Epidemiology and Outcomes of Hospital-based Emergency Department Visits with Tooth Fractures

Romesh P Nalliah; Sankeerth Rampa; Min Kyeong Lee; Veeratrishul Allareddy; Veerasathpurush Allareddy

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Epidemiology and Outcomes of Hospital-based Emergency Department Visits with Tooth Fractures

Journal article

Peer reviewed

Epidemiology and Outcomes of Hospital-based Emergency Department Visits with Tooth Fractures

Romesh P Nalliah, Sankeerth Rampa, Min Kyeong Lee, Veeratrishul Allareddy and Veerasathpurush Allareddy

Pediatric dentistry, Vol.37(4), pp.348-354

07/2015

PMID: 26314602

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Abstract

The purpose of this study was to identify characteristics of hospital-based emergency department (ED) visits for tooth fracture and subsequent dentally related hospital admissions. This was a retrospective analysis of the Nationwide Emergency Department Sample of the Healthcare Cost and Utilization Project for the years 2008 to 2010. All children up to 21 years old, with a diagnosis of tooth fracture due to trauma, were selected. Hospital ED charges, occurrence of concurrent injuries, and hospitalization following ED visits were examined. A total of 199,061 ED visits were attributed to broken or fractured teeth; males comprised 63 percent of ED visits. Skull and facial fractures were present in seven percent and intracranial injuries in four percent of ED visits. The most frequent causes for ED visits and for subsequent hospitalization, respectively, were falls and motor vehicle accidents. The mean charge for each ED visit was $1,441. Total charges for the entire United States were $241.8 million. Following an ED visit, 7,233 patients were admitted as inpatients. Males comprised a majority of these emergency department visits. Occurrence of concomitant bodily injuries appears to be common and is a significant predictor of hospitalization and hospital ED charges.

United States - epidemiology

Humans

Child, Preschool

Hospitalization - statistics & numerical data

Infant

Male

Emergency Service, Hospital - statistics & numerical data

Facial Bones - injuries

Tooth Fractures - epidemiology

Young Adult

Female

Brain Injuries - epidemiology

Retrospective Studies

Child

Hospital Charges

Epidemiologic Studies

Accidental Falls - statistics & numerical data

Treatment Outcome

Multiple Trauma - epidemiology

Skull Fractures - epidemiology

Dental Service, Hospital - statistics & numerical data

Accidents, Traffic - statistics & numerical data

Adolescent

Sex Factors

Patient Admission - statistics & numerical data

Details

Title: Subtitle: Epidemiology and Outcomes of Hospital-based Emergency Department Visits with Tooth Fractures
Creators: Romesh P Nalliah - College of Dentistry, The University of Michigan, Ann Arbor, Mich., USA
Sankeerth Rampa - Department of Health Services and Administration, College of Public Health, University of Nebraska Medical Center, Omaha, Neb., USA
Min Kyeong Lee - Children's Hospital of Los Angeles, Los Angeles, Calif., USA
Veeratrishul Allareddy - University of Iowa, Iowa City, Iowa, USA
Veerasathpurush Allareddy - College of Dentistry, University of Iowa, Iowa City, Iowa, USA. veerasathpurush-allareddy@uiowa.edu
Resource Type: Journal article
Publication Details: Pediatric dentistry, Vol.37(4), pp.348-354
PMID: 26314602
NLM abbreviation: Pediatr Dent
ISSN: 0164-1263
eISSN: 1942-5473
Publisher: American Academy of Pediatric Dentistry; United States
Language: English
Date published: 07/2015
Academic Unit: Radiology; Oral Pathology, Radiology and Medicine
Record Identifier: 9984065991402771

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10 Times Cited - Web of Science