scholarly journals Profile of facial trauma in older adults cared for at a tertiary hospital of the Brazilian Federal District

2021 ◽  
Vol 15 ◽  
Author(s):  
Matheus Almeida Barbosa ◽  
Daniel Saraiva de Paula ◽  
Attio Augusto Guimarães da Silva ◽  
Leonardo Paiva Marques de Souza ◽  
Isabela Gomes de Sena Ribeiro ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Conservative Treatment ◽  
Maxillofacial Surgery ◽  
Federal District ◽  
Tertiary Hospital ◽  
Facial Trauma ◽  
Main Diagnosis ◽  
Growth Trend ◽  
Older Population

OBJECTIVES: The phenomenon of population aging and the remarkable inclusion of older adults in the economically active population has increased their participation in injuries and accidents, including facial trauma. The purpose of this study was to analyze the prevalence, etiology, and treatment of facial trauma in the older population of the Brazilian Federal District, as well as the gender, etiology, type of trauma, and treatment strategy regarding different age groups (60–69 years, 70–79 years, and 80 years or older). METHODS: This is a retrospective quantitative descriptive study using electronic medical records (Trackcare system) of older patients (aged ≥ 60 years) assisted at the Emergency Department of a tertiary hospital of the Federal District between 2016 and 2017 due to facial trauma. RESULTS: Out of 2382 records of patients with facial trauma, 139 (5.8%) were aged over 60 years. The main causes of facial trauma were falls, both in male and female patients. Facial contusion was the main diagnosis of facial trauma (25.2%), followed by fractures of the jaw (16.5%) and zygomatic complex (15.8%). Conservative treatment was the most common strategy adopted in the Emergency Department of Oral and Maxillofacial Surgery and Traumatology. CONCLUSIONS: This study showed a high prevalence of facial trauma in the geriatric population. Etiological factors such as falls and car accidents were highlighted in the studied groups. Conservative treatment and local guidelines were the preferred therapeutic approaches. Owing to the growth trend of the older population in the upcoming decades, exposure to risk factors for facial trauma tends to grow, thus requiring greater attention and specific knowledge from health professionals.

scholarly journals Prevalence of Operated Facial Injury in the Department of Oral and Maxillofacial Surgery of a Tertiary Hospital

2020 ◽  
Vol 58 (221) ◽  
Author(s):  
Safal Dhungel ◽  
Ashutosh Kumar Singh
Keyword(s):  
Road Traffic ◽  
Maxillofacial Surgery ◽  
Age Groups ◽  
Simple Random Sampling ◽  
Tertiary Hospital ◽  
Facial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Facial Injury ◽  
Cultural Variation ◽  
Cross Sectional

Introduction: Maxillofacial injury is one of the commonest causes of surgery performed by anoral and maxillofacial surgeon. Socioeconomic conditions, cultural variation, age, and genderaffect the etiology of the injury. The study is aimed to find the prevalence of facial injury that isoperated by the oral and maxillofacial surgeons in the College of Medical Sciences and TeachingHospital, Bharatpur, Chitwan, a tertiary hospital. Methods: A descriptive cross-sectional study was performed using the chart from the hospitalregistry for the patient being operated under general anesthesia from April 1, 2017, to March2019. Simple random sampling was done using computer-generated random numbers. Ethicalapproval was received from the Institutional Review Committee of the hospital. The Data forthe reason for surgery, age, age groups etiology, and tissue involvement were analyzed usingStatistical Package for the Social Sciences version 20. Results: Facial injury occupies 378 (71.59%) of the total operation performed by Oral andMaxillofacial surgeon in a tertiary hospital. Soft tissue 196 (52.85%) and facial bone fracture182 (48.15%) is distributed among the facial injuries. Young adults are commonly affected, andthe road traffic accident is the major cause of facial trauma. Conclusions: Facial injury-related surgeries are more prevalent in the tertiary hospital ofBharatpur.

Analysis of Global Oxidative Status Using Multimarker Scores Reveals a Specific Association Between Renal Dysfunction and Diuretic Therapy in Older Adults

2021 ◽  
Author(s):  
Elena Rodríguez-Sánchez ◽  
José Alberto Navarro-García ◽  
Jennifer Aceves-Ripoll ◽  
Laura González-Lafuente ◽  
Nerea Corbacho-Alonso ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Older Adults ◽  
Renal Function ◽  
Oxidative Status ◽  
Protein Carbonyls ◽  
Multivariate Linear Regression Analysis ◽  
Older Population ◽  
Sod Activity ◽  
Pronounced Increase ◽  
Diuretic Treatment

Abstract Aging and chronic kidney disease (CKD) are important interrelated cardiovascular risk (CVR) factors linked to oxidative stress, but this relationship has not been well studied in older adults. We assessed the global oxidative status in an older population with normal to severely impaired renal function. We determined the oxidative status of 93 older adults (mean age 85 years) using multimarker scores. OxyScore was computed as index of systemic oxidative damage by analyzing carbonyl groups, oxidized low-density lipoprotein, 8-hydroxy-2′-deoxyguanosine, and xanthine oxidase activity. AntioxyScore was computed as index of antioxidant defense by analyzing catalase and superoxide dismutase (SOD) activity and total antioxidant capacity. OxyScore and AntioxyScore were higher in subjects with estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m2 than in peers with eGFR >60 mL/min/1.73 m2, with protein carbonyls, catalase, and SOD activity as major drivers. Older adults with a recent cardiovascular event had similar OxyScore and AntioxyScore as peers with eGFR >60 mL/min/1.73 m2. Multivariate linear regression analysis revealed that both indices were associated with decreased eGFR independently of traditional CVR factors. Interestingly, AntioxyScore was also associated with diuretic treatment, and a more pronounced increase was seen in subjects receiving combination therapy. The associations of AntioxyScore with diuretic treatment and eGFR were mutually independent. In conclusion, eGFR is the major contributor to the imbalance in oxidative stress in this older population. Given the association between oxidative stress, CKD, and CVR, the inclusion of renal function parameters in CVR estimators for older populations, such as the SCORE-OP, might improve their modest performance.

The HEAR‐VA Pilot Study: Hearing Assistance Provided to Older Adults in the Emergency Department

2021 ◽  
Vol 69 (4) ◽  
pp. 1071-1078
Author(s):  
Joshua Chodosh ◽  
Keith Goldfeld ◽  
Barbara E. Weinstein ◽  
Kate Radcliffe ◽  
Madeleine Burlingame ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Pilot Study

scholarly journals Occupational Sharp Injury and Splash Exposure among Healthcare Workers in a Tertiary Hospital

2021 ◽  
Author(s):  
Roshan Mathew ◽  
Ritin Mohindra ◽  
Ankit Sahu ◽  
Rachana Bhat ◽  
Akshaya Ramaswami ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hepatitis B ◽  
Healthcare Workers ◽  
Hepatitis B Surface Antigen ◽  
Tertiary Hospital ◽  
Needle Stick Injury ◽  
Medical Procedures ◽  
Immunodeficiency Virus ◽  
History Of ◽  
Hepatitis C Virus Antibody

Abstract Background Occupational hazards like sharp injury and splash exposure (SISE) are frequently encountered in health-care settings. The adoption of standard precautions by healthcare workers (HCWs) has led to significant reduction in the incidence of such injuries, still SISE continues to pose a serious threat to certain groups of HCWs. Materials and Methods This was a retrospective study which examined the available records of all patients from January 2015 to August 2019 who self-reported to our emergency department with history of sharp injury and/or splash exposure. Details of the patients, mechanism of injury, the circumstances leading to the injury, status of the source (hepatitis B surface antigen, human immunodeficiency virus, and hepatitis C virus antibody status), and the postexposure prophylaxis given were recorded and analyzed. Data were represented in frequency and percentages. Results During the defined period, a total of 834 HCWs reported with SISE, out of which 44.6% were doctors. Majority of the patients have SISE while performing medical procedures on patients (49.5%), while 19.2% were exposed during segregation of waste. The frequency of needle stick injury during cannulation, sampling, and recapping of needle were higher in emergency department than in wards. More than 80% of HCWs received hepatitis B vaccine and immunoglobulin postexposure. Conclusion There is need for periodical briefings on practices of sharp handling as well as re-emphasizing the use of personal protective equipment while performing procedures.

scholarly journals Home hospital as a disposition for older adults from the emergency department: Benefits and opportunities

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Kei Ouchi ◽  
Shan Liu ◽  
Daniel Tonellato ◽  
Yonatan G. Keschner ◽  
Maura Kennedy ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department
Sign in / Sign up

Export Citation Format

Share Document