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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...

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Autores principales: Matsunaga, Masako, Chen, John J., Donnelly, Patrick, Fok, Carlotta Ching Ting, Partika, Nancy S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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.
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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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