Dental and Medical Problems

Dent Med Probl
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
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Dental and Medical Problems

2016, vol. 53, nr 2, April-June, p. 244–252

doi: 10.17219/dmp/61156

Publication type: original article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Overview of Emergency Department Visits in Craniomaxillofacial and Oncological Clinic of Medical University in Lodz

Analiza zgłoszeń pacjentów na Oddział Ratunkowy Chirurgii Czaszkowo-Szczękowo-Twarzowej i Onkologicznej Szpitala Klinicznego Uniwersytetu Medycznego w Łodzi

Aleksandra Puch1,B,D,F, Michał Kurczyński2,C,F, Piotr Arkuszewski1,A,E,F, Katarzyna Bogusiak2,A,B,F

1 Department of Craniomaxillofacial and Oncological Surgery, Medical University of Lodz, Łódź, Poland

2 Craniomaxillofacial and Oncological Surgery, University Teaching Hospital no. 1 of Medical University of Lodz, Łódź, Poland

Abstract

Background. Knowledge about epidemiology of causes of admissions to Emergency Department is very important for a physician – it allows for the assessment of the functionality of the emergency system in maxillofacial surgery.
Objectives. The aim of this study was to characterize patients admitted to the Emergency Department of Craniomaxillofacial Clinic, and afterwards to determine the severity of the injury within the facial part of a skull, using a FISS scale. Additionally, the aim was to evaluate usefulness of this scale in medical practice.
Material and Methods. In this retrospective research we analyzed 512 patients. Data concerning age, sex, duration of hospitalization, cause of admission, and in case of patients with trauma – injury location, localisation of fractures and wounds, concomitant injuries and damages within the CNS – was collected.
Results. Among 211 women and 301 men (in average age 44.03 ± 18.98) the most common causes of Emergency Department visits were inflammations, suffered by 45.7% of the patients. Next, intraoral abscess was most frequent as it affected 16% of patients. The most prevailing cause of treatment and admission to hospital was assault. Mean FISS scale equal 3.5 ± 2.16.
Conclusion. Males were admitted to the hospital more often than females. The most common reasons for admission were inflammations in case of women and traumas in case of men. The FISS scale is a useful tool in medical practice. It shows that patients after traffic accidents and those who have lost consciousness score highly in the scale. Men were admitted to the hospital more often and women were cured and released on the same day in more cases. Patients presenting extraoral abscesses were admitted to the hospital 100% of the time. The case was different with patients presenting intraoral abscesses in most cases required only one-day treatment.

Key words

inflammation, maxillofacial injuries, patient admission, trauma severity incides

Słowa kluczowe

zapalenie, urazy twarzoczaszki, przyjęcia pacjentów, wskaźnik ciężkości urazów

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