Lee Kai H, Qiu Michael, Sun Jiandong
Consultant Oral & Maxillofacial Surgeon, Western Health, Melbourne, Australia.
Medical Officer, Western Health, Melbourne, Australia.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2017 Nov;124(5):450-455. doi: 10.1016/j.oooo.2017.08.022. Epub 2017 Sep 19.
This study aimed to address 2 important aspects of temporal pattern in alcohol-related facial fractures: (1) comparison of temporal pattern of alcohol-related facial fracture (alcohol group) presentation with non-alcohol-related fracture (non-alcohol group) presentation; (2) temporal pattern of patient demographic characteristics, injury characteristics, and surgical management in the alcohol group presentation.
This study retrospectively examined the Victorian admitted episodes data set (VAED) for the years 2010 to 2013. VAED is a standardized set of data collected during all hospital presentations in Victoria.
The study found higher incidence of alcohol-related facial fracture presentations during weekends and during the summer and spring months compared with non-alcohol-related fractures (statistically significant). Alcohol-related facial fractures are more likely to involve male patients in the 20- to 29-year age group, occur as a result of interpersonal violence, and require shorter hospital stays during weekend admissions (statistically significant). No statistically significant relationship has been observed in seasonal variation across all variables.
This study found distinct characteristics in temporal distribution of alcohol-related facial fractures. These characteristics are, in particular, significant in weekend trauma admissions. Such information is important in workforce planning, resource distribution, and implementation of injury prevention programs.
本研究旨在探讨酒精相关面部骨折时间模式的两个重要方面:(1)比较酒精相关面部骨折(酒精组)与非酒精相关骨折(非酒精组)的就诊时间模式;(2)酒精组就诊患者的人口统计学特征、损伤特征和手术治疗的时间模式。
本研究回顾性分析了2010年至2013年维多利亚州住院病例数据集(VAED)。VAED是在维多利亚州所有医院就诊期间收集的标准化数据集。
研究发现,与非酒精相关骨折相比,周末以及春夏季节酒精相关面部骨折的就诊率更高(具有统计学意义)。酒精相关面部骨折更易发生于20至29岁的男性患者,多因人际暴力所致,且周末入院时住院时间较短(具有统计学意义)。在所有变量的季节变化中未观察到具有统计学意义的关系。
本研究发现酒精相关面部骨折的时间分布具有明显特征。这些特征在周末创伤入院时尤为显著。此类信息对于劳动力规划、资源分配和伤害预防计划的实施具有重要意义。