Evidence map›Paper›PMID 30676610›Full record

ArticleJAMA facial plastic surgery2019

Risk Factors Associated With Complications After Treatment of Mandible Fractures.

Tsung-Yen Hsieh, Jamie L Funamura, Raj Dedhia, Blythe Durbin-Johnson, Chance Dunbar, Travis T Tollefson

Abstract read
In one paragraph

Article in JAMA facial plastic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Revision Surgery With Refixation After Mandibular Fractures.Craniomaxillofacial trauma & reconstruction · 2024
    Article
  7. Article
  8. Article
  9. Prognostic implications of a CD8Frontiers in immunology · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Mandibular Fractures: Diagnosis and Management.Seminars in plastic surgery · 2021
    Review
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tsung-Yen HsiehDepartment of Otolaryngology-Head & Neck Surgery, University of California, Davis, Sacramento.
Jamie L FunamuraDepartment of Otolaryngology-Head & Neck Surgery, University of California, Davis, Sacramento.
Raj DedhiaDepartment of Otolaryngology-Head & Neck Surgery, University of California, Davis, Sacramento.
Blythe Durbin-JohnsonDepartment of Biostatistics, University of California, Davis, Sacramento.
Chance DunbarDepartment of Otolaryngology-Head & Neck Surgery, University of California, Davis, Sacramento.
Travis T TollefsonDepartment of Otolaryngology-Head & Neck Surgery, University of California, Davis, Sacramento.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceComplications that arise after treatment of mandible fractures can result in significant morbidity. Identifying modifiable risk factors associated with these complications is valuable in guiding clinical practice for improved patient outcomes.

objectiveTo describe the risk factors associated with complications in patients undergoing treatment for mandible fracture. DESIGN, SETTING, AND

participantsA retrospective review was conducted of 137 patients presenting to a tertiary care, level 1 trauma center with mandible fractures between January 1, 2014, and January 1, 2017. Outcomes and demographic characteristics for patients with at least 3 weeks of follow-up were compared using multivariate logistic regression analysis.

resultsOf the 137 patients meeting inclusion criteria, there were 113 males (82.5%) and 24 females (17.5%), with a mean (SD) age at presentation of 32.3 (15.7) years. Median follow-up was 71 days (range, 22-1189 days). Postoperative complications were identified in 29 patients (21.2%); complications included wound dehiscence or surgical site infection (n = 17), bony nonunion (n = 5), and hardware exposure (n = 13). Complications were managed surgically in 19 patients and nonsurgically in 10 patients. On univariate analysis, the initial surgery was completed later (mean [SD], 5.9 [6.6] days after injury) in patients who developed complications than in those who did not (mean [SD], 3.8 [4.0] days). On multivariate analysis, complications were associated with increased time from injury to treatment (odds ratio [OR], 1.60; 95% CI, 1.02-2.53; P = .04), tobacco use (OR, 8.10; 95% CI, 1.26-52.00; P = .03), and dental extraction (OR, 93.00; 95% CI, 1.19 to >999.00; P = .04). Residence in the same city as the medical center was associated with fewer complications (OR, 0.08; 95% CI, 0.01-0.69; P = .02). CONCLUSIONS AND RELEVANCE: In a 3-year review of mandible fractures managed at a single academic center, complications were associated with an increased time to treatment, tobacco use, dental extraction, and living farther from the treatment facility. On a systems level, the results of this study suggest that expediting intervention for mandible fractures may improve outcomes. LEVEL OF EVIDENCE: 3.

Indexed as

Fracture Fixation, InternalAdultFemaleHumansMaleMandibular FracturesPostoperative ComplicationsRetrospective StudiesRisk FactorsSurveys and QuestionnairesTime-to-TreatmentTobacco Use DisorderTooth ExtractionTravel

Identifiers

PMID30676610
PMCPMC6537826

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.