Epidemiology of maxillofacial trauma in the elderly: A European multicenter study

M Brucoli; P Boffano; I Romeo; C Corio; A Benech; M Ruslin; T Forouzanfar; T Starch-Jensen; T Rodríguez-Santamarta; J C de Vicente; J Snäll; H Thorén; B Aničić; V S Konstantinovic; P Pechalova; N Pavlov; H Daskalov; I Doykova; K Kelemith; T Tamme; A Kopchak; I Shumynskyi; P Corre; H Bertin; Q Goguet; M Anquetil; A Louvrier; C Meyer; T Dovšak; D Vozlič; A Birk; M Tarle; E Dediol

doi:10.1016/j.jormas.2019.09.002

Epidemiology of maxillofacial trauma in the elderly: A European multicenter study

M Brucoli, P Boffano, I Romeo, C Corio, A Benech, M Ruslin, T Forouzanfar, T Starch-Jensen, T Rodríguez-Santamarta, J C de Vicente, J Snäll, H Thorén, B Aničić, V S Konstantinovic, P Pechalova, N Pavlov, H Daskalov, I Doykova, K Kelemith, T TammeA Kopchak, I Shumynskyi, P Corre, H Bertin, Q Goguet, M Anquetil, A Louvrier, C Meyer, T Dovšak, D Vozlič, A Birk, M Tarle, E Dediol

Research output: Contribution to journal › Journal article › Research › peer-review

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Abstract

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.

Original language	English
Journal	Journal of stomatology, oral and maxillofacial surgery
Volume	121
Issue number	4
Pages (from-to)	330-338
Number of pages	9
ISSN	2468-7855
DOIs	https://doi.org/10.1016/j.jormas.2019.09.002
Publication status	Published - Sept 2020

Keywords

Epidemiology
Etiology
Facial fractures
Falls
Multicenter

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Brucoli, M., Boffano, P., Romeo, I., Corio, C., Benech, A., Ruslin, M., Forouzanfar, T., Starch-Jensen, T., Rodríguez-Santamarta, T., de Vicente, J. C., Snäll, J., Thorén, H., Aničić, B., Konstantinovic, V. S., Pechalova, P., Pavlov, N., Daskalov, H., Doykova, I., Kelemith, K., ... Dediol, E. (2020). Epidemiology of maxillofacial trauma in the elderly: A European multicenter study. Journal of stomatology, oral and maxillofacial surgery, 121(4), 330-338. Advance online publication. https://doi.org/10.1016/j.jormas.2019.09.002

@article{fb4d18514eeb4f0082338ece9f84e3fc,

title = "Epidemiology of maxillofacial trauma in the elderly: A European multicenter study",

abstract = "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.",

keywords = "Epidemiology, Etiology, Facial fractures, Falls, Multicenter",

author = "M Brucoli and P Boffano and I Romeo and C Corio and A Benech and M Ruslin and T Forouzanfar and T Starch-Jensen and T Rodr{\'i}guez-Santamarta and {de Vicente}, {J C} and J Sn{\"a}ll and H Thor{\'e}n and B Ani{\v c}i{\'c} and Konstantinovic, {V S} and P Pechalova and N Pavlov and H Daskalov and I Doykova and K Kelemith and T Tamme and A Kopchak and I Shumynskyi and P Corre and H Bertin and Q Goguet and M Anquetil and A Louvrier and C Meyer and T Dov{\v s}ak and D Vozli{\v c} and A Birk and M Tarle and E Dediol",

note = "Copyright {\textcopyright} 2019. Published by Elsevier Masson SAS.",

year = "2020",

month = sep,

doi = "10.1016/j.jormas.2019.09.002",

language = "English",

volume = "121",

pages = "330--338",

journal = "Journal of stomatology, oral and maxillofacial surgery",

issn = "2468-7855",

publisher = "Elsevier",

number = "4",

}

Brucoli, M, Boffano, P, Romeo, I, Corio, C, Benech, A, Ruslin, M, Forouzanfar, T, Starch-Jensen, T, Rodríguez-Santamarta, T, de Vicente, JC, Snäll, J, Thorén, H, Aničić, B, Konstantinovic, VS, Pechalova, P, Pavlov, N, Daskalov, H, Doykova, I, Kelemith, K, Tamme, T, Kopchak, A, Shumynskyi, I, Corre, P, Bertin, H, Goguet, Q, Anquetil, M, Louvrier, A, Meyer, C, Dovšak, T, Vozlič, D, Birk, A, Tarle, M & Dediol, E 2020, 'Epidemiology of maxillofacial trauma in the elderly: A European multicenter study', Journal of stomatology, oral and maxillofacial surgery, vol. 121, no. 4, pp. 330-338. https://doi.org/10.1016/j.jormas.2019.09.002

TY - JOUR

T1 - Epidemiology of maxillofacial trauma in the elderly

T2 - 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

Y1 - 2020/9

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 - http://www.scopus.com/inward/record.url?scp=85072520897&partnerID=8YFLogxK

U2 - 10.1016/j.jormas.2019.09.002

DO - 10.1016/j.jormas.2019.09.002

M3 - Journal 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 -

Epidemiology of maxillofacial trauma in the elderly: A European multicenter study

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