ArticleOral and maxillofacial surgery2022
Prediction of mortality in severely injured patients with facial bone fractures.
Article in Oral and maxillofacial surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Systemic injury extension and mechanism of trauma determine ICU admission in CT-confirmed maxillofacial fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- CT-based assessment of bear-inflicted maxillofacial injuries: evaluation using the facial injury severity scale and its association with hospitalization duration.Japanese journal of radiology · 2025Article
- Comparison of Traumatic Brain Injury in Adult Patients with and without Facial Fractures.Tomography (Ann Arbor, Mich.) · 2024Article
- Cumulative costs of severe traffic injuries in Finland: a 2-year retrospective observational study of 252 patients.Scientific reports · 2024Observational
- Are severity and location of facial trauma risk factors for cervical spine injuries? 10-year analysis based on the use of the AO spine injury classification and the comprehensive facial injury (CFI) score.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Epidemiology of maxillofacial injury among adults in sub-Saharan Africa: a scoping review.Injury epidemiology · 2023Article
- Camel-Related Facial Injuries: A Seven-Year Retrospective Study.Clinics and practice · 2023Article
- Factors affecting mortality of hospitalized facial trauma patients in Al-Ain City, United Arab Emirates.PloS one · 2022Article
- Classifying and standardizing panfacial trauma according to anatomic categories and Facial Injury Severity Scale: a 10-year retrospective study.BMC oral health · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIdentify the most common concomitant injuries associated with facial trauma, and compare the efficacy of various scoring systems in estimation of mortality risks in this category of patients.
methodsThe study evaluated patients with facial and concomitant injuries, who received the multidisciplinary treatment in a specialized trauma hospital. Values of New Injury Severity Score, Glasgow Coma Scale, Facial Injury Severity Scale, age, and length of hospital stay were statistically analysed to determine presence of relationships between these indicators and define factors that significantly associated with lethal outcome.
resultsDuring 6-year observation period, 719 patients were treated with multiple or combined maxillofacial trauma, brain injuries and polytrauma. Mainly with isolated midface bones (49.7%), pan-facial (34.6%), mandible (12.9%), and frontal bone and walls (2.8%) fractures. Mortality was (2.2%). The mortality rates in patients with severe pan-facial fractures were higher (p = 0.008) than in single anatomical area (6% vs 1.5%). Age, GCS, and NISS were the most reliable indicator of lethal outcome.
conclusionAge, Glasgow Coma Scale and New Injury Severity Score main factors, that predicts lethal outcome with high accuracy. New Injury Severity Score value ≥ 41 is a critical level for survival prognosis and should be considered in treatment planning and management of this category of patients.
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