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Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury
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Geriatric Craniomaxillofacial Fractures: Where do They Happen and Why?
Dani Stanbouly1, Michael Baron2, Julie Chang1
1Dental Student, Columbia University College of Dental Medicine, New York, NY.
Summary
Falls in older adults can lead to severe craniomaxillofacial fractures. Home injuries, orbital fractures, and intracranial injuries significantly increase hospital admission risk for geriatric patients.
Area of Science:
- Geriatric Trauma
- Orthopedic Surgery
- Public Health
Background:
- The geriatric population is rapidly expanding and highly susceptible to traumatic injuries.
- Craniomaxillofacial (CMF) fractures in older adults often result from falls, posing significant health risks.
Purpose of the Study:
- To identify factors associated with increased hospital admission rates in geriatric patients with CMF fractures due to falls.
- To understand the severity indicators for CMF fractures in the elderly following falls.
Main Methods:
- A 5-year retrospective cross-sectional study utilizing the National Electronic Injury Surveillance System (NEISS) database.
- Analysis included patient and injury characteristics, with binary logistic regression to determine hospital admission risk factors.
Main Results:
- The study analyzed 2,879 cases, with a mean patient age of 78.8 years; most were females injured at home.
- Injuries occurring at home (OR, 2.52), orbital bone fractures (OR, 3.91), and intracranial injuries (OR, 3.76) were independent risk factors for hospital admission.
Conclusions:
- CMF fractures sustained at home, orbital fractures, and intracranial injuries elevate the risk of hospital admission in geriatric fall victims.
- Findings underscore the need for targeted screening and fall prevention strategies in the elderly population to mitigate severe injury outcomes.
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