Epidemiology of maxillofacial trauma in elderly patients receiving oral anticoagulant or antithrombotic medication; a Swiss retrospective study.
David BettschenDimitra TsichlakiEleftherios ChatzimichailJolanta Klukowska-RoetzlerMartin MüllerThomas Christian SauterAristomenis K ExadaktylosMairi ZiakaMichael DoulberisJohn Patrik Matthias BurkhardPublished in: BMC emergency medicine (2024)
This study indicates that falls are the leading cause of maxillofacial trauma in the elderly, with the most common diagnoses being orbital, zygomatic, and nasal fractures. Haemorrhagic complications primarily involve facial hematomas, especially in the middle third of the face, with intracerebral haemorrhage being the second most frequent. Surgical intervention for bleeding was required in 8.5% of cases. Given the aging population, it is essential to improve prevention strategies and update safety protocols, particularly for patients on anticoagulant/antiplatelet therapy (AC/APT). This can ensure rapid diagnostic imaging and prompt treatment in emergencies.
Keyphrases
- atrial fibrillation
- antiplatelet therapy
- end stage renal disease
- community dwelling
- percutaneous coronary intervention
- venous thromboembolism
- acute coronary syndrome
- newly diagnosed
- middle aged
- randomized controlled trial
- ejection fraction
- chronic kidney disease
- healthcare
- high resolution
- prognostic factors
- emergency department
- trauma patients
- soft tissue