Impact of the COVID-19 on the epidemiology of maxillofacial fractures surgically treated in a Cuban university hospital

Authors

Keywords:

epidemiological studies, maxillofacial trauma, facial bones, COVID-19, SARS-CoV-2.

Abstract

Introduction: COVID-19 pandemic has had a significant impact on people’s behavior.

Aim: To evaluate the impact of the COVID-19 on the epidemiology of maxillofacial fractures surgically treated in a Cuban university hospital.

Methods: This research involved a 4-year descriptive, comparative, retrospective and cross-sectional study. Patients surgically treated between March 1 and December 31, 2020 (COVID-19 period) were compared with those who had undergone surgery between the same date in the years 2017-2019 (non-pandemic period). Age, sex, residence, year, month, alcohol consumption at the time of trauma, etiology, fractures types, and number of fractures per patient were recorded.

Results: A decline in patients with maxillofacial fractures in 2020 (n=25) was observed when compared to equivalent periods in the three previous years (2017: n=37; 2018: n=31; 2019: n=41), respectively, with an annual average reduction of 31.19 %. Interpersonal violence was found to be the paramount etiological factor for maxillofacial fractures during the comparison periods (2017-2019); however, road traffic accident prevailed in the 2020 (n=12; 48 %). There was a small increase in the number of alcohol-related fractures (56 % in 2020 vs 46.34 %, 41.94 %, and 51.35 % in 2019, 2018, and 2017, respectively).

Conclusion: COVID-19 impacted on the epidemiology maxillofacial fractures surgically treated in this Cuban university hospital.

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References

1. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382:1708-20. DOI: https://doi.org/10.1056/NEJMoa2002032

2. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382:727-33. DOI: https://doi.org/10.1056/NEJMoa2001017

3. Wang C, Horby PW, Hayden FG, Gao FG. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(102223):470-3. DOI: https://doi.org/10.1016/S0140-6736(20)30185-9

4.Chan W, Yuan S, Kok KH, Kai K, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet. 2020;395(102223):514-23. DOI: https://doi.org/10.1016/S0140-6736(20)30154-9

5. Sohrabi C, Alsafi Z, O'Neill N, Khan M, Kerwan A, Al-Jabir A, et al. World Health Organization declares global emergency: a review of the 2019 novel coronavirus (COVID-19). Int J Surg. 2020;76:71-6. DOI: https://doi.org/10.1016/j.ijsu.2020.02.034

6. Rhotan AH, Byrareddy S. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoim. 2020;109:102433. DOI: https://doi.org/10.1016/j.jaut.2020.102433

7. de Boutray M, Kün-Darbois JD, Sigaux N, Lutz JC, Veyssiere A, Sesque A, et al. Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study. Int J Oral Maxillofac Surg. 2020;50(6):750-5. DOI: https://doi.org/10.1016/j.ijom.2020.10.005

8. Ludwig DC, Nelson JL, Burke AB, Lang MS, Dillon JK. What Is the Effect of COVID-19-Related Social Distancing on Oral and Maxillofacial Trauma? J Oral Maxillofac Surg. 2021;79(5):1091-7. DOI: https://doi.org/10.1016/j.joms.2020.12.006

9. Barca I, Cordaro R, Kallaverja E, Ferragina F, Cristofaro MG. Management in oral and maxillofacial surgery during the COVID-19 pandemic: our experience. Br J Oral Maxillofac Surg. 2020;58(6):687-91. DOI: https://doi.org/10.1016/j.bjoms.2020.04.025

10. Ghai S. Facial trauma management during the COVID-19 era: a primer for surgeons. Curr Med Res Pract. 2020;10(4):169-73. DOI: https://doi.org/10.1016/j.cmrp.2020.07.011

11. Holmes S, Bhatti N, Bhandari R, Chatzopoulou D. Toward a consensus view in the management of acute facial injuries during the COVID-19 pandemic. Br J Oral Maxillofac Surg. 2020;58(5):571-6. DOI: https://doi.org/10.1016/j.bjoms.2020.03.024

12. Vishal, Prakash O, Rohit, Prajapati VK, Shahi AK, Khaitan T. Incidence of Maxillofacial Trauma Amid COVID-19: A Comparative Study. J Maxillofac Oral Surg. 2020;21:420-5. DOI: https://doi.org/10.1007/s12663-020-01484-y

13. Yeung E, Brandsma DS, Karst FW, Smith C, Fan KFM. The influence of 2020 coronavirus lockdown on presentation of oral and maxillofacial trauma to a central London hospital. Br J Oral Maxillofac Surg. 2021;59(1):102-5. DOI: https://doi.org/10.1016/j.bjoms.2020.08.065

14. Blackhall KK, Downie IP, Ramchandani P, Kusanale A, Walsh S, Srinivasan B, et al. Provision of emergency maxillofacial service during the COVID-19 pandemic: a collaborative five centre UK study. Br J Oral Maxillofac Surg. 2020;58(6):698-703. DOI: https://doi.org/10.1016/j.bjoms.2020.05.020

15. Sundaram DS, Oommen AJ, Jenifer D, Vinitha G, Ebenezer J. Conservative approach for treatment of isolated mandibular fractures, the adaptations during COVID 19 Pandemic. J Maxillofac Oral Surg. 2022;21:426-32. DOI: https://doi.org/10.1007/s12663-020-01489-7

16. Salzano G, Dell’Aversana G, Audino G, Vaira LA, Trevisiol L, D’Agostino A, et al. Have There Been any Changes in the Epidemiology and Etiology of Maxillofacial Trauma During the COVID-19 Pandemic? An Italian Multicenter Study. J Craniofac Surg. 2021;32(4):1445-7. DOI: https://doi.org/10.1097/SCS.0000000000007253

17. Christey G, Amey J, Campbell A, Smith A. Variation in volumes and characteristics of trauma patients admitted to a level one trauma centre during national level 4 lockdown for COVID-19 in New Zealand. NZMJ. 2020 [access 08/07/2021];(1513):81-8. Available at: https://assets-global.website-files.com/5e332a62c703f653182faf47/5ea0c175826d433832a2ee34_Christey%20FINAL.pdf

18.Galbán E, Más P. COVID-19 in Cuba: Assessing the National Response. MED Rev. 2020;22(4):29-34. DOI: https://doi.org/10.37757/MR2020.V22.N4.5

19. Satpathy M, Gupta MK, Kumar A, Prabhu S, Tiwari S, Jain N. Maxillofacial Fractures in Bhopal, India: analytic study of 1268 Cases. J Maxillofac Oral Surg. 2016;15(1):25-31. DOI: https://doi.org/10.1007/s12663-015-0802-5

20. Morris D, Rogers M, Kissmer N, Du Preez A, Dufourq N. Impact of lockdown measures implemented during the Covid-19 pandemic on the burden of trauma presentations to a regional emergency department in Kwa-Zulu Natal, South Africa. Afr J Emerg Med. 2020;10(4):193-96. DOI: https://doi.org/10.1016/j.afjem.2020.06.005

21. Nuñez JH, Sallent A, Lakhani K, Guerra-Farfan E, Vidal N, Ekhtiari S, et al. Impact of the COVID-19 pandemic on an emergency traumatology service: experience at a tertiary trauma centre in Spain. Injury. 2020;51(7):1414-18. DOI: https://doi.org/10.1016/j.injury.2020.05.016

22. Agarwal P, Mehrotra D, Agarwal R, Kumar S, Pandey R. Patterns of Maxillofacial Fractures in Uttar Pradesh, India. Craniomaxillofac Traum Rec. 2017;10(1):48-55. DOI: https://doi.org/10.1055%2Fs-0036-1597581

23. O’Meara C, Witherspoon R, Hapangama N, Hyam DM. Alcohol and interpersonal violence may increase the severity of facial fractures. Br J Oral Maxillofac Surg. 2012;50(1):36-40. DOI: https://doi.org/10.1016/j.bjoms.2010.11.003

24. Silveira DF, Gurgel FW, López CD, de Barros PG, Marinho TM, Rodriguez FS, et al. Occupational group, educational level, marital status and deleterious habits among individuals with maxillofacial fractures: retrospective study. Med Oral Patol Oral Cir Bucal. 2018;23(1):e13-22. DOI: https://doi.org/doi:10.4317/medoral.21969

25. Obimakinde OS, Ogundipe KO, Rabiu TB, Okoje VN. Maxillofacial fractures in a budding teaching hospital: a study of pattern of presentation and care. Pan Afr Med J. 2017;26:218. DOI: https://doi.org/10.11604/pamj.2017.26.218.11621

26. Țenț PA, Juncar RI, Juncar M. Clinical patterns and characteristics of midfacial fractures in western romanian population: a 10-year retrospective study. Med Oral Patol Oral Cir Bucal. 2019;24(6):e792-8. DOI: https://doi.org/doi:10.4317/medoral.23153

27. Li R, Zhang R, Li W, Pe F, He W. Analysis of 126 hospitalized elder maxillofacial trauma victims in central China. Med Oral Patol Oral Cir Bucal. 2015;20:e464-70. DOI: https://doi.org/10.4317/medoral.20551

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Published

2023-01-27

How to Cite

1.
Corrales-Reyes IE, Núñez-Blanco AE, Morales-Navarro D. Impact of the COVID-19 on the epidemiology of maxillofacial fractures surgically treated in a Cuban university hospital. Rev Cubana Inv Bioméd [Internet]. 2023 Jan. 27 [cited 2025 Jul. 31];42(1). Available from: https://revibiomedica.sld.cu/index.php/ibi/article/view/2134

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ARTÍCULOS ORIGINALES