Epidemiology of Oral and Maxillofacial Trauma in Province 2, Nepal

NCT04059315 | Unknown

• 1 other identifier: 397-2019
• Study Type: observational
• Target: 1,030
• Locations: 1 country
• Sites: 1

Brief Summary

Trauma is one of the leading causes of death among people under 40 years of age, the causes are numerous but the majorities are involved in road traffic accidents (RTA). The oral and maxillofacial injuries are the common presentation of hospitals either as an isolated injury ( 50%) and rest 20-30% are associated with multiple injuries to the head, neck, chest, abdomen and extremities. These injuries may cause serious functional, psychological, physical, and cosmetic disabilities. Maxillofacial fractures are a large public health problem with a significant negative impact on an individual's overall health and even survival. The cause, severity, and temporal distribution of maxillofacial trauma can assist in establishing clinical and research priorities for effective treatment and prevention of these injuries. Also understanding maxillofacial trauma helps to evaluate the behaviour patterns of people in different countries and to establish effective prevention and treatment strategies. To this end, numerous studies have been carried out to explore the epidemiological features of maxillofacial fractures in different population groups. However, to best our knowledge, there is a lack of research about maxillofacial injuries for this region. Hence the main purpose of this study is to investigate the epidemiological characteristics of prevalence, aetiology, sex and age distributions, fracture site, treatment pattern, associated injuries, and complications of maxillofacial fractures treated at the National Medical College and others Hospitals of Birgunj Metropolitan city over a 10-year period from June 2011 to June 2021. A specific form (oral and maxillofacial injury proforma) will be used to collect the data from medical records of patients who had sustained oral and maxillofacial injuries and admitted as well managed at the hospitals (National Medical College and Teaching Hospital, Birganj health care, Gandak hospital, LS Neuro hospital. Birgunj). Subjects would be the patients' data's/ medical records present in hospitals, Birganj. From the patient files or medical records, following information will be gathered include demographics (e.g. age, sex), the aetiology of injury, anatomic site of the fracture, time of hospital admission and operation, presence and location of associated injuries, treatment pattern, length of in-hospital stay, and complications.

Conditions

Oral and Maxillofacial Injuries

Keywords

motor vehicle accident, epidemiology, facial fracture

Outcome Measures

Primary Outcomes (1)

• Determination of causes and risk factors of oral and maxillofacial injuries

  This is a pro-retrospective observational study of oral and maxillofacial injuries, is a large public health problem with a significant negative impact on an individual's overall health and even survival. A gender, age, marital status, ethnicity, address, education, occupation, socioeconomically status are variables of trauma. These parameters will be documented in a special form called oral and maxillofacial proforma which is standard, reliable and valid format exceeds the current minimum requirements for clinical governance, addresses and improves the amount of data that is recorded and disseminated during handover.

  2019-2021

Secondary Outcomes (2)

• The role of the health care provider in the management of oral and maxillofacial injuries.

  2019-2021

• Early and late morbidity and mortality assessment in oral and maxillofacial trauma .

  2019-2021

Study Arms (2)

Retrospective cross sectional study

This is an Epidemiological observational analytic study where the subjects sustained with oral and maxillofacial trauma will be divided into the two-time-frame; 1st, retrospective study between 1 June 2011 to 31 May 2019

Other: surgical treatment of facial bone fracture

Prospective cohort study

2nd prospective study on 1 June 2019 to 1 June 2021.

Other: surgical treatment of facial bone fracture

Interventions

surgical treatment of facial bone fracture OTHER

oral and maxillofacial injury patients admitted in our hospital. patients are getting treatment of soft and bone frature as follow soft tissue repaire, IMF, ORIF, consrvative.

Prospective cohort study; Retrospective cross sectional study

Eligibility Criteria

• Age: 1 Year - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

The patients sustain with oral and maxillofacial injuries from the target population brought to study site hospital for advance health care. The patients have been examined, admitted and treated between study duration (10 years) will be enrolled into two-time frames separately. The patient will be identified using the ED case report file (injury report file) or operation registration database.

You may qualify if:

• Among the patients have admitted in study sites hospital, those medical records have been maintained (not lost).
• Patients who had seen by the investigator and had maintained a minimum of 6 weeks of follow-up for retrospective study.

You may not qualify if:

• Patients who had only minor superficial soft tissue injuries which did not require admission.
• Patients with others fracture only and are not associated with facial injuries like isolated cranial fracture or extremities fracture.
• Patients with diagnoses different from traumatic fractures, treated by non-surgical means or other surgeons, operated for surgical sterilization purposes or for correction of previous trauma sequelae.
• Patients whose records were lost, incomplete or illegible.

Sponsors & Collaborators

• Tribhuvan University, Nepal: lead

Study Sites (1)

Dr Saroj Prasad Deo

Birgunj, Madhesh, 43000, Nepal

Location

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Related Links

• The top 10 causes of death; fact-sheets.

MeSH Terms

Conditions

Maxillofacial Injuries

Condition Hierarchy (Ancestors)

Facial Injuries; Craniocerebral Trauma; Trauma, Nervous System; Nervous System Diseases; Wounds and Injuries

Study Officials

• Saroj P Deo

  National Medical College, Birgunj, Nepal

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 2 Years
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor and HOD of oral and maxillofacial surgery

Study Record Dates

• First Submitted: July 31, 2019
• First Posted: August 16, 2019
• Study Start: August 15, 2019
• Primary Completion: December 1, 2019
• Study Completion: June 1, 2021
• Last Updated: September 4, 2019

Record last verified: 2019-08

Data Sharing

• IPD Sharing: Will share
• Shared Documents: SAP
• Time Frame: As soon I will collect the data of participants of this study, I will upload in the database. then after the completion of this study, it can be shared.
• Access Criteria: Only the result of this study.

Locations

NE (1)