Trauma In Geriatric Population Research Articles

Management of Atrophic Mandibular Fractures in Pakistan – Changing Trends with Preference to Extra-Oral Approach

Background: With the ever-increasing incidence of facial trauma in geriatric population, it is very important to improve the care given to these patients. This study has been focused on determining a better approach for management of atrophic mandibular fractures.  Objective: To compare the frequency of complications of extra-oral versus intra-oral approach for the management of atrophic mandible fractures. Study Design: Randomized control trial. Settings: Outdoor patient of department of Oral and Maxillofacial Surgery, Mayo Hospital, Lahore Pakistan. Duration: One year, 20th January, 2018 till 20th January, 2019. Methodology: Seventy consecutive patients were included in this study from the OPD of Oral and Maxillofacial Surgery. All the patients were randomly assorted in the both groups, group A being the intra-oral approach and group B being the extra-oral approach. The outcome was determined on the basis of presence or absence of mal-union or non-union after the fractures were treated. Results: The mean age of cases in extra and intra oral group was 76.54±8.13 years and 73.66± 8.04 years. In extra-oral group, there were 21(60%) male and 14(40%) females and in intra-oral group, there were 25(71/4%) male and 10(28.6%) female cases. In extra –oral group 3(8.6%) cases had complication and in intra-oral group 2(5.7%) cases had complications, the frequency of complication in both groups, p-value >0.05. Among complications in extra-oral group 2(5.7%) cases had non-union and 1(2.9%) had malunion and in intra-oral group 1(2.9%) cases had non-union and malunion each. The frequency of type of complication was statistically same in both group, p-value >0.05.  Conclusion: The incidence of complications is statistically same in both groups. Hence, we encourage the use of extra-oral approach for management of atrophic fractures of mandible.

Maxillofacial Trauma in Geriatric Population.

The worldwide population is increasingly aging. Maxillofacial fractures of the geriatric population have been increased. Evaluation of the demographic variables, causes and the patterns of maxillofacial traumas in the elderly population is the main aim of this study. Seven hundred thirteen maxillofacial tomography images which were scanned between 2010 and 2019 were evaluated. Data from 50 patients aged 65 years old and/or older, who were treated for maxillofacial fracture at the Department of Otorhinolaryngology, Gaziantep University, were retrospectively analyzed. Two groups were created according to the facial fracture pattern. Facial fractures were reclassified into 2 groups; mandibula, orbital, zygomaticomaxillary complex group fractures and the other group of frontal, naso-orbito-ethmoid fractures and were used as a comparison. The mean age of the patients was 72.5 (min 65- max 93). The gender distribution was 17 females (34%) and 33 males (66%). The most common fractured bone was the nasal bone and the least one is the frontal bone. Approximately one-quarter of 50 fractures were seen in 70 to 79 years old. Falling is more common in females and men are more prone to work-related accidents than home-related accidents. Facial fractures in the elderly often seen in midface location. Falling is the common etiology of facial fracture in all genders at elderly. However, male dominance is seen in other etiological factors. Additional diseases in the elderly seem to increase the severity of facial fracture.

A study of ocular trauma in geriatric population at a tertiary care eye hospital in South India

To assess the prevalence of ocular trauma and extent of visual loss in geriatric patients at a tertiary care eye hospital in South India. A cross-sectional study was conducted on patients aged above 60 years, of both genders, who presented to the ophthalmology OPD of a tertiary care eye hospital, with history of ocular trauma. The study period was of 3 months. The patients underwent a detailed interview and standardized ocular evaluation. An eye was considered blind due to trauma if best corrected visual acuity for distance was worse than 3/60 due to trauma. Patients with preexisting low vision in the affected eye were excluded in the study. Of the 50 patients included in the study, 30 patients (60%) gave a history of self-inflicted injury. 28 patients (56%) had blunt trauma to the eye, and the rest had penetrating injury. 42 patients (84%) belonged to lower socioeconomic status; 38 patients (76%) were males and the rest females. 24 patients (48%) had an acute onset of presentation (<24 hours). Though majority of the trauma resulting in blindness occurs during childhood, geriatric population also needs extra care and attention due to associated co morbidities. Ocular trauma in geriatric population is being increasingly recognized as a significant public health problem worldwide.

Demographic Features of Fall-Related Trauma in Geriatric Population in the Emergency Department: 5 Years Experience

Introduction: Life expectancy increases throughout the world and it
 was estimated that in 2020 nearly 12% of the Turkish population will be
 categorized as elderly. Trauma, especially falls are important cause of
 admission to emergency departments for elderly. This study evaluates the
 demographical profile of fall-related emergency admissions of elderly for 5
 years. Method: This study is a
 retrospective cross-sectional study, carried out in elderly patients (≥65
 years) admitted to the emergency department between January 2013 to 31 December
 2017. A fall is defined as a situation coded as E880-E888 in ICD9 and W00-W19
 in ICD 10 in an electronic database. 460 admissions met these inclusion
 criteria. All of the demographical data were obtained from hospital records. Results: The rate of emergency
 admission due to fall related trauma was %1.3 and this rate increase up to
 11.84% in older patients group. The mean age of the group was 74.8±7.5 years,
 and most of the patients have at least one underlying disease. Most of the
 falls take place outside from home, summer and daytime. Only 1 death occurred
 due to falls. Conclusion: Falls and
 related injuries are an important public health problem due to growing elderly
 population. In conclusion, nearly 1 in 6 elderly admitted to the emergency
 department due to falls, and this rate is expected to increase. Preventive
 measures must be taken to reduce these falls and related injuries and
 epidemiological data should be gathered regularly and methodologically.  Giriş: Yaşam beklentisi tüm dünyada
 artmaktadır, 2020 yılında Türk toplumunda yaşlı oranının %12 civarında olacağı
 tahmin edilmektedir. Travmalar özellikle düşmeler yaşlı bireylerin acil servise
 başvuruları için önemli bir nedendir. Bu çalışmada 5 yıl boyunca acil servise
 düşme nedenli olarak başvuran yaşlıların demografik özellikleri
 değerlendirilmiştir. Yöntem: Mevcut
 geriye dönük kesitsel çalışma Ocak 2013-Aralık 2017 tarihleri arasında acil
 servise başvuran yaşlılar (≥65 yaş) ile yürütülmüştür. Çalışmada düşme
 elektronik veri tabanına ICD 9 kodlarına göre E880-E888 ve ICD 10 kodlarına
 göre W00-W19 arasında kodlanan tanılar olarak kabul edilmiştir. Veri tabanından
 elde edilen 460 hasta çalışmanın örneklemini oluşturmuştur. Tüm demografik
 veriler hastane kayıtlarından elde edilmiştir. Bulgular: Acil servise başvurular içinde sadece %1,3 yer tutan
 travma olgularının oranı yaşlı hasta grubunda %11,84’e yükselmektedir. Grubun
 yaş ortalaması 74,8±7,4 yıldır, hastaların çoğunda altta yatan bir hastalık
 bulunmaktadır. Düşmelerin büyük çoğunluğu ev dışında, yaz mevsiminde ve gündüz
 gerçekleşmiştir. Düşme nedenli sadece 1 ölüm gerçekleşmiştir. Sonuç: Düşme ve ilişkili yaralanmalar
 artan yaşlı nüfus nedeni ile önemli bir halk sağlığı sorunu olarak karşımıza
 çıkmaktadır. Sonuç olarak her 6 yaşlıdan 1’i düşme nedenli olarak acil servise
 başvurmaktadır, bu oranların artacağı düşünülmektedir. Düşme oranlarını
 azaltıcı önleyici önlemlerin alınması ve sistemli ve düzenli olarak
 epidemiyolojik verilerin toplanması yararlıdır.