Anna N. Berezovsky , Abigail B. Thomas , Jazzmyne A. Adams , Jake Luo , David R. Friedland , Sophie G. Shay
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Mechanism of injury was available for 5523 patients, with 72.1 % due to motor vehicle collision (MVC, n = 3981), 18.2 % due to dog bite (n = 1007), and 4.85 % from gunshot wounds (GSW, n = 268). MVCs were positively associated with female sex (OR 1.15, p < 0.001), Black race (OR 1.35, p < 0.001), and older age (p < 0.001). Dog bites were positively associated with White race (OR 3.77, p < 0.001), Hispanic/Latino ethnicity (OR 1.22, p < 0.001), and younger age (p < 0.001). GSW patients were older (p < 0.001) and were three times more likely to be male (OR 3.15, p < 0.001) and Black (OR 2.87, p < 0.001).</div></div><div><h3>Conclusion</h3><div>To our knowledge, the present study includes the largest single-institution review of pediatric facial trauma and highlights differences from adult populations. The most common mechanisms of injury were MVC, dog bites and GSWs. Age, race, ethnicity and insurance played significant, but varying roles in patterns of trauma. The sociodemographic factors associated with facial trauma are important considerations for public health efforts in reducing risk for pediatric trauma.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"198 ","pages":"Article 112572"},"PeriodicalIF":1.3000,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pediatric facial trauma: how social determinants of health impact injury patterns\",\"authors\":\"Anna N. Berezovsky , Abigail B. Thomas , Jazzmyne A. Adams , Jake Luo , David R. Friedland , Sophie G. Shay\",\"doi\":\"10.1016/j.ijporl.2025.112572\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To evaluate social determinants of health and pediatric facial trauma and characterize pediatric facial trauma.</div></div><div><h3>Study design</h3><div>Retrospective observational cohort.</div></div><div><h3>Setting</h3><div>Tertiary pediatric hospital.</div></div><div><h3>Methods</h3><div>Review of patients <18 years seen for facial trauma from 2016 to 2022.</div></div><div><h3>Results</h3><div>10,227 patients presented with facial trauma (median age 4.97 years, 62.2 % male). Lacerations represented 83.3 % (n = 8523) of facial traumas and were found in younger patients (median age 4.72 years), followed by bony trauma (15.0 %, n = 1531) which was found in older patients (median age 10.6 years). Mechanism of injury was available for 5523 patients, with 72.1 % due to motor vehicle collision (MVC, n = 3981), 18.2 % due to dog bite (n = 1007), and 4.85 % from gunshot wounds (GSW, n = 268). MVCs were positively associated with female sex (OR 1.15, p < 0.001), Black race (OR 1.35, p < 0.001), and older age (p < 0.001). Dog bites were positively associated with White race (OR 3.77, p < 0.001), Hispanic/Latino ethnicity (OR 1.22, p < 0.001), and younger age (p < 0.001). GSW patients were older (p < 0.001) and were three times more likely to be male (OR 3.15, p < 0.001) and Black (OR 2.87, p < 0.001).</div></div><div><h3>Conclusion</h3><div>To our knowledge, the present study includes the largest single-institution review of pediatric facial trauma and highlights differences from adult populations. The most common mechanisms of injury were MVC, dog bites and GSWs. Age, race, ethnicity and insurance played significant, but varying roles in patterns of trauma. 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引用次数: 0
摘要
目的评价影响儿童健康和面部创伤的社会因素,探讨儿童面部创伤的特征。研究设计:回顾性观察队列。三级儿科医院。方法回顾性分析2016 - 2022年18年面部外伤患者的临床资料。结果10227例患者出现面部外伤,中位年龄4.97岁,男性占62.2%。撕裂伤占面部外伤的83.3% (n = 8523),见于年轻患者(中位年龄4.72岁),其次是骨外伤(15.0%,n = 1531),见于老年患者(中位年龄10.6岁)。5523例患者中,72.1%为机动车碰撞(MVC, n = 3981), 18.2%为狗咬伤(n = 1007), 4.85%为枪伤(GSW, n = 268)。mvc与女性(OR 1.15, p < 0.001)、黑人(OR 1.35, p < 0.001)和年龄(p < 0.001)呈正相关。狗咬伤与白人种族(OR 3.77, p < 0.001)、西班牙裔/拉丁裔种族(OR 1.22, p < 0.001)和年龄较小(p < 0.001)呈正相关。GSW患者年龄较大(p < 0.001),男性(OR 3.15, p < 0.001)和黑人(OR 2.87, p < 0.001)的可能性是男性的三倍。据我们所知,本研究包括了对儿童面部创伤的最大的单机构回顾,并强调了与成人人群的差异。最常见的损伤机制是MVC,狗咬伤和GSWs。年龄、种族、民族和保险在创伤模式中发挥了重要作用,但作用各不相同。与面部创伤相关的社会人口因素是公共卫生努力降低儿科创伤风险的重要考虑因素。
Pediatric facial trauma: how social determinants of health impact injury patterns
Objective
To evaluate social determinants of health and pediatric facial trauma and characterize pediatric facial trauma.
Study design
Retrospective observational cohort.
Setting
Tertiary pediatric hospital.
Methods
Review of patients <18 years seen for facial trauma from 2016 to 2022.
Results
10,227 patients presented with facial trauma (median age 4.97 years, 62.2 % male). Lacerations represented 83.3 % (n = 8523) of facial traumas and were found in younger patients (median age 4.72 years), followed by bony trauma (15.0 %, n = 1531) which was found in older patients (median age 10.6 years). Mechanism of injury was available for 5523 patients, with 72.1 % due to motor vehicle collision (MVC, n = 3981), 18.2 % due to dog bite (n = 1007), and 4.85 % from gunshot wounds (GSW, n = 268). MVCs were positively associated with female sex (OR 1.15, p < 0.001), Black race (OR 1.35, p < 0.001), and older age (p < 0.001). Dog bites were positively associated with White race (OR 3.77, p < 0.001), Hispanic/Latino ethnicity (OR 1.22, p < 0.001), and younger age (p < 0.001). GSW patients were older (p < 0.001) and were three times more likely to be male (OR 3.15, p < 0.001) and Black (OR 2.87, p < 0.001).
Conclusion
To our knowledge, the present study includes the largest single-institution review of pediatric facial trauma and highlights differences from adult populations. The most common mechanisms of injury were MVC, dog bites and GSWs. Age, race, ethnicity and insurance played significant, but varying roles in patterns of trauma. The sociodemographic factors associated with facial trauma are important considerations for public health efforts in reducing risk for pediatric trauma.
期刊介绍:
The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.