Associated Head Injuries and Survival Rate of Patients with Maxillofacial Fractures in RTA | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 28, Volume 71, Issue 6, April 2018, Pages 3439-3447 PDF (861.96 K) | ||
| Document Type: Original Article | ||
| Authors | ||
| Omar Mufi Aldwsari 1 , Khalid Hadi Aldosari 2 , Musab Khader Alzahrani1 , Mohammed Waseem Mani 3 , Sameer Al Ghamdi 2 , Khalid Mansour Alkhathlan 2 , Mohammad Ghormallah Alzahrani 2 , Ali Hazzaa Alzahrani 11; Zaid Ali Alzahrani 4, Abdulrahman Hamoud Alanazi 52 | ||
| 11 - Riyadh Elm University, Colleges of Dentistry, Riyadh, 2 - Prince Sattam Bin Abdulaziz University, Colleges of Medicine, Al-kharj, 3 - Riyadh Elm University , Endodontic Department, Colleges of Dentistry, Riyadh, | ||
| 24 – Al-Imam Muhammad Ibn Saud Islamic University, Colleges of Medicine, Riyadh, 5 - Majmaah University , Colleges of Dentistry , Majmaah, KSA . | ||
| Abstract | ||
| Background: Every minute, an accident occurs in KSA, causing 39000 injuries and 7000 deaths annually. Facial trauma or maxillofacial trauma (MFT) is a frequent presentation of RTAs, ranging from simple nasal fractures to gross or severe maxillofacial injuries. Aim: This study aims at determining the prevalence of associated head injuries and survival rate of patients with maxillofacial fractures in RTA with respect to age, gender, mortality, the location of skull fracture, brain damage, altered level of consciousness, scalp laceration, and shock. Methodology: A total number of 237 patients were included in this prospective study from May 2013 to January 2018. The following medical details were recorded for each case, gender, age, fracture location, the presence of scalp laceration, the presence of brain damage, type of brain damage, shock degree, Glasgow Coma Scale (GCS), number of units used for blood transfusions for documentation of patient survival rate. We followed up the patients in their first appointment after 21 days of patient discharge from the hospital. Results: Majority of the patients were young adults male. 59.1% of patients had cerebral damage. 38% (n=90) of patients had at least, one scalp laceration. 43.5% (n=103) of patients had some degree of shock, while 27.8% of the recruited patients needed at least 1 unit of blood transfusion. 14.3% of the patients died as a result of their injuries, and the survival rate was 85.7%. Conclusion: KSA is having a high incidence of RTAs leading to high mortality rate. Therefore, it requires a sound evaluation of the risk factors for RTAs and establishment of guidelines to decrease the incidence of road traffic injuries and reduce healthcare burden. Road safety campaigns focused on young population can help reduce RTAs and subsequent mortalities. Prompt arrival at the hospital, early diagnosis, and timely management of maxillofacial fractures and brain damages by skilled physicians will lower mortality rate in KSA. | ||
| Keywords | ||
| maxillofacial fractures; head injuries; survival rate | ||
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