Lupi-Ferandin Slaven, Glumac Sandro, Poljak Nancy, Galic Tea, Ivkovic Natalija, Brborovic Ognjen, Pecotic Renata, Dogas Zoran
Department of Maxillofacial and Oral Surgery, University Hospital of Split, Split, Croatia.
Department of Anesthesiology and Intensive Care, University Hospital of Split, Split, Croatia.
Ther Clin Risk Manag. 2020 Apr 9;16:261-267. doi: 10.2147/TCRM.S249116. eCollection 2020.
To evaluate the health-related life quality of patients after surgically treated midface fractures.
This retrospective cohort study compared the 36-Item Short Form Health Survey (SF-36) scores of 42 male patients following surgically treated maxillary or zygomatic fractures with the reported normative data of the SF-36 for the Croatian population.
The current study showed that the health-related life quality of surgically treated patients was comparable to similar age, gender, and regional demographics in the Croatian population norm. However, we revealed a significant deterioration of the "Emotional wellbeing" domain in younger patients ( = 0.03) and a severely affected domain of "Physical functioning" in older patients ( = 0.049).
There was a significant negative psychological impact from facial trauma on younger patients. In contrast, older patients were more prone to physical impairment. Therefore, follow-up visits are an opportunity to screen and refer younger patients to mental health services in a timely manner to prevent severe psychological difficulties and an opportunity to identify older patients who require physical therapy.
评估手术治疗面中部骨折患者的健康相关生活质量。
这项回顾性队列研究将42例接受手术治疗上颌骨或颧骨骨折的男性患者的36项简明健康状况调查（SF-36）评分与克罗地亚人群SF-36的报告规范数据进行了比较。
当前研究表明，手术治疗患者的健康相关生活质量与克罗地亚人群规范中年龄、性别和地区人口统计学特征相似的人群相当。然而，我们发现年轻患者的“情感健康”领域显著恶化（P = 0.03），老年患者的“身体功能”领域受到严重影响（P = 0.049）。
面部创伤对年轻患者有显著的负面心理影响。相比之下，老年患者更容易出现身体损伤。因此，随访是及时筛查并将年轻患者转介至心理健康服务机构以预防严重心理问题的机会，也是识别需要物理治疗的老年患者的机会。
