Dobrow Sebastian, Bartels Harrison, Casale Garrett, Strumpf Andrew, Park Stephen, Christophel J Jared
University of Virginia School of Medicine, Charlottesville, Virginia, USA.
Department of Otolaryngology, University of Virginia School of Medicine, Charlottesville, Virginia, USA.
Facial Plast Surg Aesthet Med. 2023 Jan-Feb;25(1):16-21. doi: 10.1089/fpsam.2021.0322. Epub 2022 Mar 4.
In 2017, the Bony Facial Trauma Score (BFTS) was developed to quantify and describe bony trauma of the face. To compare BFTSs for the need of hospital admission, intensive care unit (ICU) admission, surgery, tracheostomy tube placement, cervical spine (c-spine) injury, and mortality. A retrospective review of patients sustaining bony facial trauma from January 1, 2017 to November 30, 2019 was done. Logistic regression modeling measured the association between BFTS and admission status, need for operative repair, tracheostomy, mortality, ICU admission, and c-spine injury. Three hundred six patients were included for this analysis. Median BFTS was 3.5 (interquartile range, 5), while the average age was 45.0 years (standard deviation, 22.3). The most common mechanisms of injury were motor vehicle accident (44.8%) and ground-level fall (32.5%). BFTS was found to correlate with the following ( < 0.05): admission (odds ratio [OR] 1.06, 95% confidence interval [CI] 1.01-1.13), mortality (OR 1.05, 1.00-1.10), tracheostomy (OR 1.11, 1.07-1.17), operative management (OR 1.16, 1.11-1.22), ICU (OR 1.07, 1.03-1.11), and c-spine injury (OR 1.05, 95% CI 1.03-1.11). A significant correlation was found between BFTS and all the outcomes investigated.
2017年，骨面部创伤评分（BFTS）被开发出来用于量化和描述面部的骨创伤。比较BFTS以确定住院、重症监护病房（ICU）收治、手术、气管切开置管、颈椎（c脊柱）损伤及死亡率的需求情况。对2017年1月1日至2019年11月30日期间遭受面部骨创伤的患者进行了回顾性研究。逻辑回归模型测量了BFTS与入院状态、手术修复需求、气管切开、死亡率、ICU收治及c脊柱损伤之间的关联。306例患者纳入该分析。BFTS中位数为3.5（四分位间距为5），平均年龄为45.0岁（标准差为22.3）。最常见的损伤机制是机动车事故（44.8%）和地面跌倒（32.5%）。发现BFTS与以下各项相关（<0.05）：入院（比值比[OR]1.06，95%置信区间[CI]1.01 - 1.13）、死亡率（OR 1.05，1.00 - 1.10）、气管切开（OR 1.11，1.07 - 1.17）、手术治疗（OR 1.16，1.11 - 1.22）、ICU（OR 1.07，1.03 - 1.11）及c脊柱损伤（OR 1.05，95% CI 1.03 - 1.11）。在BFTS与所有研究结果之间发现了显著相关性。
