학술논문
Dynamic Trends in Surgical Oromaxillofacial Trauma Epidemiology: A Comparative Study of Pre-COVID-19 and COVID-19 Periods in Tertiary Referral Hospitals in Madrid.
Document Type
Article
Author
Sada-Urmeneta, Angela; Tousidonis, Manuel; Navarro-Cuellar, Carlos; Ochandiano, Santiago; Navarro-Cuellar, Ignacio; Khayat, Saad; Ruiz-de-León, Gonzalo; Benito-Anguita, Marta; Alvarez-Mokthari, Sara; Olavarria, Eduardo; Sanchez-Aniceto, Gregorio; Herrero-Alvarez, Sonia; de la Sen-Corcuera, Oscar; Simon-Flores, Anna-Maria; Almeida-Parra, Fernando; Aragon-Niño, Iñigo; del-Castillo, Jose-Luis; Salmeron, Jose-Ignacio
Source
Subject
*FACIAL injuries
*EPIDEMIOLOGY
*COVID-19
*COVID-19 pandemic
*HOSPITALS
*COMPARATIVE studies
*MAXILLOFACIAL prosthesis
*MOUTH protectors
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Language
ISSN
2077-0383
Abstract
Introduction: The COVID-19 pandemic has induced profound societal and healthcare transformations globally. Material and methods: This multicenter retrospective study aimed to assess potential shifts in the epidemiology and management of oromaxillofacial trauma requiring surgical intervention over a 1-year period encompassing the onset of the COVID-19 pandemic, in comparison to the preceding year. The parameters investigated included age, sex, injury mechanisms, fractured bones, and treatment modalities. The statistical significance was set at p < 0.05. Results: A notable 39.36% reduction in oromaxillofacial fractures was identified (p < 0.001), with no significant alterations in sex distribution, types of fractured bones, or treatment modalities. An appreciable increase in mean age was observed (35.92 vs. 40.26) (p = 0.006). Analysis of the causes of oromaxillofacial trauma revealed diminished incidents of interpersonal violence (41% vs. 35%) and sports-related injuries (14% vs. 8%), alongside an escalation in cases attributed to falls (27% vs. 35%), precipitation events (2% vs. 5%), and traffic accidents (12% vs. 13%). The mandible emerged as the most frequently fractured bone. Conclusion: In conclusion, the COVID-19 pandemic has decreased the number of maxillofacial fractures treated surgically and has changed the epidemiology and the etiology of facial traumas. [ABSTRACT FROM AUTHOR]