TY - JOUR
T1 - Epidemiology of maxillofacial trauma in the elderly: A European multicenter study
AU - Brucoli, M.
AU - Boffano, P.
AU - Romeo, I.
AU - Corio, C.
AU - Benech, A.
AU - Ruslin, M.
AU - Forouzanfar, T.
AU - Starch-Jensen, T.
AU - Rodríguez-Santamarta, T.
AU - de Vicente, J. C.
AU - Snäll, J.
AU - Thorén, H.
AU - Aničić, B.
AU - Konstantinovic, V. S.
AU - Pechalova, P.
AU - Pavlov, N.
AU - Daskalov, H.
AU - Doykova, I.
AU - Kelemith, K.
AU - Tamme, T.
AU - Kopchak, A.
AU - Shumynskyi, I.
AU - Corre, P.
AU - Bertin, H.
AU - Goguet, Q.
AU - Anquetil, M.
AU - Louvrier, A.
AU - Meyer, C.
AU - Dovšak, T.
AU - Vozlič, D.
AU - Birk, A.
AU - Tarle, M.
AU - Dediol, E.
PY - 2020/9/1
Y1 - 2020/9/1
N2 - Introduction: The progressive aging of European population seems to determine a change in the epidemiology, incidence and etiology of maxillofacial fractures with an increase in the frequency of old patients sustaining craniofacial trauma. The objective of the present study was to assess the demographic variables, causes, and patterns of facial fractures in elderly population (with 70 years or more). Materials and methods: The data from all geriatric patients (70 years or more) with facial fractures between January 1, 2013, and December 31, 2017, were collected. The following data were recorded for each patient: gender, age, voluptuary habits, comorbidities, etiology, site of facial fractures, synchronous body injuries, Facial Injury Severity Score (FISS). Results: A total of 1334 patients (599 male and 735 female patients) were included in the study. Mean age was 79.3 years, and 66% of patients reported one or more comorbidities. The most frequent cause of injury was fall and zygomatic fractures were the most frequently observed injuries. Falls were associated with a low FISS value (P < .005). Concomitant injuries were observed in 27.3% of patients. Falls were associated with the absence of concomitant injuries. The ninth decade (P < .05) and a high FISS score (P < .005) were associated with concomitant body injuries too. Conclusions: This study confirms the role of falls in the epidemiology of facial trauma in the elderly, but also highlights the frequency of involvement of females, and the high frequency of zygomatic fractures.
AB - Introduction: The progressive aging of European population seems to determine a change in the epidemiology, incidence and etiology of maxillofacial fractures with an increase in the frequency of old patients sustaining craniofacial trauma. The objective of the present study was to assess the demographic variables, causes, and patterns of facial fractures in elderly population (with 70 years or more). Materials and methods: The data from all geriatric patients (70 years or more) with facial fractures between January 1, 2013, and December 31, 2017, were collected. The following data were recorded for each patient: gender, age, voluptuary habits, comorbidities, etiology, site of facial fractures, synchronous body injuries, Facial Injury Severity Score (FISS). Results: A total of 1334 patients (599 male and 735 female patients) were included in the study. Mean age was 79.3 years, and 66% of patients reported one or more comorbidities. The most frequent cause of injury was fall and zygomatic fractures were the most frequently observed injuries. Falls were associated with a low FISS value (P < .005). Concomitant injuries were observed in 27.3% of patients. Falls were associated with the absence of concomitant injuries. The ninth decade (P < .05) and a high FISS score (P < .005) were associated with concomitant body injuries too. Conclusions: This study confirms the role of falls in the epidemiology of facial trauma in the elderly, but also highlights the frequency of involvement of females, and the high frequency of zygomatic fractures.
KW - Epidemiology
KW - Etiology
KW - Facial fractures
KW - Falls
KW - Multicenter
UR - https://www.scopus.com/pages/publications/85072520897
UR - https://www.ncbi.nlm.nih.gov/pubmed/31533064
U2 - 10.1016/j.jormas.2019.09.002
DO - 10.1016/j.jormas.2019.09.002
M3 - Article
C2 - 31533064
SN - 2468-7855
VL - 121
SP - 330
EP - 338
JO - Journal of Stomatology, Oral and Maxillofacial Surgery
JF - Journal of Stomatology, Oral and Maxillofacial Surgery
IS - 4
ER -