{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:25:43Z","timestamp":1777447543229,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:p>Ground-level falls (GLFs) are a frequent source of injury in the geriatric population. Facial fractures (FFs) are one subsequent injury that can occur and may be an important marker of functional decline. We conducted a retrospective analysis over a 6-year period of patients 65\u00a0years and older sustaining one or more FFs due to a GLF (n = 28). Demographics, comorbidities, FF patterns, concomitant injuries, procedures, and outcomes were analyzed. The mean age was 80.0 \u00b1 8.2\u00a0years, 64% were male, 12 patients (43%) were on oral anticoagulants prior to injury, and mean injury severity score was 8.3 \u00b1 7.0. Five patients (18%) had LeFort fractures (1 with LeFort I, 4 with LeFort II), and 5 (18%) had isolated mandible fractures (2 were bilateral). Nearly half of all patients suffered neurological injury (concussion: 18%, intracranial hemorrhage: 29%). Average hospital length of stay (LOS) was 4.0 \u00b1 2.9\u00a0days. Eight patients (29%) required intensive care unit (ICU) admission with an average ICU-LOS of 2.8 \u00b1 1.2\u00a0days. Surgical management was required in 4 patients (14%). More than half of the patients returned home (54%), 25% were discharged to a skilled nursing facility, 4% to rehabilitation, 7% to hospice, and 7% expired. Nearly one-third of patients required discharge to a higher level of care facility than their location prior to injury. GLF-induced FFs are often associated with significant injuries and serve as an indicator of functional decline. These injuries warrant trauma center admission for comprehensive evaluation and management.<\/jats:p>","DOI":"10.1177\/0003134820964228","type":"journal-article","created":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T22:15:35Z","timestamp":1603145735000},"page":"1302-1306","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Facial Fractures After Geriatric Ground-Level Falls Are a Marker of Functional Decline and Warrant Trauma Center Admission"],"prefix":"10.1177","volume":"86","author":[{"given":"Cameron","family":"St Hilaire","sequence":"first","affiliation":[{"name":"Santa Barbara Cottage Hospital, Santa Barbara, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arianne","family":"Johnson","sequence":"additional","affiliation":[{"name":"Santa Barbara Cottage Hospital, Santa Barbara, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin","family":"Loseth","sequence":"additional","affiliation":[{"name":"Santa Barbara Cottage Hospital, Santa Barbara, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamid","family":"Alipour","sequence":"additional","affiliation":[{"name":"Santa Barbara Cottage Hospital, Santa Barbara, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick","family":"Faunce","sequence":"additional","affiliation":[{"name":"Santa Barbara Cottage Hospital, Santa Barbara, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Kaminski","sequence":"additional","affiliation":[{"name":"Santa Barbara Cottage Hospital, Santa Barbara, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohit","family":"Sharma","sequence":"additional","affiliation":[{"name":"Santa Barbara Cottage Hospital, Santa Barbara, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,19]]},"reference":[{"key":"bibr1-0003134820964228","unstructured":"American College of Surgeons. National trauma data bank 2016 annual report. https:\/\/www.facs.org\/\u223c\/media\/files\/quality%20programs\/trauma\/ntdb\/ntdb%20annual%20report%202016.ashx. 2016. Accessed June 6, 2019."},{"key":"bibr2-0003134820964228","volume-title":"The Injury Chart Book: A Graphical Overview of the Global Burden of Injuries","author":"Peden M","year":"2002"},{"key":"bibr3-0003134820964228","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6537a2"},{"key":"bibr4-0003134820964228","volume-title":"An Aging Nation: The Older Population in the United States. Report Number P25-1140","author":"Ortman J","year":"2014"},{"key":"bibr5-0003134820964228","doi-asserted-by":"publisher","DOI":"10.2147\/PROM.S42474"},{"key":"bibr6-0003134820964228","doi-asserted-by":"publisher","DOI":"10.1071\/AH12034"},{"key":"bibr7-0003134820964228","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000475791.31361.9a"},{"key":"bibr8-0003134820964228","volume-title":"R: A Language and Environment for Statistical Computing","author":"R Core Team","year":"2018"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003134820964228","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0003134820964228","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003134820964228","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:34:47Z","timestamp":1777379687000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0003134820964228"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1177\/0003134820964228"],"URL":"https:\/\/doi.org\/10.1177\/0003134820964228","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10]]}}}