Hospital-based Emergency Department Visits with Periapical Abscess: Updated Estimates from 7 Years

Sankeerth Rampa; Allareddy Veeratrishul; Marianne Raimondo; Christine Connolly; Veerasathpurush Allareddy; Romesh P Nalliah

doi:10.1016/j.joen.2018.12.004

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Hospital-based Emergency Department Visits with Periapical Abscess: Updated Estimates from 7 Years

Journal article

Peer reviewed

Hospital-based Emergency Department Visits with Periapical Abscess: Updated Estimates from 7 Years

Sankeerth Rampa, Allareddy Veeratrishul, Marianne Raimondo, Christine Connolly, Veerasathpurush Allareddy and Romesh P Nalliah

Journal of endodontics, Vol.45(3), pp.250-256

03/2019

DOI: 10.1016/j.joen.2018.12.004

PMID: 30803531

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Abstract

Introduction The impact of the Affordable Care Act (ACA) on the utilization of the emergency department (ED) for periapical abscess (PA) is unknown. The objectives of this study were to provide nationwide estimates of hospital-based ED visits with PA and to examine the effect of the ACA on the use of EDs for PAs. Methods We performed a retrospective analysis of the Nationwide Emergency Department Sample (NEDS) for 2008 to 2014. All ED visits with a diagnosis of PA were selected. The International Classification of Diseases, Ninth Revision–Clinical Modification code was used to identify PA. Patient- and hospital-level characteristics were examined. Descriptive statistics were used to summarize the data. Results From 2008 to 2014, a total of 3,505,633 ED visits for PA occurred. The proportion of ED visits with PA significantly increased over the study period (from 460,260 in 2008 to 545,693 in 2014). Medicaid was the primary payer (30.3%) and more than 40% were uninsured. Mean charge per PA-related ED visit was $1080.50 and total PA-related ED charge across the United States was $3.4 billion. Among those hospitalized following PA-related ED visits, mean hospitalization charges were $34,245 and total hospitalization charges were $5.7 billion. Conclusion Oral health continues to be overlooked in health care. A large proportion of ED visits with PA were made by those covered by Medicaid and uninsured. The passing of the ACA has not reduced the number of ED visits with PA.

dental condition

emergency department

dental emergencies

dental care

Periapical abscess

Details

Title: Subtitle: Hospital-based Emergency Department Visits with Periapical Abscess: Updated Estimates from 7 Years
Creators: Sankeerth Rampa - Health Care Administration, School of Business, Rhode Island College, Providence, Rhode Island
Allareddy Veeratrishul - Department of Oral Pathology, Radiology and Medicine, The University of Iowa, Iowa City, Iowa
Marianne Raimondo - Health Care Administration, School of Business, Rhode Island College, Providence, Rhode Island
Christine Connolly - Health Care Administration, School of Business, Rhode Island College, Providence, Rhode Island
Veerasathpurush Allareddy - Department of Orthodontics, Director of Clinical Research at College of Dentistry, The University of Iowa, Iowa City, Iowa
Romesh P Nalliah - University of Michigan School of Dentistry, Ann Arbor, Michigan
Resource Type: Journal article
Publication Details: Journal of endodontics, Vol.45(3), pp.250-256
DOI: 10.1016/j.joen.2018.12.004
PMID: 30803531
NLM abbreviation: J Endod
ISSN: 0099-2399
eISSN: 1878-3554
Publisher: Elsevier Inc
Language: English
Date published: 03/2019
Academic Unit: Radiology; Oral Pathology, Radiology and Medicine
Record Identifier: 9984065704602771

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