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Emergency Room Visits with a Non-Traumatic Dental-Related Diagnosis in Hawaii, 2016–2020
The purpose of this study was to characterize the frequencies and patterns of emergency room (ER) visits with a non-traumatic dental-related diagnosis among adults (≥21 years old) in Hawaii, United States. This descriptive cross-sectional study used state-level inpatient and outpatient data recorded...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8910124/ https://www.ncbi.nlm.nih.gov/pubmed/35270765 http://dx.doi.org/10.3390/ijerph19053073 |
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author | Matsunaga, Masako Chen, John J. Donnelly, Patrick Fok, Carlotta Ching Ting Partika, Nancy S. |
author_facet | Matsunaga, Masako Chen, John J. Donnelly, Patrick Fok, Carlotta Ching Ting Partika, Nancy S. |
author_sort | Matsunaga, Masako |
collection | PubMed |
description | The purpose of this study was to characterize the frequencies and patterns of emergency room (ER) visits with a non-traumatic dental-related diagnosis among adults (≥21 years old) in Hawaii, United States. This descriptive cross-sectional study used state-level inpatient and outpatient data recorded in Hawaii from 2016 to 2020. We identified dental-related ER visits using the diagnosis codes for non-traumatic dental-related conditions and summarized the frequency, rates, and cumulative total charges of the ER visits. The results show that approximately 30 thousand ER visits between 2016 and 2020 had a dental-related diagnosis. Sixty-seven percent of them had it as a principal diagnosis, amounting to USD 38.7 million total charges over the five years. A high proportion of these visits was found among those aged 21–44 years old (62%), Medicaid beneficiaries (49%), and Native Hawaiians/Part Native Hawaiians (26%). Compared to the proportions of ER visits with a secondary diagnosis, these groups had a higher proportion of ER visits with a principal diagnosis (ps < 0.001). A higher visit rate was found for those aged 21–44 years old and from less-populated counties. These results suggest that oral health disparities in age, socioeconomic status, and race/ethnicity exist in Hawaii. Our findings could provide insight in developing a framework to reduce oral health disparities, particularly among Medicaid beneficiaries and Native Hawaiians. Dental coverage with effective education in multiple dimensions is necessary to reduce non-traumatic dental-related ER visits. |
format | Online Article Text |
id | pubmed-8910124 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89101242022-03-11 Emergency Room Visits with a Non-Traumatic Dental-Related Diagnosis in Hawaii, 2016–2020 Matsunaga, Masako Chen, John J. Donnelly, Patrick Fok, Carlotta Ching Ting Partika, Nancy S. Int J Environ Res Public Health Article The purpose of this study was to characterize the frequencies and patterns of emergency room (ER) visits with a non-traumatic dental-related diagnosis among adults (≥21 years old) in Hawaii, United States. This descriptive cross-sectional study used state-level inpatient and outpatient data recorded in Hawaii from 2016 to 2020. We identified dental-related ER visits using the diagnosis codes for non-traumatic dental-related conditions and summarized the frequency, rates, and cumulative total charges of the ER visits. The results show that approximately 30 thousand ER visits between 2016 and 2020 had a dental-related diagnosis. Sixty-seven percent of them had it as a principal diagnosis, amounting to USD 38.7 million total charges over the five years. A high proportion of these visits was found among those aged 21–44 years old (62%), Medicaid beneficiaries (49%), and Native Hawaiians/Part Native Hawaiians (26%). Compared to the proportions of ER visits with a secondary diagnosis, these groups had a higher proportion of ER visits with a principal diagnosis (ps < 0.001). A higher visit rate was found for those aged 21–44 years old and from less-populated counties. These results suggest that oral health disparities in age, socioeconomic status, and race/ethnicity exist in Hawaii. Our findings could provide insight in developing a framework to reduce oral health disparities, particularly among Medicaid beneficiaries and Native Hawaiians. Dental coverage with effective education in multiple dimensions is necessary to reduce non-traumatic dental-related ER visits. MDPI 2022-03-05 /pmc/articles/PMC8910124/ /pubmed/35270765 http://dx.doi.org/10.3390/ijerph19053073 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Matsunaga, Masako Chen, John J. Donnelly, Patrick Fok, Carlotta Ching Ting Partika, Nancy S. Emergency Room Visits with a Non-Traumatic Dental-Related Diagnosis in Hawaii, 2016–2020 |
title | Emergency Room Visits with a Non-Traumatic Dental-Related Diagnosis in Hawaii, 2016–2020 |
title_full | Emergency Room Visits with a Non-Traumatic Dental-Related Diagnosis in Hawaii, 2016–2020 |
title_fullStr | Emergency Room Visits with a Non-Traumatic Dental-Related Diagnosis in Hawaii, 2016–2020 |
title_full_unstemmed | Emergency Room Visits with a Non-Traumatic Dental-Related Diagnosis in Hawaii, 2016–2020 |
title_short | Emergency Room Visits with a Non-Traumatic Dental-Related Diagnosis in Hawaii, 2016–2020 |
title_sort | emergency room visits with a non-traumatic dental-related diagnosis in hawaii, 2016–2020 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8910124/ https://www.ncbi.nlm.nih.gov/pubmed/35270765 http://dx.doi.org/10.3390/ijerph19053073 |
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