Changing trends in epidemiology and management of facial trauma in a Swiss geriatric population.

Burkhard, John Patrik Matthias; Pitteloud, Caroline; Klukowska-Rötzler, Jolanta; Exadaktylos, Aristomenis Konstantinos; Iizuka, Tateyuki; Schaller, Benoît (2019). Changing trends in epidemiology and management of facial trauma in a Swiss geriatric population. Gerodontology, 36(4), pp. 358-364. Wiley-Blackwell 10.1111/ger.12410

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OBJECTIVE To assess the prevalence and surgical treatment of facial fractures in a Swiss population aged 65 and over. BACKGROUND The knowledge of the characteristics of geriatric trauma may help to prevent injuries and better allocate clinical resources for the management of multimorbid patients. MATERIAL AND METHODS This study retrospectively evaluated a cohort of 181 patients who presented at the Bern University Hospital in Switzerland from May 2012 to September 2016. Data on age, gender, aetiology and type of trauma, treatment and complications, co-morbidities and associated injuries were obtained. RESULTS Women were most frequently affected (55.2%). Mean age was 80 years. Zygomatic complex fractures were the most frequent type of fractures (37%), followed by isolated orbital fractures (27.6%). Falls were the most common cause of trauma (76.1%). Thirty-five per cent of all patients were taking anticoagulation or platelet aggregation medication. Hospitalisation was required in 88.4%, whereby 92.3% of the patients underwent surgical treatment. Surgery had to be performed immediately in three cases to treat compression of the optic nerve. Median hospital length of stay was 4 days, with 68% of patients returning to a domestic environment and 32% being transferred to another institution for further treatment. CONCLUSION The most common cause of facial injuries is a fall while standing in a domestic environment. Midface fractures were the most common type of fractures.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Craniomaxillofacial Surgery

UniBE Contributor:

Burkhard, John Patrik Matthias; Klukowska-Rötzler, Jolanta; Exadaktylos, Aristomenis; Iizuka, Tateyuki and Schaller, Benoît

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0734-0664

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Caroline Dominique Zürcher

Date Deposited:

03 Dec 2019 11:12

Last Modified:

03 Dec 2019 11:18

Publisher DOI:

10.1111/ger.12410

PubMed ID:

31274224

Uncontrolled Keywords:

epidemiology facial trauma geriatric trauma

BORIS DOI:

10.7892/boris.135922

URI:

https://boris.unibe.ch/id/eprint/135922

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