Pediatric craniofacial fractures due to violence: comparing violent and nonviolent mechanisms of injury
| Autor: | Kristen S. Kurland, Lisa Vecchione, Noel S. Zuckerbraun, Alexander F. Mericli, Gary E. DeCesare, Lorelei J. Grunwaldt, Joseph E. Losee |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Adolescent Critical Care medicine.medical_treatment Population Poison control Violence Vulnerable Populations Facial Bones Fracture Fixation Internal Patient Admission Sex Factors Intensive care Mandibular Fractures Injury prevention medicine Ethnicity Internal fixation Humans Nasal Bone Craniofacial education Child Orbital Fractures Poverty Retrospective Studies education.field_of_study Skull Fractures business.industry Accidents Traffic Age Factors Retrospective cohort study General Medicine Emergency department Length of Stay Pennsylvania Surgery Otorhinolaryngology Socioeconomic Factors Athletic Injuries Income Accidental Falls Female business Follow-Up Studies |
| Zdroj: | The Journal of craniofacial surgery. 22(4) |
| ISSN: | 1536-3732 |
| Popis: | BACKGROUND: : This study examines the epidemiologic data of pediatric craniofacial fractures secondary to violence, comparing these data to craniofacial fractures sustained from all other causes. METHODS: : A retrospective review was completed on all patients who presented to the emergency department of a major urban children's hospital from 2000 to 2005 with a craniofacial fracture. Data were compared between patients with fractures due to violent and nonviolent mechanisms. Socioeconomic analysis was performed using Geographic Information System mapping and 2000 US Census data by postal code. RESULTS: : One thousand five hundred twenty-eight patients were diagnosed with skull and/or facial fractures. Isolated skull fractures were excluded, leaving 793 patients in the study. Ninety-eight children were injured due to violence, and 695 were injured from a nonviolent cause. Patients with violence-related fractures were more likely to be older, male, and nonwhite and live in a socioeconomically depressed area. A greater number of patients with violence-related injuries sustained nasal and mandible angle fractures, whereas more patients with non-violence-related injuries sustained skull and orbital fractures. Those with violence-related craniofacial fractures had a lower percentage of associated multiorgan system injuries and a lower rate of hospital admissions and intensive care unit admissions. The rate of open reduction and internal fixation for craniofacial fractures was similar in both groups. CONCLUSIONS: : Patients with violence-related fractures had fewer associated serious injuries and lower morbidity and lived in a more socioeconomically depressed area. The information gained from this descriptive study improves our ability to characterize this population of pediatric patients and to identify the associated constellation of injuries in such fractures. Language: en |
| Databáze: | OpenAIRE |
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