Department of Restorative Dentistry and Biomaterial Sciences, Harvard School of Dental Medicine, Boston, MA, USA.
Dent Traumatol. 2013 Apr;29(2):115-20. doi: 10.1111/j.1600-9657.2012.01137.x. Epub 2012 Apr 9.
The face is a complex architectural structure in the body and is a high-risk site for fractures. Hospitalization is necessary for adequate treatment. The objective of this study is to examine hospitalization outcomes associated with reduction in facial fractures in the United States.
The Nationwide Inpatient Sample (NIS) of the health care cost and utilization project for 2008 was used. This database provides weighted estimates of all hospitalizations in the United States, which approximates 39.88 million admissions in the entire United States. Hospital discharges with primary procedure ICD-9-CM codes for reduction in facial fractures were selected. Outcomes examined included hospitalization charges, length of stay, and causes of injuries. All estimates obtained from the sample were projected to national levels.
Reduction in facial fractures was performed as primary procedure in 21,244 hospitalizations. The total hospitalization charges were about $1.06 billion, and total hospitalization days was 93,808. About 80% of all hospitalizations occurred among men. The frequently occurring external causes of injuries leading to hospitalization for reduction in facial fractures include assault (36.5% of all hospitalizations), motor vehicle traffic accidents (16%), falls (15%), and other transportation accidents (3.5%). The frequently performed procedures were open reduction in mandibular fractures (52.2%), open reduction in facial fractures including those of orbital rim or wall (14.7%), closed reduction in mandibular fractures (12.1%), and open reduction in malar and zygomatic fractures (11.8%).
National hospitalization outcomes related to reduction in facial fractures indicate an extensive consumption of hospital resources. If hospital emergency room protocols and inpatient protocols relating to the most expensive fractures and longest hospital stays that we have identified can improve, this may lead to improved outcomes and a reduction in hospital charges for facial fractures.
面部是人体复杂的结构，是骨折的高风险部位。需要住院治疗。本研究的目的是检查美国面部骨折复位相关的住院治疗结果。
使用了卫生保健费用和利用项目的全国住院患者样本（NIS），该数据库提供了美国所有住院治疗的加权估计数，在美国约有 3988 万例住院治疗。选择了主要手术 ICD-9-CM 编码为面部骨折复位的住院患者出院记录。检查的结果包括住院费用、住院时间和受伤原因。从样本中获得的所有估计数均按全国水平进行预测。
有 21244 例住院治疗是作为主要手术进行的面部骨折复位。总住院费用约为 10.6 亿美元，总住院天数为 93808 天。约 80%的住院治疗发生在男性中。导致面部骨折复位住院的常见外部损伤原因包括袭击（占所有住院治疗的 36.5%）、机动车交通事故（16%）、跌倒（15%）和其他交通意外（3.5%）。最常进行的手术包括下颌骨骨折切开复位（52.2%）、眶缘或壁骨折切开复位（14.7%）、下颌骨骨折闭合复位（12.1%）和颧骨和颧弓骨折切开复位（11.8%）。
与面部骨折复位相关的全国住院治疗结果表明，医院资源的大量消耗。如果我们确定的与最昂贵的骨折和最长的住院时间相关的医院急诊室和住院治疗方案能够得到改善，这可能会改善治疗结果并降低面部骨折的住院费用。
