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:: دوره 7، شماره 3 - ( 4-1397 ) ::
جلد 7 شماره 3 صفحات 307-313 برگشت به فهرست نسخه ها
Age and Number of Surgeries Increase Risk for Complications in Polytrauma Patients with Operative Maxillofacial Fractures
چکیده:   (130 مشاهده)

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.  

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نوع مطالعه: مقالات اصيل | موضوع مقاله: عمومى
دریافت: 1396/5/9 | پذیرش: 1397/8/11 | انتشار: 1397/8/11
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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-fa.html

Age and Number of Surgeries Increase Risk for Complications in Polytrauma Patients with Operative Maxillofacial Fractures. مجله جهانی جراحی پلاستیک. 1397; 7 (3) :307-313

URL: http://wjps.ir/article-1-354-fa.html



دوره 7، شماره 3 - ( 4-1397 ) برگشت به فهرست نسخه ها
مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
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