Department of Plastic and Reconstructive Surgery, Dongguk University Graduate School of Medicine, 30, Pildong-ro 1-gil, Jung-gu, Seoul.
Department of Plastic and Reconstructive Surgery, College of Medicine, Dongguk University, 87 Dongdae-ro, Gyeongju.
Medicine (Baltimore). 2021 Mar 5;100(9):e24163. doi: 10.1097/MD.0000000000024163.
No national epidemiological investigations have been conducted recently regarding facial lacerations. The study was performed using the data of 3,634,229 people during the 5-year period from 2014 to 2018 archived by the National Health Information Database (NHID) of the Health Insurance Review and Assessment Service. Preschool and children under 10 years old accounted for about one-third of patients. Facial lacerations were concentrated in the "T-shaped" area, which comprised forehead, nose, lips, and the perioral area. The male to female ratio for all study subjects was 2.16:1. Age and gender are significantly related with each other (P < .001). Mean hospital stays decreased, and numbers of outpatient department visits per patient were highest for hospitals and lowest for health agencies. Over the study period, hospital costs per patient in tertiary and general hospitals increased gradually. Preschool and school-aged children are vulnerable to trauma. Male patients outnumbered female patients by a factor of more than 2. The "T-shaped'" area around forehead is vulnerable to injury. Total cost of medical care benefits per patient in tertiary hospitals was about 7 times on average than in health agencies. Regarding functional, behavioral, and aesthetic outcomes, more attention should be paid to epidemiologic data and hospital costs for facial lacerations.
目前尚未针对面部裂伤进行全国性的流行病学调查。本研究使用了健康保险审查与评估服务机构的国家健康信息数据库（NHID）在 2014 年至 2018 年 5 年期间所保存的 3634229 人的数据进行研究。学龄前和 10 岁以下儿童约占患者的三分之一。面部裂伤集中在“T 形”区域，包括额头、鼻子、嘴唇和口周区域。所有研究对象的男女比例为 2.16:1。年龄和性别之间存在显著相关性（P<0.001）。住院时间呈下降趋势，每位患者的门诊就诊次数以医院最高，以保健机构最低。在研究期间，三级和综合医院每位患者的住院费用逐渐增加。学龄前和学龄儿童易受创伤。男性患者人数是女性患者的两倍多。额头周围的“T 形”区域易受伤。三级医院每位患者的医疗费用福利总额平均约为保健机构的 7 倍。关于功能、行为和审美结果，应更加关注面部裂伤的流行病学数据和医院费用。
