TY - JOUR
T1 - The effect of alcohol on facial Trauma outcomes
T2 - an analysis of the National Trauma Data Bank
AU - Paw, E.
AU - Canner, J. K.
AU - Haut, E. R.
AU - Manukyan, M.
N1 - Funding Information:
This project was part of the Johns Hopkins Center for Surgical Outcomes Research (JSCOR) Program.
Publisher Copyright:
© 2020 International Association of Oral and Maxillofacial Surgeons
PY - 2020/9
Y1 - 2020/9
N2 - Maxillofacial trauma costs emergency departments approximately one billion dollars annually. Facial trauma has increased since 2000 and has been attributed to both increased use of computed tomography and interpersonal violence. Alcohol, male sex, and age 18–35 years are significant risk factors for interpersonal violence. This study is novel in using a large database to look at the effect of alcohol on clinical outcomes in facial trauma. A data analysis was performed in Stata/MP 14.2 using variables coded from the National Trauma Data Bank (NTDB); logistic regression was applied. A total 580,313 patient records were analyzed. Operations for facial fractures were performed in 20.19% of cases (n = 117,139). A positive alcohol test reduced the odds of requiring operative fixation in both the unadjusted (odds ratio (OR) 0.8, 95% confidence interval (CI) 0.79–0.82, P < 0.001) and adjusted (OR 0.67, 95% CI 0.66–0.68, P < 0.001) models. Age and being struck (adjusted OR 1.99, 95% CI 1.91–2.07, P < 0.001) or shot (adjusted OR 1.95, 95% CI 1.84–2.06, P < 0.001) had a significant effect on operative fixation. Injury mechanisms related to interpersonal violence appeared to have higher operative fixation rates. This study did not find a correlation between acute intoxication and the need for an operative intervention. This further demonstrates the multifactorial nature of facial trauma and stresses the importance of injury and violence prevention on clinical outcomes.
AB - Maxillofacial trauma costs emergency departments approximately one billion dollars annually. Facial trauma has increased since 2000 and has been attributed to both increased use of computed tomography and interpersonal violence. Alcohol, male sex, and age 18–35 years are significant risk factors for interpersonal violence. This study is novel in using a large database to look at the effect of alcohol on clinical outcomes in facial trauma. A data analysis was performed in Stata/MP 14.2 using variables coded from the National Trauma Data Bank (NTDB); logistic regression was applied. A total 580,313 patient records were analyzed. Operations for facial fractures were performed in 20.19% of cases (n = 117,139). A positive alcohol test reduced the odds of requiring operative fixation in both the unadjusted (odds ratio (OR) 0.8, 95% confidence interval (CI) 0.79–0.82, P < 0.001) and adjusted (OR 0.67, 95% CI 0.66–0.68, P < 0.001) models. Age and being struck (adjusted OR 1.99, 95% CI 1.91–2.07, P < 0.001) or shot (adjusted OR 1.95, 95% CI 1.84–2.06, P < 0.001) had a significant effect on operative fixation. Injury mechanisms related to interpersonal violence appeared to have higher operative fixation rates. This study did not find a correlation between acute intoxication and the need for an operative intervention. This further demonstrates the multifactorial nature of facial trauma and stresses the importance of injury and violence prevention on clinical outcomes.
KW - alcohol
KW - facial fracture
KW - trauma
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U2 - 10.1016/j.ijom.2020.01.016
DO - 10.1016/j.ijom.2020.01.016
M3 - Article
C2 - 32014317
AN - SCOPUS:85078736482
SN - 0901-5027
VL - 49
SP - 1174
EP - 1182
JO - International Journal of Oral and Maxillofacial Surgery
JF - International Journal of Oral and Maxillofacial Surgery
IS - 9
ER -