{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:01:53Z","timestamp":1778112113568,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,1,20]],"date-time":"2019-01-20T00:00:00Z","timestamp":1547942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2019,4]]},"abstract":"Abstract<\/jats:title>Background\/Aims<\/jats:title>The prevalence of facial fractures among older adults has increased in recent years, and nationwide studies about the epidemiological profile and outcomes of hospital\u2010based ED<\/jats:styled-content> visits for facial fractures among older adults are scarce. The aim of this study was to provide USA<\/jats:styled-content>\u2010wide data of hospital\u2010based Emergency Department (ED<\/jats:styled-content>) visits for facial fractures among older adults, and to investigate the outcomes associated with these visits.<\/jats:p><\/jats:sec>Material and Methods<\/jats:title>The Nationwide Emergency Department Sample (NEDS<\/jats:styled-content>) for the years 2008\u20102014 was used for the present study. All ED<\/jats:styled-content> visits with a diagnosis of facial fractures in any of the diagnoses fields and only patients aged 65\u00a0years and above were included.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 540\u00a0748 ED<\/jats:styled-content> visits matched the criteria (62.7% were females). Public insurance\u2014Medicare\u2014(85.2%) was the most common payer. The three most frequent facial fractures included fractures of the nasal bones (61.3%), fractures of \u201cother\u201d facial bones (16.7%), and fractures of the orbital floor (15.0%). Falls were the most common causes of facial fractures (81.8%). Following ED<\/jats:styled-content> visits, 64.1% were treated and released, and 30.6% were admitted into the hospital. The mean ED<\/jats:styled-content> charge per visit was US<\/jats:styled-content>$5507. Total ED<\/jats:styled-content> charges across the entire United States was US<\/jats:styled-content>$2\u00a0518\u00a0289\u00a0555.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Among older adults, nasal bone fractures are the most common type of facial fracture. Facial fractures are mainly caused by falls. There was no significant trend in mortality rates over the study period, and there was a significant financial burden associated with the facial fracture\u2010related ED<\/jats:styled-content> visits.<\/jats:p><\/jats:sec>","DOI":"10.1111\/edt.12459","type":"journal-article","created":{"date-parts":[[2018,12,8]],"date-time":"2018-12-08T13:32:52Z","timestamp":1544275972000},"page":"109-114","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Epidemiology of facial fractures among older adults: A retrospective analysis of a nationwide emergency department database"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1291-6684","authenticated-orcid":false,"given":"Leonardo","family":"Marchini","sequence":"first","affiliation":[{"name":"Department of Preventive and Community Dentistry The University of Iowa College of Dentistry and Dental Clinics Iowa City Iowa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veerasathpurush","family":"Allareddy","sequence":"additional","affiliation":[{"name":"Department of Orthodontics The University of Illinois in Chicago Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,20]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"WHO.World report on ageing and health. 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Accessed 06\/16\/2017."},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15030498"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003477"}],"container-title":["Dental Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.12459","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.12459","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T22:45:13Z","timestamp":1694472313000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/edt.12459"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,20]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1111\/edt.12459"],"URL":"https:\/\/doi.org\/10.1111\/edt.12459","archive":["Portico"],"relation":{},"ISSN":["1600-4469","1600-9657"],"issn-type":[{"value":"1600-4469","type":"print"},{"value":"1600-9657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,20]]},"assertion":[{"value":"2018-08-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}