Epidemiology and cause-specific outcomes of facial fracture in hospitalized children

Tahereh Soleimani, S. Travis Greathouse, Teresa M. Bell, Sarah I. Fernandez, Joseph O'Neil, Roberto L. Flores, Sunil S. Tholpady

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Purpose Facial fractures in the pediatric population have a significant impact on public health. Although some demographic data exists regarding the overall epidemiology of facial fractures, little attention has been paid to the patterns of facial fractures based on the etiology of the trauma. Material and methods The Kids' Inpatient Database 2000-2009 was utilized to analyze pediatric facial fractures. A total of 21,533 patients were identified. Associations of patient characteristics with outcomes of interest were assessed. Results The top three etiologies were motor vehicle accident (MVA), intentional trauma (IT), and falls. There was a decrease in the incidence of facial fractures due to MVAs and an increase in injuries due to IT and falls. Concomitant injuries were present in 58.8% and the mortality rate was 2%. The rate of concomitant injuries increased during study period. Age was significantly associated with concomitant injury, mortality, and LOS. Conclusion The increasing rate of IT and falls with concomitant injury warrants special consideration to reduce undiagnosed accompanying injuries. Further programs should be put in place to protect children younger than 5 years of age, who have increased risk of concomitant injury and mortality following intentional trauma.

Original languageEnglish (US)
Pages (from-to)1979-1985
Number of pages7
JournalJournal of Cranio-Maxillofacial Surgery
Volume43
Issue number10
DOIs
StatePublished - Dec 1 2015

Fingerprint

Hospitalized Child
Epidemiology
Wounds and Injuries
Mortality
Pediatrics
Motor Vehicles
Accidents
Inpatients
Public Health
Demography

Keywords

  • Facial fracture
  • Fall
  • Intentional trauma
  • Motor vehicle accident
  • Outcome

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

Cite this

Soleimani, T., Greathouse, S. T., Bell, T. M., Fernandez, S. I., O'Neil, J., Flores, R. L., & Tholpady, S. S. (2015). Epidemiology and cause-specific outcomes of facial fracture in hospitalized children. Journal of Cranio-Maxillofacial Surgery, 43(10), 1979-1985. https://doi.org/10.1016/j.jcms.2015.10.008

Epidemiology and cause-specific outcomes of facial fracture in hospitalized children. / Soleimani, Tahereh; Greathouse, S. Travis; Bell, Teresa M.; Fernandez, Sarah I.; O'Neil, Joseph; Flores, Roberto L.; Tholpady, Sunil S.

In: Journal of Cranio-Maxillofacial Surgery, Vol. 43, No. 10, 01.12.2015, p. 1979-1985.

Research output: Contribution to journalArticle

Soleimani, T, Greathouse, ST, Bell, TM, Fernandez, SI, O'Neil, J, Flores, RL & Tholpady, SS 2015, 'Epidemiology and cause-specific outcomes of facial fracture in hospitalized children', Journal of Cranio-Maxillofacial Surgery, vol. 43, no. 10, pp. 1979-1985. https://doi.org/10.1016/j.jcms.2015.10.008
Soleimani, Tahereh ; Greathouse, S. Travis ; Bell, Teresa M. ; Fernandez, Sarah I. ; O'Neil, Joseph ; Flores, Roberto L. ; Tholpady, Sunil S. / Epidemiology and cause-specific outcomes of facial fracture in hospitalized children. In: Journal of Cranio-Maxillofacial Surgery. 2015 ; Vol. 43, No. 10. pp. 1979-1985.
@article{be0b5970225846708c05471d834ed01e,
title = "Epidemiology and cause-specific outcomes of facial fracture in hospitalized children",
abstract = "Purpose Facial fractures in the pediatric population have a significant impact on public health. Although some demographic data exists regarding the overall epidemiology of facial fractures, little attention has been paid to the patterns of facial fractures based on the etiology of the trauma. Material and methods The Kids' Inpatient Database 2000-2009 was utilized to analyze pediatric facial fractures. A total of 21,533 patients were identified. Associations of patient characteristics with outcomes of interest were assessed. Results The top three etiologies were motor vehicle accident (MVA), intentional trauma (IT), and falls. There was a decrease in the incidence of facial fractures due to MVAs and an increase in injuries due to IT and falls. Concomitant injuries were present in 58.8{\%} and the mortality rate was 2{\%}. The rate of concomitant injuries increased during study period. Age was significantly associated with concomitant injury, mortality, and LOS. Conclusion The increasing rate of IT and falls with concomitant injury warrants special consideration to reduce undiagnosed accompanying injuries. Further programs should be put in place to protect children younger than 5 years of age, who have increased risk of concomitant injury and mortality following intentional trauma.",
keywords = "Facial fracture, Fall, Intentional trauma, Motor vehicle accident, Outcome",
author = "Tahereh Soleimani and Greathouse, {S. Travis} and Bell, {Teresa M.} and Fernandez, {Sarah I.} and Joseph O'Neil and Flores, {Roberto L.} and Tholpady, {Sunil S.}",
year = "2015",
month = "12",
day = "1",
doi = "10.1016/j.jcms.2015.10.008",
language = "English (US)",
volume = "43",
pages = "1979--1985",
journal = "Journal of Cranio-Maxillo-Facial Surgery",
issn = "1010-5182",
publisher = "Churchill Livingstone",
number = "10",

}

TY - JOUR

T1 - Epidemiology and cause-specific outcomes of facial fracture in hospitalized children

AU - Soleimani, Tahereh

AU - Greathouse, S. Travis

AU - Bell, Teresa M.

AU - Fernandez, Sarah I.

AU - O'Neil, Joseph

AU - Flores, Roberto L.

AU - Tholpady, Sunil S.

PY - 2015/12/1

Y1 - 2015/12/1

N2 - Purpose Facial fractures in the pediatric population have a significant impact on public health. Although some demographic data exists regarding the overall epidemiology of facial fractures, little attention has been paid to the patterns of facial fractures based on the etiology of the trauma. Material and methods The Kids' Inpatient Database 2000-2009 was utilized to analyze pediatric facial fractures. A total of 21,533 patients were identified. Associations of patient characteristics with outcomes of interest were assessed. Results The top three etiologies were motor vehicle accident (MVA), intentional trauma (IT), and falls. There was a decrease in the incidence of facial fractures due to MVAs and an increase in injuries due to IT and falls. Concomitant injuries were present in 58.8% and the mortality rate was 2%. The rate of concomitant injuries increased during study period. Age was significantly associated with concomitant injury, mortality, and LOS. Conclusion The increasing rate of IT and falls with concomitant injury warrants special consideration to reduce undiagnosed accompanying injuries. Further programs should be put in place to protect children younger than 5 years of age, who have increased risk of concomitant injury and mortality following intentional trauma.

AB - Purpose Facial fractures in the pediatric population have a significant impact on public health. Although some demographic data exists regarding the overall epidemiology of facial fractures, little attention has been paid to the patterns of facial fractures based on the etiology of the trauma. Material and methods The Kids' Inpatient Database 2000-2009 was utilized to analyze pediatric facial fractures. A total of 21,533 patients were identified. Associations of patient characteristics with outcomes of interest were assessed. Results The top three etiologies were motor vehicle accident (MVA), intentional trauma (IT), and falls. There was a decrease in the incidence of facial fractures due to MVAs and an increase in injuries due to IT and falls. Concomitant injuries were present in 58.8% and the mortality rate was 2%. The rate of concomitant injuries increased during study period. Age was significantly associated with concomitant injury, mortality, and LOS. Conclusion The increasing rate of IT and falls with concomitant injury warrants special consideration to reduce undiagnosed accompanying injuries. Further programs should be put in place to protect children younger than 5 years of age, who have increased risk of concomitant injury and mortality following intentional trauma.

KW - Facial fracture

KW - Fall

KW - Intentional trauma

KW - Motor vehicle accident

KW - Outcome

UR - http://www.scopus.com/inward/record.url?scp=84983112963&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84983112963&partnerID=8YFLogxK

U2 - 10.1016/j.jcms.2015.10.008

DO - 10.1016/j.jcms.2015.10.008

M3 - Article

C2 - 26553430

AN - SCOPUS:84983112963

VL - 43

SP - 1979

EP - 1985

JO - Journal of Cranio-Maxillo-Facial Surgery

JF - Journal of Cranio-Maxillo-Facial Surgery

SN - 1010-5182

IS - 10

ER -