Paolo Boffano1,2, Alberto Pau3, Camilla Dosio3, Muhammad Ruslin4, Tymour Forouzanfar5, Tanía Rodríguez-Santamarta6, Juan Carlos de Vicente6, Marko Tarle7, Emil Dediol7, Petia Pechalova8, Nikolai Pavlov9, Hristo Daskalov10, Iva Doykova11, Kadri Kelemith11, Tiia Tamme12, Andrey Kopchak13, Romanova Anna Yu13, Pierre Corre14, Helios Bertin14, Maeva Bourry14, Pierre Guyonvarc'h14, Zoran Jezdić15, Vitomir S Konstantinovic15, Thomas Starch-Jensen16, Matteo Brucoli3. 1. Università Degli Studi del Piemonte Orientale Amedeo Avogadro, Vercelli, Italy. paolo.boffano@gmail.com. 2. Division of Maxillofacial Surgery, University Hospital "Maggiore Della Carità", University of Eastern Piedmont, Novara, Italy. paolo.boffano@gmail.com. 3. Università Degli Studi del Piemonte Orientale Amedeo Avogadro, Vercelli, Italy. 4. Department of Oral and Maxillofacial Surgery, Hasanuddin University, Makassar, Indonesia. 5. Department of Oral and Maxillofacial Surgery/Oral Pathology, VU University Medical Center, Amsterdam, The Netherlands. 6. Hospital General de Asturias: Hospital Universitario Central de Asturias, Oviedo, Spain. 7. Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia. 8. Department of Oral Surgery, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria. 9. , Plovdiv, Bulgaria. 10. Department of Maxillofacial Surgery, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria. 11. Department of Maxillo-Facial Surgery, North Estonia Medical Centre Foundation, Tallinn, Estonia. 12. Faculty of Medicine, University of Tartu, Tartu, Estonia. 13. Bogomolets National Medical University: Natsional'nii Meditsnii Universitet Imeni O O Bogomoltsa, Kyiv, Ukraine. 14. Division of Maxillofacial Surgery, Chu de Nantes, Nantes, France. 15. University of Belgrade: Univerzitet U Beogradu, Belgrade, Serbia. 16. Department of Oral and Maxillofacial Surgery, Aalborg University Hospital, Aalborg, Denmark.
Abstract
BACKGROUND/AIMS: When facial trauma involves elderly patients, the possible presence of frailty and comorbidities in victims of trauma may worsen the posttraumatic symptoms and decrease quality of life. The aim of this multicenter study was to assess the quality of life following surgical or non-operative management of maxillofacial trauma in elderly patients. MATERIALS AND METHODS: This cohort study was based on the administration of validated self-administered questionnaires to all the geriatric patients (70 years or more) with facial fractures from the involved maxillofacial surgical units across Europe, since 1st January 2019 to 31st June 2019. The following questionnaires were administered: SF36 questionnaire; the VFQ-25 questionnaire; the Oral Health Impact Profile - 14 (OHIP14). Outcome variables were VFQ-25 and OHIP-14 results. RESULTS: A total of 37 patients (14 male and 23 female patients) met the inclusion criteria and were included in the study. Elderly patients had an improvement in almost all the categories examined by the SF-36 questionnaire 6 months after trauma, with the only exception of a worsening as for role limitations due to physical health. An improvement was observed in almost all the categories at SF-36 test. A worsening of scores of OHIP-14 for all the considered dimensions in the whole study population was observed too. CONCLUSIONS: Elderly patients following facial trauma experience significant emotional, social, and functional disturbances. We observed that emotional problems, energy/fatigue, social functioning, and generally social limitations played a great role in the decrease of QoL in elderly patients following maxillofacial trauma.
BACKGROUND/AIMS: When facial trauma involves elderly patients, the possible presence of frailty and comorbidities in victims of trauma may worsen the posttraumatic symptoms and decrease quality of life. The aim of this multicenter study was to assess the quality of life following surgical or non-operative management of maxillofacial trauma in elderly patients. MATERIALS AND METHODS: This cohort study was based on the administration of validated self-administered questionnaires to all the geriatric patients (70 years or more) with facial fractures from the involved maxillofacial surgical units across Europe, since 1st January 2019 to 31st June 2019. The following questionnaires were administered: SF36 questionnaire; the VFQ-25 questionnaire; the Oral Health Impact Profile - 14 (OHIP14). Outcome variables were VFQ-25 and OHIP-14 results. RESULTS: A total of 37 patients (14 male and 23 female patients) met the inclusion criteria and were included in the study. Elderly patients had an improvement in almost all the categories examined by the SF-36 questionnaire 6 months after trauma, with the only exception of a worsening as for role limitations due to physical health. An improvement was observed in almost all the categories at SF-36 test. A worsening of scores of OHIP-14 for all the considered dimensions in the whole study population was observed too. CONCLUSIONS: Elderly patients following facial trauma experience significant emotional, social, and functional disturbances. We observed that emotional problems, energy/fatigue, social functioning, and generally social limitations played a great role in the decrease of QoL in elderly patients following maxillofacial trauma.
Authors: R Patini; E Staderini; C Lajolo; L Lopetuso; H Mohammed; L Rimondini; V Rocchetti; F Franceschi; M Cordaro; P Gallenzi Journal: Eur Rev Med Pharmacol Sci Date: 2018-09 Impact factor: 3.507
Authors: G Tricarico; J Rodrigues Orlandin; V Rocchetti; C E Ambrosio; V Travagli Journal: Eur Rev Med Pharmacol Sci Date: 2020-09 Impact factor: 3.507
Authors: P L Foglio-Bonda; V Rocchetti; A Nardella; M Fantinato; K Sandhu; A Foglio-Bonda Journal: Eur Rev Med Pharmacol Sci Date: 2019-02 Impact factor: 3.507