MAXILLOFACIAL TRAUMA ASSOCIATED WITH OTHER BODY INJURIES: THE ROLE OF REVISED TRAUMA SCORING SYSTEM

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Basheer Rehman
Muslim Khan
Farhad Ali
Atta Ur Rahman
Tariq Ahmad
Hassan Shafi
Muhammad Suleman
Shuja Riaz Ansari

Abstract

Objectives: The purpose of this study was to evaluate the magnitude of other associated bodily injuries occurring
together with maxillofacial trauma and the role of trauma scoring system as a predictor of the degree of morbidity in
such patients.
Material and Methods: A total of 1753 patients with maxillofacial injuries admitted to the department of Oral & Maxillofacial
surgery Khyber College of Dentistry during a period from January 2015 to December 2017, were recruited in this
study. Associated injuries and their degree of severity were determined and Revised Trauma Score applied to them.
Information so collected was analyzed using SPSS version 20. One way ANOVA was used to find out the distribution
of RTS among different independent variables. Odd ratios were determined for those who were referred to concerned
specialty and for those referred to ICU.
Results: Concomitant injuries were noted in 215 (12.26%). One hundred and fifty (69.8%) were male and 65(30.2%)
were female. Mean age of all the patients was 23.93±15.2 SD years. Most injuries were caused by RTA (n=119, 55.3%)
followed in frequency by fall (n=47, 21.9%). Majority of the injuries were Head injuries (n=73) followed by extremities
(n=56). One hundred and fifty seven (73.0%) patients were retained for maxillofacial surgical intervention while 15.3%
were referred to ICU. The mean RTS for referral categories was highest among retained individuals (7.74±0.17SD)
and lowest among those who were referred to ICU (6.44±0.29SD). The difference among the referral categories were
statistically significant (P value <.001).
Conclusion: The results of the present study suggest that Revised Trauma Scoring system, strongly predicts in-hospital
morbidity in patient having concomitant injuries with maxillofacial trauma.

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