Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/63441
Type: Artigo de Periódico
Title: Traffic accidents, maxillofacial injuries and risk factors: a systematic review of observational studies
Authors: Lorena Marques da Nóbrega
Ítalo Macedo Bernardino
Paula Miliana Leal
Carolina de Castro Martins
Ana Flávia Granville-Garcia
Sérgio d'Avila
Abstract: Aim: This study aimed to evaluate the scientific evidence regarding the risk factors for maxillofacial injuries among victims of traffic accidents. Method: A systematic review of articles published until February 2017 was carried out in the following databases: PubMed, Web of Science, Scopus, and Cochrane Library. Studies were selected by two independent reviewers (ϰ = 0.841). The risk of bias in the selected studies was assessed using an adapted version of the Newcastle-Ottawa Scale for observational studies. Results: A total of 2703 records were found, of which only three articles fulfilled the inclusion criteria and were analyzed, including 422 244 patients. The male/female ratio ranged from 3.4: 1 to 6: 1. All eligible studies performed the multivariate statistical analysis. Eleven risk factors for maxillofacial traumas were identified: victim's gender (P < 0.05), age group (P < 0.05), residence region (P < 0.05), impact characteristics (P < 0.05), increased net change in velocity due to collision (P < 0.05), increase in occupant's height (P < 0.05), nonuse of protective equipment (P < 0.05), type of accident (P < 0.05), time of occurrence (P < 0.05), lesion severity (P < 0.05), and occurrence of concomitant lesions (P < 0.05). Conclusion: The results suggest that sociodemographic characteristics, as well as those related to the collision patterns and circumstances of traffic accidents, may influence the occurrence of maxillofacial injuries. However, the results should be interpreted with caution due to the high heterogeneity among studies.
Subject: Maxillofacial injuries
Accidents, traffic
Risk factors
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: FAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
Rights: Acesso Restrito
metadata.dc.identifier.doi: https://doi.org/10.1111/jebm.12332
URI: http://hdl.handle.net/1843/63441
Issue Date: Feb-2018
metadata.dc.url.externa: https://onlinelibrary.wiley.com/doi/10.1111/jebm.12332
metadata.dc.relation.ispartof: Journal of Evidence-Based Medicine
Appears in Collections:Artigo de Periódico

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