COVID-19 大流行对德国颅颌面创伤中心下颌骨骨折模式的影响：COVID前（2019年）与COVID中（2020年）

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology Pub Date : 2024-04-04 DOI:10.1111/edt.12949

Florian Dudde, Oliver Schuck, Johannes Schunk, Barbarewicz Filip

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引用次数: 0

摘要

背景/目的COVID-19（冠状病毒病-2019）大流行给全球医疗系统带来了各种挑战。大流行和相关的封锁也对多个医学学科产生了影响（如手术延迟、入院人数变化）。本研究旨在分析 COVID-19 大流行对德国一家颅颌面创伤中心下颌骨骨折模式/分布和情况的影响。材料与方法本回顾性研究比较了前 COVID (PC) 时代（2019 年 2 月至 2020 年 1 月）与内 COVID (IC) 时代（2020 年 2 月至 2021 年 1 月）患者的下颌骨骨折模式。除了基线特征外，还分析了下颌骨骨折的数量/类型、下颌骨骨折的位置、导致下颌骨骨折的情况以及入院/治疗情况。在 IC 期间，下颌骨骨折的绝对频率有所下降（PC = 72 对 IC = 55）。下颌骨骨折位置略有变化。据观察，同时发生的面部软组织损伤有所增加（IC = 69.1% 对 PC = 58.3%），外伤性牙齿脱落率也有所上升（IC = 32.7% 对 PC = 22.2%）。关于导致下颌骨骨折的原因/事故，在 IC 阶段，跌倒的发生率显著上升，运动事故和人际暴力的发生率显著下降。在 COVID-19 大流行期间，导致下颌骨骨折的家庭事故和家庭暴力明显增加，而周末和夜间创伤则同时减少。结论 COVID-19 大流行对下颌骨骨折模式产生了重大影响。下颌骨骨折的位置和类型略有变化。然而，在导致下颌骨骨折的情况（跌倒增加、人际暴力减少）方面存在重大差异。

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Influence of COVID-19 pandemic on mandible fracture patterns in a German cranio-maxillofacial trauma center: PreCOVID (2019) versus IntraCOVID (2020)

Background/Aims

The COVID-19 (Coronavirus Disease-2019) pandemic confronted the global healthcare system with a variety of challenges. The pandemic and the associated lockdowns also had an impact on multiple medical disciplines (i.e. delay of surgery, change of hospital admissions). The aim of this study was to analyze the impact of the COVID-19 pandemic on mandible fracture patterns/distributions and circumstances in a German cranio-maxillofacial trauma center.

Materials and Methods

This retrospective study compared the mandible fracture patterns of patients in the PreCOVID (PC) era (February 2019–January 2020) with patients in the IntraCOVID (IC) era (February 2020–January 2021). In addition to baseline characteristics, the number/type of mandible fractures, location of the mandible fracture, circumstances leading to mandible fracture, and hospital admissions/treatments were analyzed.

Results

A total of 127 patients was included in this study. In the IC period, the absolute frequencies of mandible fractures decreased (PC = 72 vs. IC = 55). There were minor changes in the mandible fracture locations. An increase of concomitant facial soft tissue injuries (IC = 69.1% vs. PC = 58.3%), as well as higher rates of traumatic tooth loss (IC = 32.7% vs. PC = 22.2%), was observed. Regarding the causes/accidents leading to mandible fractures, there were significant increases in falls and significant decreases in sports accidents as well as interpersonal violence during the IC period. A significant increase in accidents at home and domestic violence during the COVID-19 pandemic, with a simultaneous decrease in weekend and night-time trauma leading to mandible fractures was observed. Furthermore, a significant increase in days from trauma to surgery was recorded.

Conclusion

The COVID-19 pandemic had a significant impact on mandibular fracture patterns. The locations and types of mandibular fractures changed slightly. However, significant differences in the circumstances leading to mandible fractures (increased falls, decreased interpersonal violence) were recorded.

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来源期刊

Dental Traumatology 医学-牙科与口腔外科

CiteScore

6.40

自引率

32.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.