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:: Volume 7, Issue 3 (7-2018) ::
wjps 2018, 7(3): 307-313 Back to browse issues page
Age and Number of Surgeries Increase Risk for Complications in Polytrauma Patients with Operative Maxillofacial Fractures
Shadi Lalezari, Christine Lee, Keyianoosh Z. Paydar, Ashkaun Shaterian
Department of Plastic Surgery; University of California, Irvine; Orange, CA, USA
Abstract:   (553 Views)

BACKGROUND
Poly-trauma patients often sustain complex head/neck injuries requiring prolonged hospitalizations and multiple operations. Few studies have evaluated the associated injury patterns and risk factors for poor clinical outcomes.
METHODS
Consecutive poly-trauma patients with operative maxillofacial fractures treated at a level 1 trauma medical center between 1995 and 2013 were evaluated. Concomitant head/neck injuries to identify potential injury patterns were numerated. Lastly, a multivariate analysis was performed to determine independent risk factors for complications during the acute hospitalization period.
RESULTS
Totally, 232 poly-trauma patients presented with operative maxillofacial fractures, while 38.8% of patients had a secondary maxillofacial fracture, 16.4% had intracranial hemorrhage, 23.7% had skull fractures, and 12.1% had spinal fractures. The rate of complication during admission was 28.3%. Multivariate analysis revealed advanced patient age and increased number of operations to predict the rate of complication. Patients requiring more than one operation had a 1.8-fold increase in complication rate (p<0.01) and older patients had a 4.5% increase in complication rate (p<0.05) for every year of increased age. 
CONCLUSION
Poly-trauma patients have a high incidence of secondary maxillofacial fractures, concomitant head/neck injury, and inpatient complication rate. Knowledge of associated injury patterns can help increased awareness and can guide physician decision-making to avoid missed/delayed injuries.  

Keywords: Poly-trauma, Facial fracture, Complication
Full-Text [PDF 286 kb]   (228 Downloads)    
Type of Study: Original Article | Subject: General
Received: 2017/07/31 | Accepted: 2018/11/2 | Published: 2018/11/2
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Lalezari S, Lee C, Paydar K Z, Shaterian A. Age and Number of Surgeries Increase Risk for Complications in Polytrauma Patients with Operative Maxillofacial Fractures. wjps. 2018; 7 (3) :307-313
URL: http://wjps.ir/article-1-354-en.html


Volume 7, Issue 3 (7-2018) Back to browse issues page
مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
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