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Interpersonal violence and maxillofacial fractures

机译:人际暴力和颌面部骨折

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Purpose: Accident Compensation Corporation statistics shows that maxillofacial fracture affects 11,000 people with an approximate $90 million annual cost in New Zealand dollars (NZD). Previous studies have demonstrated interpersonal violence (IPV), road traffic accidents (RTAs), sports injury, and falls being the common causes of maxillofacial fracture. This study investigated the causes and associated alcohol and/or drug use and fracture patterns in patients presenting with maxillofacial fractures in the Wellington region. Subjects and Methods: Demographic data of the patients, the cause of maxillofacial fracture and associated alcohol and/or drug use, and the fracture patterns were culled from our prospective maxillofacial fracture database at Hutt Hospital for a 5-year period from January 01, 2013, to December 31, 2017 and analyzed. Results: A total of 1535 patients were referred with maxillofacial fractures during the study. 38% of the maxillofacial fractures were caused by IPV, followed by sports injury (24%), falls (24%), and RTA (6%), with 33.4% associated with alcohol and/or drug use. Males were six times more likely to present with IPV-related maxillofacial fractures, compared to females. The 16–30-year age group was the most prevalent in the IPV group with NZ Maori attributing to significantly more maxillofacial fractures compared to NZ European, 54.6% vs. 32.0% (P Conclusions: IPV, especially involving alcohol and/or drug use, is the most common cause of maxillofacial fractures in the Wellington region, especially in NZ Maori males aged 16–30 years. Public health strategies are needed to decrease IPV as a cause of maxillofacial fractures.
机译:目的:事故赔偿公司的统计数据显示,颌面部骨折影响了11,000人,每年花费约9000万新西兰元(NZD)。先前的研究表明人际暴力(IPV),道路交通事故(RTA),运动损伤和跌落是颌面部骨折的常见原因。这项研究调查了惠灵顿地区上颌面骨折患者的病因,相关的酒精和/或药物使用情况以及骨折类型。研究对象和方法:从我们于2013年1月1日起在Hutt医院进行的前瞻性颌面部骨折数据库中筛选患者的人口统计数据,颌面部骨折的原因以及相关的酒精和/或药物使用情况以及骨折类型,到2017年12月31日进行分析。结果:研究期间共转诊1535例颌面部骨折。 38%的颌面部骨折是由IPV引起的,其次是运动损伤(24%),跌倒(24%)和RTA(6%),其中33.4%与酒精和/或药物使用相关。与女性相比,男性患IPV相关颌面部骨折的可能性高六倍。 16-30岁年龄组是IPV组中最普遍的人群,与新西兰人相比,NZ Maori导致的颌面骨折明显多于欧洲人,分别为54.6%和32.0%(P结论:IPV,特别是涉及酒精和/或毒品使用,是惠灵顿地区上颌骨骨折的最常见原因,尤其是在16至30岁的新西兰毛利男性中,需要采取公共卫生策略来减少IPV引起的上颌骨骨折。

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