Associated head injuries and survival rate of patients with maxillofacial fractures in road traffic accident:A prospective study in Saudi Arabia
| Autor: | Ali Hazzaa Alzahrani, Zaid Ali Alzahrani, Mohammad Ghormallah Alzahrani, Omar Mufi Aldwsari, Khalid Mansour Alkhathlan, Khalid Hadi Aldosari, Sameer Al-Ghamdi, Musab Khader Alzahrani, Abdulrahman Hamoud Alanazi |
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| Rok vydání: | 2018 |
| Předmět: |
Facial trauma
medicine.medical_specialty Blood transfusion business.industry Incidence (epidemiology) Mortality rate medicine.medical_treatment Head injury Glasgow Coma Scale 030208 emergency & critical care medicine 030206 dentistry medicine.disease road traffic accidents 03 medical and health sciences Fracture 0302 clinical medicine Emergency medicine Medicine Original Article Prospective cohort study business maxillofacial Survival rate head injury |
| Zdroj: | Journal of Family Medicine and Primary Care |
| ISSN: | 2249-4863 |
| DOI: | 10.4103/jfmpc.jfmpc_101_18 |
| Popis: | Background: Every minute, an accident occurs in Saudi Arabia, causing 39,000 injuries and 7,000 deaths annually. Facial trauma or maxillofacial trauma (MFT) is a frequent presentation of road traffic accidents (RTAs), ranging from simple nasal fractures to gross or severe maxillofacial injuries. Methods: A total number of 237 patients were included in this prospective study from May 2013 to January 2018. The following medical details were recorded for each case, gender, age, fracture location, the presence of scalp laceration, the presence of brain damage, type of brain damage, shock degree, Glasgow Coma Scale (GCS), number of units used for blood transfusions for documentation of patient survival rate. We followed up the patients in their first appointment after 21 days of patient discharge from the hospital. Results: Majority of the patients were young male adults. A total of 59.1% of patients had cerebral damage, 38% (n = 90) of patients had at least, one scalp laceration, 43.5% (n = 103) of patients had some degree of shock, whereas 27.8% of the recruited patients needed at least 1 unit of blood transfusion. A total of 14.3% of the patients died as a result of their injuries, and the survival rate was 85.7%. Conclusions: Kingdom of Saudi Arabia (KSA) is having a high incidence of RTAs leading to high mortality rate. Therefore, it requires a sound evaluation of the risk factors for RTAs and establishment of guidelines to decrease the incidence of road traffic injuries and reduce health-care burden. Road safety campaigns focused on young population can help reduce RTAs and subsequent mortalities. Prompt arrival at the hospital, early diagnosis, and timely management of maxillofacial fractures and brain damages by skilled physicians will lower mortality rate in KSA.. |
| Databáze: | OpenAIRE |
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