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Stomatologija 2020; 22 (2): 39-43 99 KB

Head and face injuries in elderly patients victims of fall. A single trauma center analysis

Alidianne Fábia Cabral Cavalcanti¹, Sabrina da Silva Sousa Formiga², Taynná Dantas de Arruda², Rogéria Máximo de Lavôr¹, Christiane Leite Cavalcanti³, Catarina Ribeiro Barros de Alencar¹,
Sergio d’Avila⁴, Alessandro Leite Cavalcanti⁴

Summary

Objective. The purpose of this study was to identify the profile of elderly victims of falls and the occurrence of injuries and fractures in the head and face regions.

Material and methods. Overall, 426 medical records of individuals aged 60 years or older of both genders hospitalized due to fall were analyzed. Data on gender, age group, period of occurrence, type of fall, presence of head and face injury and fracture of facial bones were collected. Data were organized with SPPS, version 20, and presented through descriptive and inferential statistics (Chi-square test). Poisson regression analysis was used (α<0.05).

Results. The majority of victims were women (62.4%), aged 80 years or older (45.5%). Occurrences were more frequent in the daytime period (65.6%) and falls were mostly from the self-height (93.7%). Head and face lesions were found in 14.1% and 5.9% of victims, respectively. However, the presence of facial fracture was low (1.9%). Association between gender and occurrence of head (p=0.001) and face injury (p=0.017) was observed. The presence of "head injury" was associated with variables "type of fall" (p<0.001) and "existence of bone fracture" (p<0.001).

Conclusion. Women aged 80 or over are the main victims of falls. Occurrences are common in the daytime period and due to falls from self height. Although soft tissue injuries in head and face were common, facial fractures showed low frequency.

Key words: accidental falls, old age assistance, wounds and injuries.

Received: 21 06 2018

Accepted for publishing: 24 06 2020

¹School of Dentistry, State University of Paraiba, Campina Grande, PB, Brazil

²School of Dentistry, State University of Paraiba, Araruna, PB, Brazil

³Federal University of Paraiba, Joao Pessoa, PB, Brazil

⁴State University of Paraiba, Campina Grande, PB, Brazil

Address correspondence to Alessandro Leite Cavalcanti, Universidade Estadual da Paraiba - Departamento de Odontologia, Rua das Baraunas, 351, Universitário Campina Grande, PB, Brazil.

E-mail address: alessandrouepb@gmail.com



	Baltic Dental and Maxillofacial Journal

June, 2020, Vol. 22, No. 2 CONTENTS ACTUAL REPORT Coronavirus Disease-2019 and dental practice: A project on the use of ozonized water in the water circuit of the dental armchair Elena Bardellini, Francesca Amadori, Federica Veneri, Giulio Conti, Alessandra Majorana 35-38 SCIENTIFIC ARTICLES Head and face injuries in elderly patients victims of fall. A single trauma center analysis Alidianne Fábia Cabral Cavalcanti, Sabrina da Silva Sousa Formiga, Taynná Dantas de Arruda, Rogéria Máximo de Lavôr, Christiane Leite Cavalcanti, Catarina Ribeiro Barros de Alencar, Sergio d’Avila, Alessandro Leite Cavalcanti 39-43 REVIEWS Stress and associated factors among dentists Guostė Antanavičienė, Monika Zaleckytė, Julija Narbutaitė 44-48 Enamel matrix derivate induces periodontal regeneration by activating growth factors: A review Rūta Kulakauskienė, Rokas Aukštakalnis, Renata Šadzevičienė 49-53 SCIENTIFIC ARTICLES Heritability of mandibular asymmetries in sagittal direction: A cephalometric study Ingrida Rakauskaite, Vilma Svalkauskiene, Zygimantas Labanauskas, Donata Juozėnaitė, Giedrė Trakinienė, Justina Vaiciuniene 54-57 REVIEWS Use of platelet-rich fibrin versus connective tissue graft in treatment of gingival recessions: Literature review Aušra Balčiūnaitė, Henrikas Rusilas, Juozas Žilinskas 58-64 © 2020 Stomatologija		Stomatologija 2020; 22 (2): 39-43 99 KB Head and face injuries in elderly patients victims of fall. A single trauma center analysis Alidianne Fábia Cabral Cavalcanti¹, Sabrina da Silva Sousa Formiga², Taynná Dantas de Arruda², Rogéria Máximo de Lavôr¹, Christiane Leite Cavalcanti³, Catarina Ribeiro Barros de Alencar¹, Sergio d’Avila⁴, Alessandro Leite Cavalcanti⁴ Summary Objective. The purpose of this study was to identify the profile of elderly victims of falls and the occurrence of injuries and fractures in the head and face regions. Material and methods. Overall, 426 medical records of individuals aged 60 years or older of both genders hospitalized due to fall were analyzed. Data on gender, age group, period of occurrence, type of fall, presence of head and face injury and fracture of facial bones were collected. Data were organized with SPPS, version 20, and presented through descriptive and inferential statistics (Chi-square test). Poisson regression analysis was used (α<0.05). Results. The majority of victims were women (62.4%), aged 80 years or older (45.5%). Occurrences were more frequent in the daytime period (65.6%) and falls were mostly from the self-height (93.7%). Head and face lesions were found in 14.1% and 5.9% of victims, respectively. However, the presence of facial fracture was low (1.9%). Association between gender and occurrence of head (p=0.001) and face injury (p=0.017) was observed. The presence of "head injury" was associated with variables "type of fall" (p<0.001) and "existence of bone fracture" (p<0.001). Conclusion. Women aged 80 or over are the main victims of falls. Occurrences are common in the daytime period and due to falls from self height. Although soft tissue injuries in head and face were common, facial fractures showed low frequency. Key words: accidental falls, old age assistance, wounds and injuries. Received: 21 06 2018 Accepted for publishing: 24 06 2020 ¹School of Dentistry, State University of Paraiba, Campina Grande, PB, Brazil ²School of Dentistry, State University of Paraiba, Araruna, PB, Brazil ³Federal University of Paraiba, Joao Pessoa, PB, Brazil ⁴State University of Paraiba, Campina Grande, PB, Brazil Address correspondence to Alessandro Leite Cavalcanti, Universidade Estadual da Paraiba - Departamento de Odontologia, Rua das Baraunas, 351, Universitário Campina Grande, PB, Brazil. E-mail address: alessandrouepb@gmail.com