Comparing Urban Maxillofacial Trauma Patterns to the National Trauma Data Bank©. Ann Otol Rhinol Laryngol 2020 Feb;129(2):149-156
Date
09/29/2019Pubmed ID
31559862DOI
10.1177/0003489419878457Scopus ID
2-s2.0-85074032027 (requires institutional sign-in at Scopus site) 10 CitationsAbstract
OBJECTIVES: We aimed to determine whether certain maxillofacial fracture patterns and injury mechanisms were more prevalent in an urban environment. In addition, we aimed to determine if maxillofacial trauma incidence correlated with income.
METHODS: Data was collected from Einstein Healthcare Network and Temple University Health System. These data were compared to the 2016 National Trauma Data Bank© (NTDB©) using chi-square analysis. Multivariate analysis was used to identify correlations between demographic variables and fracture patterns. Sociodemographic data was further characterized utilizing neighborhood mapping.
RESULTS: A total of 252 patients from our urban campuses and 14 447 patients from the NTDB© were identified with facial fractures. Maxillofacial trauma patients in the urban population were more likely to be minorities and less likely to be Caucasian compared to the NTDB© (P < .001). Patients in the urban setting were more likely to sustain mandibular and orbital fractures, and less likely to sustain maxillary fractures and multiple fractures (P < .001). Urban maxillofacial trauma patients were more likely to sustain assault and sporting injuries, and less likely to sustain injuries from motor vehicle accidents and self-harm (P < .001).
CONCLUSIONS: Maxillofacial trauma patterns and injury mechanisms were shown to be significantly different in an urban environment as compared to national data.
Author List
Cohn JE, Smith KC, Licata JJ, Michael A, Zwillenberg S, Burroughs T, Arosarena OAMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Databases, Factual
Female
Humans
Incidence
Male
Maxillofacial Injuries
Middle Aged
Retrospective Studies
United States
Urban Health
Young Adult
