Factors influencing wound complication risk in maxillofacial injury patients: Insights from a cross-sectional debridement and suturing study.

AIM: This study focuses on wound complications after debridement and suture of maxillofacial injuries, aiming to accurately identify the risk factors and construct an effective prediction model.

METHODS

A cross-sectional study was conducted in the emergency department of a tertiary dental hospital in southwest China from January to May 2024. Clinical data were obtained from patients who underwent debridement and suturing procedures for maxillofacial injuries under local anesthesia. Lasso regression was employed to identify risk factors, and binary logistic regression was utilized to construct the prediction model. The performance of the model was assessed based on accuracy, sensitivity, specificity, the receiver operating characteristic (ROC) curve, and the area under the curve (AUC).

RESULTS

The incidence of postoperative wound complications was 25 % (196/783). Following Lasso regression analysis, 14 risk factors were identified. Subsequent binary logistic regression analysis, which included variables selected by the Lasso regression, revealed that wound complications were influenced by interval time between injury and visit (hours), endocrine disorder, accompanying caregiver, penetrating injury, tissue defect, duration of surgery (hours), anesthesia, and intraoperative cooperation of patients (p < 0.05). The calibration curve of the predictive model demonstrated high consistency between predicted and actual probabilities, with an AUC of 0.73.(95 % CI: 0.682-0.763).

CONCLUSIONS

This study developed a predictive model for postoperative complications in maxillofacial trauma by incorporating key risk factors including injury-to-visit interval, endocrine disorder, penetrating injury status, and tissue defects. The model enables precise perioperative risk stratification and personalized clinical decision-making, providing essential evidence-based guidance for trauma management.