Etiology, diagnosis, and characteristics of facial fracture at a midwestern level I trauma center

Hayden Smith; Corinne Peek-Asa; Dustin Nesheim; Andrew Nish; Pamela Normandin; Sheryl Sahr

doi:10.1097/JTN.0b013e31823a4c0e

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$Etiology, diagnosis, and characteristics of facial fracture at a midwestern level I trauma center$

Journal article

Peer reviewed

Etiology, diagnosis, and characteristics of facial fracture at a midwestern level I trauma center

Hayden Smith, Corinne Peek-Asa, Dustin Nesheim, Andrew Nish, Pamela Normandin and Sheryl Sahr

Journal of trauma nursing, Vol.19(1), pp.57-65

01/2012

DOI: 10.1097/JTN.0b013e31823a4c0e

PMID: 22415509

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Abstract

Study purpose was to describe facial fracture frequency, demography, injury characteristics, and diagnostic modalities at a Midwestern level I trauma center. A retrospective review was conducted on a Midwestern trauma center registry for years 2008 and 2009. Patient and injury data were collected along with diagnostic modality for facial fracture patients. Comparative statistics were conducted on the basis of the number of facial fractures, route of admission, presence of traumatic brain injury, and gender. There were 154 patients diagnosed with 443 facial fractures, representing 5% of the trauma population. Median patient age was 45 years. Median number of fractures was 2. Fractures were frequently present in orbit (32%), malar bone and maxilla (26%), and the nasal bones (19%). Motor vehicle crash was the most common mechanism (47%). Most fractures were diagnosed with maxillofacial computed tomography (78%). Males had an odds ratio of 2.5 (95% confidence interval, 1.15-5.43) for multiple facial fractures and composed 67% of the sample. Traumatic brain injury was diagnosed in 71% of patients. This study of a medium-sized city and its surrounding rural areas revealed differences from studies in large urban centers. Differences included lower gender ratio, older average age, and mechanism of injury. While urban trauma centers report assault as a leading cause of facial fracture, this study noted higher frequencies of motor vehicle crash and falls and fewer assaults.

Wounds, Nonpenetrating - complications

Age Distribution

Orbital Fractures - etiology

Humans

Mandibular Fractures - diagnosis

Middle Aged

Facial Injuries - etiology

Male

Facial Injuries - diagnosis

Facial Bones - injuries

Orbital Fractures - diagnosis

Young Adult

Wounds, Nonpenetrating - epidemiology

Registries - statistics & numerical data

Orbital Fractures - epidemiology

Adult

Female

Trauma Centers - statistics & numerical data

Retrospective Studies

Mandibular Fractures - etiology

Accidental Falls

Mandibular Fractures - epidemiology

Maxillary Fractures - epidemiology

Maxillary Fractures - etiology

Nasal Bone - injuries

Wounds, Nonpenetrating - diagnosis

Midwestern United States - epidemiology

Sex Distribution

Maxillary Fractures - diagnosis

Aged

Facial Injuries - epidemiology

Details

Title: Subtitle: Etiology, diagnosis, and characteristics of facial fracture at a midwestern level I trauma center
Creators: Hayden Smith - Iowa Health-Des Moines, Des Moines, IA 50309, USA. smithhl@ihs.org
Corinne Peek-Asa
Dustin Nesheim
Andrew Nish
Pamela Normandin
Sheryl Sahr
Resource Type: Journal article
Publication Details: Journal of trauma nursing, Vol.19(1), pp.57-65
DOI: 10.1097/JTN.0b013e31823a4c0e
PMID: 22415509
NLM abbreviation: J Trauma Nurs
ISSN: 1078-7496
eISSN: 1932-3883
Publisher: United States
Language: English
Date published: 01/2012
Academic Unit: Radiology; Public Health Administration; Occupational and Environmental Health; Epidemiology; Nursing; Public Policy Center (Archive); Internal Medicine
Record Identifier: 9983997361902771

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