Abstract：
UNASSIGNED: Inpatient and outpatient evaluation is important for management of temporal bone trauma due to the possible otologic complications that can result. However, there is limited literature on follow up rates following temporal bone fracture. This study aimed to determine the proportion of patients lost to follow up after sustaining temporal bone fractures and identify factors associated with loss to follow up.
UNASSIGNED: Retrospective review of adult patients who sustained temporal bone fractures at a level I trauma center from January 1, 2019 to January 1, 2024 was completed (IRB H-44161). The primary outcome included prevalence of patient loss to follow up. Secondary variables included initial radiographic and exam findings, otologic complications, and demographic characteristics. Patients who were seen in follow up and lost to follow up were compared, and odds of loss to follow up was calculated.
UNASSIGNED: Sixty-nine patients met inclusion criteria for this study, of which 30 patients (43.5%) were lost to follow up. Patients who were White had a significantly lower odds of loss to follow up than those who were not White (OR = 0.2506 (95% CI: 0.0706, 0.8067, P = .0024). While need for acute management was not significantly different between the groups, a significantly lower proportion of patients who were intubated on presentation (P = .0091), had abnormal otoscopic exam (P = .0211), and had otologic complications (P = .0056) were lost to follow up.
UNASSIGNED: Almost half of patients who sustained temporal bone fractures, including a significantly higher odds of minority race/ethnicity patients, were lost to follow up.
UNASSIGNED: Retrospective review of adult patients who sustained temporal bone fractures at a level I trauma center from January 1, 2019 to January 1, 2024 was completed (IRB H-44161). The primary outcome included prevalence of patient loss to follow up. Secondary variables included initial radiographic and exam findings, otologic complications, and demographic characteristics. Patients who were seen in follow up and lost to follow up were compared, and odds of loss to follow up was calculated.
UNASSIGNED: Sixty-nine patients met inclusion criteria for this study, of which 30 patients (43.5%) were lost to follow up. Patients who were White had a significantly lower odds of loss to follow up than those who were not White (OR = 0.2506 (95% CI: 0.0706, 0.8067, P = .0024). While need for acute management was not significantly different between the groups, a significantly lower proportion of patients who were intubated on presentation (P = .0091), had abnormal otoscopic exam (P = .0211), and had otologic complications (P = .0056) were lost to follow up.
UNASSIGNED: Almost half of patients who sustained temporal bone fractures, including a significantly higher odds of minority race/ethnicity patients, were lost to follow up.
摘要：
■由于可能导致的耳科并发症，住院和门诊评估对于颞骨创伤的治疗很重要。然而,关于颞骨骨折后随访率的文献有限.本研究旨在确定颞骨骨折后失访患者的比例，并确定与失访相关的因素。
■完成了对从2019年1月1日至2024年1月1日在I级创伤中心持续颞骨骨折的成年患者的回顾性审查（IRBH-44161）。主要结果包括患者失访的患病率。次要变量包括初始射线照相和检查结果，耳科并发症,和人口特征。在随访中看到的患者和失去随访的患者进行比较，并计算了随访失败的几率。
■69名患者符合本研究的纳入标准，其中30例(43.5%)失访。白人患者的随访失败几率明显低于非白人患者（OR=0.2506（95％CI：0.0706，0.8067，P=.0024）。虽然两组之间的急性治疗需求没有显着差异，在就诊时插管的患者比例显着降低（P=.0091），耳镜检查异常（P=.0211），并有耳科并发症（P=.0056）失访。
■几乎一半的颞骨骨折患者，包括少数种族/族裔患者的几率明显更高，失去了跟进。
■完成了对从2019年1月1日至2024年1月1日在I级创伤中心持续颞骨骨折的成年患者的回顾性审查（IRBH-44161）。主要结果包括患者失访的患病率。次要变量包括初始射线照相和检查结果，耳科并发症,和人口特征。在随访中看到的患者和失去随访的患者进行比较，并计算了随访失败的几率。
■69名患者符合本研究的纳入标准，其中30例(43.5%)失访。白人患者的随访失败几率明显低于非白人患者（OR=0.2506（95％CI：0.0706，0.8067，P=.0024）。虽然两组之间的急性治疗需求没有显着差异，在就诊时插管的患者比例显着降低（P=.0091），耳镜检查异常（P=.0211），并有耳科并发症（P=.0056）失访。
■几乎一半的颞骨骨折患者，包括少数种族/族裔患者的几率明显更高，失去了跟进。
