolis, MN.

出版信息

J Oral Maxillofac Surg. 2016 May;74(5):1023.e1-7. doi: 10.1016/j.joms.2016.01.003. Epub 2016 Jan 7.

DOI:10.1016/j.joms.2016.01.003

PMID:26850874

Abstract

PURPOSE

The geriatric population is rapidly increasing in number with increased demand on health care resources including those spent on the treatment of maxillofacial trauma. The purpose of this analysis was to investigate the independent and cumulative associations between potential risk factors (age, gender, mechanism of injury, drug use, and alcohol use) for and the severity of geriatric facial trauma.

METHODS

This was a cross-sectional analysis of secondary data of geriatric (individuals aged ≥65 years) facial trauma using the Allegheny General Hospital Trauma Registry database. Data were collected for diagnosis codes that reflected facial trauma (International Classification of Diseases, Ninth Revision codes 802.0 to 802.9, 800.1 to 801.9, and 803.0 to 804.9) and specific mechanisms of injury (E810 to E819, motor vehicle traffic accidents; E880 to E888, accidental falls; and E960 to E969, injury purposely inflicted by other persons). The Facial Injury Severity Scale (FISS) is a validated measurement that was used to determine the severity of the facial trauma and calculated through analysis of the abstracted data obtained from the trauma registry and patient records. Pearson correlations, 2-way independent t test, 1-way analysis of variance, and multiple linear regression were used to test hypotheses for independent and cumulative associations between the risk factors for and the severity of geriatric facial trauma. Statistical significance was set at the P < .05 level.

RESULTS

The sample was composed of 229 patients with a mean age of 72.3 ± 4.5 years. A statistically significant association between mechanism of injury and the severity of geriatric facial trauma (P = .019) was found. Specifically, interpersonal violence (assault) was associated with the greatest facial trauma severity (FISS score, 4.2) when compared with motor vehicle collisions (FISS score, 2.2; P = .011) and falls (FISS score, 2.4; P = .016).

CONCLUSIONS

Interpersonal violence (assault) is associated with increased severity of geriatric facial trauma compared with other risk factors.

摘要

目的

老年人口数量正在迅速增加，对包括颌面创伤治疗费用在内的医疗资源的需求也在增加。本分析的目的是调查老年面部创伤的潜在风险因素（年龄、性别、损伤机制、药物使用和酒精使用）与严重程度之间的独立关联和累积关联。

方法

这是一项使用阿勒格尼综合医院创伤登记数据库对老年（年龄≥65岁）面部创伤的二次数据进行的横断面分析。收集反映面部创伤的诊断代码（国际疾病分类第九版代码802.0至802.9、800.1至801.9以及803.0至804.9）和特定损伤机制（E810至E819，机动车交通事故；E880至E888，意外跌倒；以及E960至E969，他人故意造成的伤害）的数据。面部损伤严重程度量表（FISS）是一种经过验证的测量方法，用于确定面部创伤的严重程度，并通过对从创伤登记处和患者记录中提取的数据进行分析来计算。使用Pearson相关性分析、双向独立t检验、单向方差分析和多元线性回归来检验老年面部创伤风险因素与严重程度之间的独立关联和累积关联的假设。统计学显著性设定为P < .05水平。

结果

样本由229名患者组成，平均年龄为72.3 ± 4.5岁。发现损伤机制与老年面部创伤严重程度之间存在统计学显著关联（P = .019）。具体而言，与机动车碰撞（FISS评分，2.2；P = .011）和跌倒（FISS评分，2.4；P = .016）相比，人际暴力（袭击）与最严重的面部创伤严重程度相关（FISS评分，4.2）。