The Impact of the COVID-19 Pandemic on the Epidemiology of Maxillofacial Trauma at Vajira Hospital

Completed

• Conditions: Individuals who had maxillofacial trauma and came to Vajira Hospital at the pre-COVID-19 period and COVID-19 period.; COVID-19; pandemic; maxillofacial fracture; epidemiology

• Registration Number: TCTR20230613002
• Lead Sponsor: Faculty of Medicine Vajira Hospital, Navamindradriraj University

Brief Summary

The COVID-19 outbreak resulted in a decrease of up to 15% in maxillofacial fractures. Males were more affected than females, with slightly higher mean ages during the COVID-19 period. Traffic accidents remained the primary cause of maxillofacial injuries in Thailand, while assault-related injuries decreased significantly. During the COVID-19 period, there was a decrease in body assault-related orbital fractures but an increase in isolated zygomatic arch bone and panfacial fractures caused by assault.

Detailed Description

Not available

Study Timeline

• Study Completion: 2021-12-31
• Study Start: 2023-06-13
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 749

Inclusion Criteria

(1) those who sought evaluation at the Division of Plastic and Reconstructive Surgery during the specified periods, (2) patients diagnosed with maxillofacial fractures coded as S02.0 through S02.9 according to the International Classification of Diseases, 10th Edition (ICD-10). In cases of Panfacial fracture, it was defined as having more than 2 out of 3 facial bones broken when dividing the facial bones into upper third, middle third, and lower third, and (3) patients whose maxillofacial fractures were confirmed through imaging.

Exclusion Criteria

1) cases where facial fractures were either undocumented or unclear, 2) fractures of the vault and base of the skull (ICD-10 codes S020 to S021), and 3) cases with inadequate or unclear imaging.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
demographic data and causes At the time the facial fracture patient came to the hospital. compare between pre-COVID-19 and COVID-19 period

Secondary Outcome Measures

Name	Time	Method
Alteration of anatomical facial fracture sites At the time the facial fracture patient came to the hospital. compare between pre-COVID-19 and COVID-19 period,Association between cause of injury and facial fracture sites At the time the facial fracture patient came to the hospital. compare between pre-COVID-19 and COVID-19 period