Evaluating Facial Trauma in the Amish: A Study of a Unique Patient Population.

Autor:	Sciscent BY; Penn State College of Medicine, Hershey, PA, USA., Eberly HW; Penn State College of Medicine, Hershey, PA, USA., King TS; Department of Public Health Sciences, Division of Biostatistics and Bioinformatics, Penn State College of Medicine, Hershey, PA, USA., Bavier R; Department of Otolaryngology-Head and Neck Surgery, Penn State College of Medicine, Hershey, PA, USA., Lighthall JG; Department of Otolaryngology-Head and Neck Surgery, Penn State College of Medicine, Hershey, PA, USA.
Jazyk:	angličtina
Zdroj:	Craniomaxillofacial trauma & reconstruction [Craniomaxillofac Trauma Reconstr] 2024 Jun 14, pp. 19433875241259887. Date of Electronic Publication: 2024 Jun 14.
DOI:	10.1177/19433875241259887
Abstrakt:	Study Design: Retrospective Chart Review. Objective: The lifestyle of the Amish exposes them to unique mechanisms of injury, making them an important patient population from a facial trauma standpoint. This study analyzes the demographic and clinical risk factors of facial trauma in the Amish. Methods: This retrospective chart review identified all Amish patients presenting with facial trauma at a single institution between 2013-2023. Results: There were 87 Amish facial trauma patients. The median age was 9 years old, and 67.8% were male. Most injuries occurred on the road (41.4%), farm (28.7%), or at home (25.3%). The most frequent mechanisms were buggies (27.6%), falls (26.4%), and animals (18.4%). Fifty-eight patients sustained facial fractures, with orbital (n = 40), maxillary (n = 25), and nasal (n = 19) fractures being the most prevalent. The most common cause of facial fractures was buggy injuries (n = 17). Facial reconstruction was performed in 54.2% of buggy injuries, 31.3% of animal injuries, and 8.7% of falls. Patients with buggy injuries presented with the lowest Glasgow Coma Scale (GCS) scores (median 13.5) and had the longest inpatient hospital stay (median 3 days). Conclusions: Increased injury prevention efforts, especially towards buggy injuries, are necessary. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu