Evidence map›Paper›PMID 38197899›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024

Maxillofacial haemorrhagic symptoms in emergency department patients: impact of antithrombotics.

Pieter Date van der Zaag, Stephanie Geurts, Romke Rozema, Inge H F Reininga, Baucke van Minnen, REDUCTION study group members

Open access · hybridAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Pieter Date van der ZaagDepartment of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. p.d.van.der.zaag@umcg.nl.ORCID http://orcid.org/0000-0002-4980-5526
Stephanie GeurtsFaculty of Dentistry and Oral Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Romke RozemaDepartment of Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Inge H F ReiningaDepartment of Trauma Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Baucke van MinnenDepartment of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
REDUCTION study group members
University Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the effect of antithrombotics on the occurrence of maxillofacial haemorrhagic symptoms, and to determine if these haemorrhagic symptoms are predictors of maxillofacial fractures.

methodA prospective cohort study was conducted of consecutive patients with maxillofacial trauma who had been admitted to the emergency department of four hospitals in the Netherlands. This study compared five haemorrhagic symptoms (peri-orbital haematoma, raccoon eyes, epistaxis, subconjunctival ecchymosis, and intra-oral haematoma) between patients not-using (NUA) and using (UA) of antithrombotics, and whether these maxillofacial haemorrhagic symptoms served as predictors for maxillofacial fractures.

resultsOut of the 1005 patients, 812 (81%) belonged to the NUA group, and 193 (19%) to the UA group. UA patients exhibited higher frequencies of peri-orbital hematoma (54% vs. 39%, p < 0.001), raccoon eyes (10% vs. 5%, p = 0.01), and subconjunctival ecchymoses (16% vs. 7%, p < 0.001). In NUA, peri-orbital hematoma (OR = 2.5, p < 0.001), epistaxis (OR = 4.1, p < 0.001), subconjunctival ecchymosis (OR = 2.3, p = 0.02), and intra-oral hematoma (OR = 7.1, p < 0.001) were significant fracture predictors. Among UA, peri-orbital hematoma (OR = 2.2, p = 0.04), epistaxis (OR = 5.4, p < 0.001), subconjunctival ecchymosis (OR = 3.7, p = 0.008), and intra-oral hematoma (OR = 22.0, p < 0.001) were significant fracture predictors.

conclusionMaxillofacial haemorrhagic symptoms were observed more frequently in the UA group than in the NUA group. However, in both groups, maxillofacial haemorrhagic symptoms appear to be predictors of maxillofacial fractures. Caution is warranted in attributing these symptoms solely to antithrombotic use during emergency department assessments.

Indexed as

EcchymosisEmergency Service, HospitalEpistaxisAdultAgedFemaleFibrinolytic AgentsHematomaHemorrhageHumansMaleMaxillofacial InjuriesMiddle AgedNetherlandsProspective StudiesFibrinolytic AgentsAntithromboticsEpistaxisIntra-oral haematomaMaxillofacial haematomaMaxillofacial traumaPeri-orbital haematomaSubconjuctival eccymosis

Identifiers

PMID38197899
PMCPMC11035474
OpenAlexW4390699748

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