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Comparison of Maxillofacial Trauma Patterns in the Urban Versus Suburban Environment: A Pilot Study
Journal article   Open access   Peer reviewed

Comparison of Maxillofacial Trauma Patterns in the Urban Versus Suburban Environment: A Pilot Study

Jason E. Cohn, Jordan J. Licata, Sammy Othman, Tom Shokri and Seth Zwillenberg
Craniomaxillofacial trauma & reconstruction, v 13(2)
01 Jun 2020
DOI: https://doi.org/10.1177/1943387520910338
PMID: 32642042
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1177/1943387520910338View
Published, Version of Record (VoR)Open Access (License Unspecified),  Open

Abstract

Dentistry, Oral Surgery & Medicine Life Sciences & Biomedicine Science & Technology
Introduction: Assault appears to be the most frequent cause of facial fractures in certain urban trauma centers, possibly due to the ease of acquiring weapons and increasingly aggressive behavior. The objectives of this study were to identify specific demographic, socioeconomic, maxillofacial fracture, and assault patterns in urban versus suburban communities. Methods: A retrospective chart review of patients who sustained maxillofacial fractures from August 2014 through August 2016 at one urban campus, Einstein Medical Center, Philadelphia, and two suburban campuses, Einstein Medical Center Montgomery and Elkins Park. The chi(2) testing was used to compare the categorical variables between the 2 groups. Results: A total of 259 maxillofacial trauma patients were identified, with 204 (79%) in the urban and 55 (21%) in the suburban environment. Patients in the urban population were more likely to be African American (70% vs 33%) and Hispanic (15% vs 6%) but less likely to be Caucasian (12% vs 55%, P < .0001). Urban patients were more likely to be single (70% vs 47%, P < .01), unemployed (64% vs 44%, P < .001), and receive Medicaid coverage (58% vs 26%, P < .001). Urban patients were more likely to be victims of assault (63% vs 44%), whereas suburban patients were more likely to sustain accidental injuries (16% vs 2%, P < .0001). Urban victims were more likely to be assaulted with an object (30% vs 12%) or gun (7% vs 0%, P = .05). Conclusion: Maxillofacial trauma patterns were shown to be significantly different in the urban versus suburban environment.

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Collaboration types
Domestic collaboration
Web of Science research areas
Dentistry, Oral Surgery & Medicine
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