Department of Dentistry, Institute of Postgraduate Education, O. Bogomolets National Medical University, 34, Peremohy Avenue, the 2nd floor of the "physical-chemical" building, Kyiv, Ukraine.
Health Management Department, O. Bogomolets National Medical University, 13, T. Shevchenko Blvd., Kyiv, 01601, Ukraine.
Oral Maxillofac Surg. 2022 Mar;26(1):161-170. doi: 10.1007/s10006-021-00967-7. Epub 2021 Jun 8.
Identify the most common concomitant injuries associated with facial trauma, and compare the efficacy of various scoring systems in estimation of mortality risks in this category of patients.
The study evaluated patients with facial and concomitant injuries, who received the multidisciplinary treatment in a specialized trauma hospital. Values of New Injury Severity Score, Glasgow Coma Scale, Facial Injury Severity Scale, age, and length of hospital stay were statistically analysed to determine presence of relationships between these indicators and define factors that significantly associated with lethal outcome.
During 6-year observation period, 719 patients were treated with multiple or combined maxillofacial trauma, brain injuries and polytrauma. Mainly with isolated midface bones (49.7%), pan-facial (34.6%), mandible (12.9%), and frontal bone and walls (2.8%) fractures. Mortality was (2.2%). The mortality rates in patients with severe pan-facial fractures were higher (p = 0.008) than in single anatomical area (6% vs 1.5%). Age, GCS, and NISS were the most reliable indicator of lethal outcome.
Age, Glasgow Coma Scale and New Injury Severity Score main factors, that predicts lethal outcome with high accuracy. New Injury Severity Score value ≥ 41 is a critical level for survival prognosis and should be considered in treatment planning and management of this category of patients.
确定与面部创伤相关的最常见伴随损伤，并比较各种评分系统在评估此类患者的死亡风险方面的有效性。
本研究评估了在专门的创伤医院接受多学科治疗的面部和伴随损伤患者。对新损伤严重程度评分、格拉斯哥昏迷评分、面部损伤严重程度评分、年龄和住院时间的数值进行了统计学分析，以确定这些指标之间是否存在关系，并确定与致死结果显著相关的因素。
在 6 年的观察期间，719 名患者接受了多发性或联合性颌面创伤、脑损伤和多发伤的治疗。主要为孤立的中面部骨（49.7%）、全颜面（34.6%）、下颌骨（12.9%）和额骨及侧壁（2.8%）骨折。死亡率为（2.2%）。严重全颜面骨折患者的死亡率较高（p=0.008），而单一解剖区域的死亡率为 6%比 1.5%。年龄、GCS 和 NISS 是最可靠的致死结果指标。
年龄、格拉斯哥昏迷评分和新损伤严重程度评分是主要因素，可准确预测致死结果。新损伤严重程度评分值≥41 是生存预后的关键水平，应在治疗计划和此类患者的管理中考虑。
