ArticleJapanese journal of radiology2025
CT-based assessment of bear-inflicted maxillofacial injuries: evaluation using the facial injury severity scale and its association with hospitalization duration.
Article in Japanese journal of radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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.
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.
Who cites it
4 citing papers in PubMed.
- The letter to editor regarding "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 · 2026Article
- Reply to the letter: Toward a broader understanding of bear inflicted maxillofacial trauma and its clinical implications.Japanese journal of radiology · 2026Article
- Complex soft tissue and facial bone reconstruction after a bear attack in Indonesia: a case report of definitive management following an 8-hour interfacility transfer.Journal of surgical case reports · 2026Article
- Ocular injuries caused by Japanese black bears: a 10-year retrospective analysis of severity and clinical outcomes.Frontiers in medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
Abstract
purposeBear-inflicted injuries are often associated with severe maxillofacial injury. This study aimed to evaluate CT findings of bear-inflicted injuries using the Facial Injury Severity Scale (FISS) and other trauma grading systems, with a particular focus on the relationship between FISS scores and hospitalization duration as well as the characteristics of maxillofacial injuries. MATERIALS AND
methodsThis retrospective study included 31 patients with bear-inflicted injuries who underwent whole-body CT. Maxillofacial injury severity was assessed using FISS, while head and thoracic injuries were evaluated using the Marshall Head-CT Classification and the AAST Chest Wall Injury Scale, respectively. Patients were categorized into short (≤ 18 days) and long (> 18 days) hospitalization groups based on the median hospitalization duration. Univariate and multivariate analyses were performed to identify factors associated with hospitalization duration.
resultsPatients in the long hospitalization group had higher FISS scores (p = 0.01) and AAST chest wall injury grades (p = 0.03), with no significant differences in Marshall Head-CT Classification. Multivariate analysis confirmed that both FISS scores and AAST chest wall injury grade were independently associated with hospitalization duration. A detailed analysis of FISS scores revealed significant bilateral correlations between right and left midface scores (p < 0.01) and right and left upper face scores (p < 0.01). Additionally, significant correlations were observed between midface and upper face scores.
conclusionFISS scores and AAST chest wall injury grades were significantly associated with hospitalization duration in bear-inflicted injuries. The midface and upper face injuries often occur simultaneously and bilaterally, possibly due to bears targeting the upper face to weaken their opponent.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.