Maxillofacial injuries in multiply injured patients
| Autor: | A. Paterson, R.A. Loukota, Hugh Cannell |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Poison control Occupational safety and health Injury Severity Score Cause of Death Internal medicine London Injury prevention medicine Humans Child Facial Injuries Aged Probability Retrospective Studies Aged 80 and over Trauma Severity Indices Abbreviated Injury Scale Multiple Trauma business.industry Middle Aged Revised Trauma Score Prognosis Surgery Survival Rate Treatment Outcome Otorhinolaryngology Facial injury Assessment methods Female Maxillofacial Injuries Oral Surgery Emergency Service Hospital business |
| Zdroj: | British Journal of Oral and Maxillofacial Surgery. 34:303-308 |
| ISSN: | 0266-4356 |
| DOI: | 10.1016/s0266-4356(96)90007-8 |
| Popis: | Experience in team management of multiply injured patients with maxillofacial injuries is reported. During 1992, out of 169 patients transferred to the Royal London Hospital, UK by the Helicopter Emergency Medical Service 38 (22.4%) had injuries to the maxillofacial region, 17 of whom were scored on the Abbreviated Injury Scale (AIS) as having sustained facial AIS > 2. The median Injury Severity Score (ISS) was 22, while the ISS was 17.7 for survivors and 34.5 for those who died ( χ 2 = 7.3, 0.05 P > 0.02). Facial AIS (median 4) and facial AIS contribution to ISS were found to be poor indicators of severity of injury. Revised Trauma Score (RTS) and percentage probability of survival (P s %) were found to be useful discriminators of severity of overall injuries. RTS compared between survivors and those who died was 0.05 P > 0.02 ( χ 2 ), while P s % was 0.01 P > 0.001 ( χ 2 ). It was concluded that the severity of maxillofacial injuries, and hence their contribution to total injury assessments, tended to be underscored. We propose that refined facial injury assessment methods be tested. |
| Databáze: | OpenAIRE |
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