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Characteristics of admitted pediatric facial fracture patients: hospitalized pediatric facial fracture patients are less likely to undergo operative treatment
Zhazira Irgebay, BA; Jesse A. Goldstein, MD; Joseph E. Losee, MD
University of Pittsburgh Medical Center
2022-01-26
Presenter: Zhazira Irgebay
Affidavit:
This student was responsible for over half of the conception, design, data collection, analysis of data, and abstract drafting for this project.
Director Name: Vu T Nguyen
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: Craniomaxillofacial
Purpose: Facial fractures in the pediatric population have a significant impact on public health. The goal of this study was to describe the characteristics of admitted patients sustaining facial fractures.
Methods: We performed a retrospective review of 3334 patients under 18 years of age who were evaluated at a pediatric level I trauma center from 2005 to 2021 for facial fractures. We evaluated the mechanisms of injury, types of facial fractures, associated injuries, and rates of surgical treatment in admitted patients.
Results: One thousand and eighty (32.4%) met the inclusion criteria. Hospitalized patients (10.9 +/- 4.9) were younger than non-hospitalized patients (11.8 +/- 4.5, p<0.001). Majority of the patients were male (n = 619, 69.2%). Average length of stay is 3.81 days (+/- 6.4). The most common cause of injury in admitted patients was motor vehicle accidents (n = 395, 36.6%), compared to sports in non-admitted patients (n = 933, 42.9%; p<0.001). Skull (n = 271, 25.1%, p<0.001), orbital (n = 510, 47.2%, p<0.001), maxillary (n = 372, 34.4%, p<0.001), ZMC (n = 71, 6.6%, p<0.001) and mandibular fractures (n = 309, 28.6%, p<0.001) were associated with higher rates of admission, whereas nasal fractures more likely to be managed outpatient (n = 1676, 79.8%, p<0.001). 39% of admitted patients underwent operative management (n = 424), compared to 52.7% of non-admitted patients (n = 1188, p<0.001).
Conclusion: Nearly one third of pediatric patients with facial fractures were admitted to the hospital and had different etiology compared to those treated outpatient.
