Abstract
The article represents the results of data analytical processing considering the equivalent for dental treatment cost estimation among victims of traffic accidents with dental and maxillofacial injuries, and analyzes the objective association level of this criterion with the parameters of the approaches used for expert assessment of maxillofacial trauma injuries. Objective of the study is to analyze the equivalent for dental treatment cost values among victims of traffic accidents with dental and maxillofacial trauma injuries, and to establish an objective level of associations of this criterion with the parameters of the approaches used for expert assessment of maxillofacial trauma injuries. The design of the work included analytical processing of data obtained from previously conducted studies of retrospective and prospective nature, related to the economic component of patients’ rehabilitation due to the maxillofacial injuries occurred after road traffic accidents. The studied parameters were: the cost of treatment, duration of hospitalization, the criterion used to assess traumatic injuries of the maxillofacial region, correlation values relating trauma characteristics with the final cost of treatment and duration of hospitalization, statistical reliability of the relationships between the studied indicators of previously conducted research. Research methods: analytical, prognostic assessment, regression analysis. Current approaches used for expert severity assessment of the maxillofacial trauma injuries occurred after road accidents characterized by limited opportunities to predict and stratify the costs associated with the necessary future dental treatment of victims, but provide a sufficient level of objectification of functional and structural disorders. The increase of the expert severity assessment criteria of maxillofacial trauma injuries, in particular FISS and MFISS scores, is associated with an increase in the cost of appropriate comprehensive treatment and the potentially required duration of hospitalization, but these associations are characterized by uneven patterns of statistical dependences, and an increase in FISS and MFISS indicators beyond certain limit levels provokes a sharp advance in the cost of treatment due to the need for a longer hospitalization of the patient.
Highlights
IntroductionViolations of functional and anatomical integrity of the structures of the dento-alveolar system, resulting from traffic accidents, are characterized by variable patterns of formation, which depend on the mechanism of action of the traumatic factor, vector and action of force, position of the victim, safety, pre-existing changes dental status and features of the biomechanical system of the maxillofacial area as a whole [2, 15, 16, 19, 21, 23, 24, 30].Data from a systematic review of Al-Qahtani F. et al [2] indicate that traffic accidents are the key cause of specific injuries of the maxillofacial region, confirming the results of domestic studies on the prevalence of such injuries of Plevinskis P
The analyzed studies showed a shortage of data related to the stratification of costs associated with the comprehensive treatment of victims of maxillofacial area trauma; in particular, in the vast majority of publications there were no detailed indicators of the cost of hospitalization, costs associated with specific types of surgical and follow-up rehabilitation measures, costs associated with the need for appropriate pharmacological support [1, 3, 26, 28]
It was found that the main in terms of objectification of the severity of injuries of the maxillofacial area are the algorithms for assessing ISS, FISS (Facial injury severity scale) and MFISS (Maxillofacial Injury Severity Score) [4, 10, 31]
Summary
Violations of functional and anatomical integrity of the structures of the dento-alveolar system, resulting from traffic accidents, are characterized by variable patterns of formation, which depend on the mechanism of action of the traumatic factor, vector and action of force, position of the victim, safety, pre-existing changes dental status and features of the biomechanical system of the maxillofacial area as a whole [2, 15, 16, 19, 21, 23, 24, 30].Data from a systematic review of Al-Qahtani F. et al [2] indicate that traffic accidents are the key cause of specific injuries of the maxillofacial region, confirming the results of domestic studies on the prevalence of such injuries of Plevinskis P.
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