Journal article
Orthognathic Surgical Outcomes in Patients With and Without Craniofacial Anomalies
Journal of oral and maxillofacial surgery, Vol.76(2), pp.436.e1-436.e8
02/2018
DOI: 10.1016/j.joms.2017.09.023
PMID: 29104030
Abstract
The objective of this study is to examine hospitalization outcomes after orthognathic surgery. This study tests the hypothesis that patients with craniofacial anomalies have higher billed hospital charges, longer lengths of stay, and increased odds of development of infectious complications when compared with patients without craniofacial anomalies.\nThe Nationwide Inpatient Sample for the years 2012 and 2013 was used. All patients who underwent an orthognathic surgical procedure were selected. The primary independent variable of interest was presence of a congenital cleft and/or craniofacial anomaly. The outcome variables were the occurrence of complications, billed hospital charges, and length of stay. Multivariable logistic and linear regression models were used to examine the effect of the presence of craniofacial anomalies on outcomes.\nDuring the study period, a total of 16,515 patients underwent an orthognathic surgical procedure in the United States. Of these patients, 2,760 had a cleft and/or craniofacial anomaly. An infectious complication occurred in 7.4% of those with a craniofacial anomaly (compared with 0.6% of those without a craniofacial anomaly). The mean billed hospital charges in those with a craniofacial anomaly was $139,317 (compared with $56,189 in those without a craniofacial anomaly). The mean length of stay in the hospital in patients with a craniofacial anomaly was 8.8 days (compared with 1.8 days in those without a craniofacial anomaly). These differences in outcomes between patients with and patients without craniofacial anomalies were significant after we adjusted for patient- and hospital-level confounders.\nPatients with a craniofacial anomaly are at higher risk of development of infectious complications, have higher hospital charges, and stay in the hospital for a longer duration after orthognathic surgery when compared with those without a craniofacial anomaly.
Details
- Title: Subtitle
- Orthognathic Surgical Outcomes in Patients With and Without Craniofacial Anomalies
- Creators
- Zohra Metalwala - Research Associate, Department of Clinical Services, Marquette University School of Dentistry, Milwaukee, WIChristopher Okunseri - Professor and Director, Department of Clinical Services, Marquette University School of Dentistry, Milwaukee, WISteven Fletcher - Associate Professor and Program Director, Department of Oral and Maxillofacial Surgery, College of Dentistry and Dental Clinics, The University of Iowa, Iowa City, IAVeerasathpurush Allareddy - Professor, Department of Orthodontics, and Collegiate Director of Craniofacial Clinical Research, College of Dentistry and Dental Clinics, The University of Iowa, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- Journal of oral and maxillofacial surgery, Vol.76(2), pp.436.e1-436.e8
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.joms.2017.09.023
- PMID
- 29104030
- ISSN
- 0278-2391
- eISSN
- 1531-5053
- Language
- English
- Date published
- 02/2018
- Academic Unit
- Oral and Maxillofacial Surgery
- Record Identifier
- 9984066092902771
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