颌面创伤的趋势:来自智利急诊服务多中心研究的前瞻性登记的更新

Fabiola Werlinger, M. Villalón, V. Duarte, R. Acevedo, Rodrigo Aguilera, D. Alcocer, M. Arriola, O. Badillo, R. Briones, C. Condal, M. del Río, J. Henríquez, Roberto García, M. Herrera, Joaquín Jaramillo, F. Merchan, M. Nasi, R. Osbén, A. Rivera, S. Riviello, P. Rojas, C. Vidal, G. Rodríguez, S. Schild, E. Arroyo, María-José Alvarado, P. Sepúlveda, Juan Cortés
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Age, sex, date of occurrence, type of trauma according to ICD-10, etiology, legal medical prognosis and associated injuries were recorded, stratifying by sex and age. Chi square and unpaired Wilcoxon tests were used to compare by groups. Results 2.485 cases and 3.285 injuries were investigated. The male: female ratio was 1.7: 1 with age under 30 predominant, followed by older adults. Variability was observed in the yearly, weekly and daily presentation. The highest frequencies were in January and September, weekends and at night. The main etiologies were violence (42.3%), falls (13.1%) and road traffic crashes (12.9%) with differences by age and sex (p<0.05). 31,9% of the injuries occurred in hard tissue, being fractures in nasal bones predominant (S02.2). Conclusions The profile of the maxillofacial trauma in Chile seems to be mixed by age, affecting young people and the elderly. The male sex predominates; the main cause, which varies by age group, is violence. 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引用次数: 5

摘要

背景:确定在智利中部地区3个三级保健中心治疗的成人颌面部创伤的行为。材料与方法描述性、横断面、多中心研究,基于2016年5月至2017年4月期间由医院成人急诊部的牙科和颌面临床小组Sótero del Río博士(都市地区)、Carlos Van Buren博士和Gustavo Fricke博士(V地区)就诊的颌面外伤病例的前瞻性记录。记录年龄、性别、发生日期、ICD-10创伤类型、病因、法律医学预后和相关损伤。按性别和年龄分层。组间比较采用卡方检验和未配对Wilcoxon检验。结果共调查病例2.485例,伤情3.285例。男女比例为1.7:1,年龄以30岁以下为主,老年人次之。在每年、每周和每天的报告中观察到变异性。频率最高的是1月和9月、周末和夜间。主要病因为暴力(42.3%)、跌倒(13.1%)和道路交通碰撞(12.9%),年龄和性别差异有统计学意义(p<0.05)。31.9%的损伤发生在硬组织,以鼻骨骨折为主(S02.2)。结论智利颌面外伤的情况因年龄而异,年轻人和老年人都有。男性占主导地位;主要原因是暴力,这因年龄组而异。他们的监控可以从医院的急救记录中找到。关键词:颌面外伤,急诊科,多中心研究。
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Trends of maxillofacial trauma: An update from the prospective register of a multicenter study in emergency services of Chile
Background Determine the behavior of the maxillofacial trauma of adults treated in 3 tertiary care centers in the central zone of Chile. Material and Methods Descriptive, cross-sectional, multicenter study, based on the prospective records of maxillofacial trauma cases attended between May 2016 and April 2017 by dental and maxillofacial clinical teams of Adult Emergency Units of hospitals Dr. Sótero del Río (metropolitan region), Carlos Van Buren and Dr. Gustavo Fricke (region V). Age, sex, date of occurrence, type of trauma according to ICD-10, etiology, legal medical prognosis and associated injuries were recorded, stratifying by sex and age. Chi square and unpaired Wilcoxon tests were used to compare by groups. Results 2.485 cases and 3.285 injuries were investigated. The male: female ratio was 1.7: 1 with age under 30 predominant, followed by older adults. Variability was observed in the yearly, weekly and daily presentation. The highest frequencies were in January and September, weekends and at night. The main etiologies were violence (42.3%), falls (13.1%) and road traffic crashes (12.9%) with differences by age and sex (p<0.05). 31,9% of the injuries occurred in hard tissue, being fractures in nasal bones predominant (S02.2). Conclusions The profile of the maxillofacial trauma in Chile seems to be mixed by age, affecting young people and the elderly. The male sex predominates; the main cause, which varies by age group, is violence. Their surveillance is possible from hospital emergency records. Key words:Maxillofacial trauma, emergency department, multicenter study.
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