Factors affecting excessive bleeding suffered by patients with midfacial bone fractures from road traffic accidents
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Abstract
The objectives were 1) to study the factors affecting excessive bleeding in maxillofacial region and 2) to give a suggestion to observe the excessive bleeding in maxillofacial region. Patients with midfacial bone fractures from road traffic accidents were divided into 2 groups; 1) there were 64 patients with excessive bleeding and received nasal packing and 2) there were 902 patients with no need for nasal packing. Data were statistically analyzed with chi-square test and binary logistic regression to compare and determine impact of the factors affecting the excessive bleeding in maxillofacial region. For the results, factors such as GCS score, skull base fracture, cranial vault fracture, head injury and patterns of midfacial bone fracture were related to excessive bleeding significantly (p < 0.001). For conclusion, those five factors were related to excessive bleeding significantly and had to be observed closely in severe maxillofacial injured patients and to treat promptly and can decrease mortality rate
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