Association of maxillofacial injuries with traumatic brain injuries in paediatric patients: a case–control study
2024

Maxillofacial Injuries and Traumatic Brain Injuries in Children

Sample size: 384 publication 10 minutes Evidence: high

Author Information

Author(s): Suprabha Baranya Shrikrishna, Wilson Michael Lowery, Baptist Joanna, Subramanian Sadhvi Shankar, Shenoy Ramya, Jahanjoo Fatemeh, Radhakrishnan Jeedhu, Kamath V. Mayur, Anagha N. P., Chaurasia Diksha

Primary Institution: Manipal Academy of Higher Education, Manipal

Hypothesis

Is there an association between maxillofacial injuries and traumatic brain injuries in paediatric patients?

Conclusion

Paediatric patients with maxillofacial injuries are at a significantly higher risk of traumatic brain injury compared to those with injuries to other body parts.

Supporting Evidence

  • 53% of children with maxillofacial injuries had TBI compared to 32% of controls.
  • The odds ratio for TBI in children with maxillofacial injuries was 2.5.
  • Road traffic accidents were a significant cause of TBI in the study.
  • Prolonged hospitalization was associated with TBI among the cases.
  • Dentoalveolar injuries were found to decrease the likelihood of TBI.

Takeaway

Kids who hurt their faces are more likely to have brain injuries, so doctors should check for brain problems when they see these injuries.

Methodology

This case-control study included 192 children with maxillofacial injuries and 192 controls without such injuries, analyzing medical records and trauma causes.

Potential Biases

Potential bias due to reliance on medical records and retrospective design.

Limitations

The study was conducted at a single hospital, which may not represent all paediatric trauma cases in the region.

Participant Demographics

Participants were children aged 0-18 years, with a higher prevalence of males and adolescents.

Statistical Information

P-Value

<0.001

Confidence Interval

1.60–3.69

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/s12903-024-05366-4

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