Cranio-maxillofacial injuries in victims of interpersonal violence

BACKGROUND: Recent research has indicated an increase in the severity of head injuries in Switzerland. The aim of the present study was to describe the epidemiological features of cranio-maxillofacial (CMF) injuries due to interpersonal violence in patients at the Bern University Hospital Eme...

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Main Authors: Adrian P. Businger, Jonathan Krebs, Benoit Schaller, Heinz Zimmermann, Aristomenis K. Exadaktylos
Format: Article
Language:English
Published: SMW supporting association (Trägerverein Swiss Medical Weekly SMW) 2012-10-01
Series:Swiss Medical Weekly
Subjects:
Online Access:https://www.smw.ch/index.php/smw/article/view/1597
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author Adrian P. Businger
Jonathan Krebs
Benoit Schaller
Heinz Zimmermann
Aristomenis K. Exadaktylos
author_facet Adrian P. Businger
Jonathan Krebs
Benoit Schaller
Heinz Zimmermann
Aristomenis K. Exadaktylos
author_sort Adrian P. Businger
collection DOAJ
description BACKGROUND: Recent research has indicated an increase in the severity of head injuries in Switzerland. The aim of the present study was to describe the epidemiological features of cranio-maxillofacial (CMF) injuries due to interpersonal violence in patients at the Bern University Hospital Emergency Department (ED), based on injury patterns. METHODS: Retrospective analysis was performed on data collected during an 11-year period between 1 January 2000 and 31 December 2010 covering 1,585 patients. A distinction was drawn between neurocranial and maxillofacial injuries, and two time periods (2000–2004 and 2005–2010) were compared. RESULTS: The patients’ median age at the time of admission was 26 years (range 12–82), and 1,473 of 1,585 patients (92.9%) were males. Referrals increased from an annual average of 119.6 in 2000–2004 to 164.5 in 2005–2010 (p <0.001). Severe neurocranial injuries doubled in number – from an annual average of 4.2 in 2000–2004 to 8.5 in 2005–2010 (p = 0.010). Maxillofacial injuries seen in the ED increased from an average of 163.6 per year in 2000–2004 to 247.8 in 2005–2010 (p <0.001), and the number of maxillofacial injuries per patient increased from 1.37 to 1.51 (p = 0.015). CONCLUSIONS: Cranio-maxillofacial (CMF) injuries chiefly affect young people, and thus impose a heavy economic burden on society. Synergies are possible between the implementation of violence prevention strategies and other prevention objectives in every age group and intervention area.
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spelling doaj.art-2e49e48db5d04ce7ad2722982fc733be2024-11-02T17:27:06ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972012-10-01142414210.4414/smw.2012.13687Cranio-maxillofacial injuries in victims of interpersonal violenceAdrian P. BusingerJonathan KrebsBenoit SchallerHeinz ZimmermannAristomenis K. Exadaktylos BACKGROUND: Recent research has indicated an increase in the severity of head injuries in Switzerland. The aim of the present study was to describe the epidemiological features of cranio-maxillofacial (CMF) injuries due to interpersonal violence in patients at the Bern University Hospital Emergency Department (ED), based on injury patterns. METHODS: Retrospective analysis was performed on data collected during an 11-year period between 1 January 2000 and 31 December 2010 covering 1,585 patients. A distinction was drawn between neurocranial and maxillofacial injuries, and two time periods (2000–2004 and 2005–2010) were compared. RESULTS: The patients’ median age at the time of admission was 26 years (range 12–82), and 1,473 of 1,585 patients (92.9%) were males. Referrals increased from an annual average of 119.6 in 2000–2004 to 164.5 in 2005–2010 (p <0.001). Severe neurocranial injuries doubled in number – from an annual average of 4.2 in 2000–2004 to 8.5 in 2005–2010 (p = 0.010). Maxillofacial injuries seen in the ED increased from an average of 163.6 per year in 2000–2004 to 247.8 in 2005–2010 (p <0.001), and the number of maxillofacial injuries per patient increased from 1.37 to 1.51 (p = 0.015). CONCLUSIONS: Cranio-maxillofacial (CMF) injuries chiefly affect young people, and thus impose a heavy economic burden on society. Synergies are possible between the implementation of violence prevention strategies and other prevention objectives in every age group and intervention area. https://www.smw.ch/index.php/smw/article/view/1597craniumheadinjuryinterpersonal violencemaxillofacialSwitzerland
spellingShingle Adrian P. Businger
Jonathan Krebs
Benoit Schaller
Heinz Zimmermann
Aristomenis K. Exadaktylos
Cranio-maxillofacial injuries in victims of interpersonal violence
Swiss Medical Weekly
cranium
head
injury
interpersonal violence
maxillofacial
Switzerland
title Cranio-maxillofacial injuries in victims of interpersonal violence
title_full Cranio-maxillofacial injuries in victims of interpersonal violence
title_fullStr Cranio-maxillofacial injuries in victims of interpersonal violence
title_full_unstemmed Cranio-maxillofacial injuries in victims of interpersonal violence
title_short Cranio-maxillofacial injuries in victims of interpersonal violence
title_sort cranio maxillofacial injuries in victims of interpersonal violence
topic cranium
head
injury
interpersonal violence
maxillofacial
Switzerland
url https://www.smw.ch/index.php/smw/article/view/1597
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AT benoitschaller craniomaxillofacialinjuriesinvictimsofinterpersonalviolence
AT heinzzimmermann craniomaxillofacialinjuriesinvictimsofinterpersonalviolence
AT aristomeniskexadaktylos craniomaxillofacialinjuriesinvictimsofinterpersonalviolence