Patient Cohort With Acute Fracture Diagnosed

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Results There were 216 (44.4%) patients in our 486 patient cohort with acute fracture diagnosed on maxillofacial CT. Of those with facial fracture, 164 (75.9%) were male, and the average age was 42.5 years (range: 18-90). Table 1 demonstrates the most prevalent injury mechanisms for those with facial fracture. Orbital fractures were most common, seen in 115 (53.2%) patients with facial fractures, followed by maxillary and nasal bone fractures (Table 2). Injury Severity Score (ISS) was recorded for 411 (84.7%) patients. ISS was noted to be ≥ 16, indicating severe trauma, for 206 patients (41.5% of the total cohort; 50.1% of those for whom ISS was recorded). Consultations from the head and neck surgical services (neurosurgery,…show more content…
Intensive care unit (ICU) admission was needed for 63.0% of patients with facial fracture. Those patients spent an average of 7.3 days spent in the ICU. In contrast, 78.9% of those without facial fracture spent at least one night in the hospital, and those patients averaged 6.6 days total length of stay. ICU care was needed for only 30.4% of patients without fracture, and those patients spent an average of 6.3 days in the ICU. Overall, 92.1% of patients with facial fractures survived to discharge compared to 95.6% of those without fractures (p = 0.1258). Of those with facial fractures who survived to discharge, 61.3% were discharged to home, while 38.7% were discharged to an inpatient rehabilitation facility. In contrast, only 19.4% of survivors without facial fractures were sent for further inpatient care. Thirty-eight (17.6%) patients with facial fracture underwent open fracture repair as inpatients. An additional 20 (9.3%) patients had closed reduction of a fracture or dislocation while hospitalized. Although data pertaining to clinical follow-up was limited 10 by the retrospective nature of our study, the electronic medical record revealed another 10 (4.6%) patients with facial fracture that required operative management after discharge. Seatbelt use was felt to be determined conclusively in 222 (89.9%) of the 247 patients who presented
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