Comparison of Traumatic Brain Injury in Adult Patients with and without Facial Fractures.

IF 2.2 4区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Tomography Pub Date : 2024-09-24 DOI:10.3390/tomography10100113

Iulia Tatiana Lupascu, Sorin Hostiuc, Costin Aurelian Minoiu, Mihaela Hostiuc, Bogdan Valeriu Popa

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Abstract

Objectives: Facial fractures and associated traumatic brain injuries represent a worldwide public health concern. Therefore, we aimed to determine the pattern of brain injury accompanying facial fractures by comparing adult patients with and without facial fractures in terms of demographic, clinical, and imaging features.

Methods: This single-center, retrospective study included 492 polytrauma patients presenting at our emergency department from January 2019 to July 2023, which were divided in two groups: with facial fractures (FF) and without facial fractures (non-FF). The following data were collected: age, sex, mechanism of trauma (road traffic accident, fall, and other causes), Glasgow Coma Scale (GCS), the evolution of the patient (admitted to a medical ward or intensive care unit, neurosurgery performed, death), and imaging features of the injury. Data were analyzed using descriptive tests, Chi-square tests, and regression analyses. A p-value less than 0.05 was considered statistically significant.

Results: In the FF group, there were 79% (n = 102) men and 21% (n = 27) women, with a mean age of 45 ± 17 years, while in the non-FF group, there were 70% (n = 253) men and 30% (n = 110) women, with a mean age 46 ± 17 years. There was a significant association between brain injuries and facial fractures (p < 0.001, AOR 1.7). The most frequent facial fracture affected the zygoma bone in 28.1% (n = 67) cases. The most frequent brain injury associated with FF was subdural hematoma 23.4% (n = 44), and in the non-FF group, the most common head injury was intraparenchymal hematoma 29% (n = 73); Conclusions: Both groups shared similarities regarding gender, age, cause of traumatic event, and outcome but had significant differences in association with brain injuries, ICU admission, and clinical status.

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有面部骨折和没有面部骨折的成年患者脑外伤情况比较。

目的：面部骨折及相关的创伤性脑损伤是一个全球公共卫生问题。因此，我们旨在通过比较有面部骨折和无面部骨折的成年患者在人口统计学、临床和影像学特征方面的情况，确定面部骨折伴发脑损伤的模式：这项单中心回顾性研究纳入了 2019 年 1 月至 2023 年 7 月期间在我院急诊科就诊的 492 例多发性创伤患者，将其分为两组：面部骨折（FF）和无面部骨折（非 FF）。收集的数据包括：年龄、性别、外伤机制（道路交通事故、坠落和其他原因）、格拉斯哥昏迷量表（GCS）、患者的病情变化（入住内科病房或重症监护室、接受神经外科手术、死亡）以及损伤的影像学特征。数据分析采用描述性检验、卡方检验和回归分析。P值小于0.05为具有统计学意义：颅脑损伤组中，79%（n = 102）为男性，21%（n = 27）为女性，平均年龄为 45 ± 17 岁；非颅脑损伤组中，70%（n = 253）为男性，30%（n = 110）为女性，平均年龄为 46 ± 17 岁。颅脑损伤与面部骨折之间存在明显关联（P < 0.001，AOR 1.7）。最常见的面部骨折影响到颧骨，占 28.1%（n = 67）。与 FF 相关的最常见脑损伤是硬膜下血肿 23.4%（n = 44），而在非 FF 组中，最常见的头部损伤是脑实质内血肿 29%（n = 73）；结论：两组在性别、年龄、创伤事件原因和结果方面有相似之处，但在脑损伤、入住重症监护室和临床状态方面有显著差异。

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来源期刊

Tomography Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

2.70

自引率

10.50%

发文量

222

期刊介绍： TomographyTM publishes basic (technical and pre-clinical) and clinical scientific articles which involve the advancement of imaging technologies. Tomography encompasses studies that use single or multiple imaging modalities including for example CT, US, PET, SPECT, MR and hyperpolarization technologies, as well as optical modalities (i.e. bioluminescence, photoacoustic, endomicroscopy, fiber optic imaging and optical computed tomography) in basic sciences, engineering, preclinical and clinical medicine. Tomography also welcomes studies involving exploration and refinement of contrast mechanisms and image-derived metrics within and across modalities toward the development of novel imaging probes for image-based feedback and intervention. The use of imaging in biology and medicine provides unparalleled opportunities to noninvasively interrogate tissues to obtain real-time dynamic and quantitative information required for diagnosis and response to interventions and to follow evolving pathological conditions. As multi-modal studies and the complexities of imaging technologies themselves are ever increasing to provide advanced information to scientists and clinicians. Tomography provides a unique publication venue allowing investigators the opportunity to more precisely communicate integrated findings related to the diverse and heterogeneous features associated with underlying anatomical, physiological, functional, metabolic and molecular genetic activities of normal and diseased tissue. Thus Tomography publishes peer-reviewed articles which involve the broad use of imaging of any tissue and disease type including both preclinical and clinical investigations. In addition, hardware/software along with chemical and molecular probe advances are welcome as they are deemed to significantly contribute towards the long-term goal of improving the overall impact of imaging on scientific and clinical discovery.