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Quality of life following maxillofacial trauma in the elderly: a multicenter,prospective study |
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| Authors: | Boffano Paolo Pau Alberto Dosio Camilla Ruslin Muhammad Forouzanfar Tymour Rodríguez-Santamarta Tanía de Vicente Juan Carlos Tarle Marko Dediol Emil Pechalova Petia Pavlov Nikolai Daskalov Hristo Doykova Iva Kelemith Kadri Tamme Tiia Kopchak Andrey Yu Romanova Anna Corre Pierre Bertin Helios Bourry Maeva Guyonvarc’h Pierre Jezdić Zoran Konstantinovic Vitomir S. Starch-Jensen Thomas Brucoli Matteo |
| Affiliation: | 1.Università Degli Studi del Piemonte Orientale Amedeo Avogadro, Vercelli, Italy ;2.Division of Maxillofacial Surgery, University Hospital “Maggiore Della Carità”, University of Eastern Piedmont, Novara, Italy ;3.Department of Oral and Maxillofacial Surgery, Hasanuddin University, Makassar, Indonesia ;4.Department of Oral and Maxillofacial Surgery/Oral Pathology, VU University Medical Center, Amsterdam, The Netherlands ;5.Hospital General de Asturias: Hospital Universitario Central de Asturias, Oviedo, Spain ;6.Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia ;7.Department of Oral Surgery, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria ;8.Plovdiv, Bulgaria ;9.Department of Maxillofacial Surgery, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria ;10.Department of Maxillo-Facial Surgery, North Estonia Medical Centre Foundation, Tallinn, Estonia ;11.Faculty of Medicine, University of Tartu, Tartu, Estonia ;12.Bogomolets National Medical University: Natsional’nii Meditsnii Universitet Imeni O O Bogomoltsa, Kyiv, Ukraine ;13.Division of Maxillofacial Surgery, Chu de Nantes, Nantes, France ;14.University of Belgrade: Univerzitet U Beogradu, Belgrade, Serbia ;15.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 methodsThis 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. ResultsA 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. ConclusionsElderly 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. |
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