Harvard School of Dental Medicine, Boston, Massachusetts 02115, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Jan;113(1):21-8. doi: 10.1016/j.tripleo.2011.01.012. Epub 2011 Mar 31.
Dental conditions that are neglected could progress to infectious lesions that are severe enough to require hospital admission for treatment. The objective of this study was to examine outcomes in patients hospitalized for cellulitis and abscesses of mouth in the USA in year 2008.
The nationwide inpatient sample for the year 2008, a component database of the Healthcare Cost and Utilization Project, was used for the current study. All hospital discharges with a primary diagnosis for cellulitis or abscess of mouth (ICD-9-CM code 528.3) were selected for analysis. Outcomes, including length of stay in hospital (LOS) and hospitalization charges, were computed from the database and projected to national levels by using the discharge weight variable. The predictor variables were composed of sets of heterogeneous variables grouped into the following categories: demographic, health-related (comorbid conditions), hospital-specific, and insurance-related. The primary outcome variables were LOS and hospital charges. Multivariable linear regression analysis models were used to examine the association between predictor and outcome variables.
A total of 4,044 hospital discharges were attributed primarily to cellulitis or abscess of mouth. About 45% of these discharges occurred in those aged between 18 and 45 years. The mean length of stay in hospital was 3.9 days, and the mean hospital charge was $24,290. The total USA hospitalization charge was close to $98 million. Private insurance plans were the major payers, accounting for $31 million of hospitalization charges. About 88% of all hospitalization were discharged routinely after treatment, and 2% were transfered to another short-term hospital.
This study examines outcomes in patients hospitalized for cellulitis or abscess of mouth. Future studies must focus on identifying cohorts that are more prone to developing odontogenic infections that are severe enough to warrant hospitalization.
被忽视的口腔状况可能会发展为严重的感染性病变，需要住院治疗。本研究的目的是研究 2008 年美国因蜂窝织炎和口腔脓肿住院的患者的结局。
本研究使用了 2008 年全国住院患者样本，这是医疗保健成本和利用项目的一个数据库组件。选择了所有主要诊断为蜂窝织炎或口腔脓肿（ICD-9-CM 代码 528.3）的住院患者进行分析。使用数据库计算了包括住院时间（LOS）和住院费用在内的结果，并使用出院权重变量将其推算到全国水平。预测变量由一组异质变量组成，分为以下几类：人口统计学、健康相关（合并症）、医院特定和保险相关。主要结果变量是 LOS 和住院费用。使用多变量线性回归分析模型来研究预测变量和结果变量之间的关系。
共有 4044 例因蜂窝织炎或口腔脓肿住院。这些出院患者中有 45%年龄在 18 至 45 岁之间。平均住院时间为 3.9 天，平均住院费用为 24290 美元。美国总住院费用接近 9800 万美元。私人保险计划是主要的支付者，占住院费用的 3100 万美元。约 88%的住院患者在治疗后常规出院，2%的患者转至另一家短期医院。
本研究检查了因蜂窝织炎或口腔脓肿住院的患者的结局。未来的研究必须集中在确定更易发生足以需要住院治疗的牙源性感染的患者群体。
