Nalliah Romesh P, Rampa Sankeerth, Lee Min Kyeong, Allareddy Veeratrishul, Allareddy Veerasathpurush
College of Dentistry, The University of Michigan, Ann Arbor, Mich., USA.
Department of Health Services and Administration, College of Public Health, University of Nebraska Medical Center, Omaha, Neb., USA.
Pediatr Dent. 2015 Jul-Aug;37(4):348-54.
The purpose of this study was to identify characteristics of hospital-based emergency department (ED) visits for tooth fracture and subsequent dentally related hospital admissions.
This was a retrospective analysis of the Nationwide Emergency Department Sample of the Healthcare Cost and Utilization Project for the years 2008 to 2010. All children up to 21 years old, with a diagnosis of tooth fracture due to trauma, were selected. Hospital ED charges, occurrence of concurrent injuries, and hospitalization following ED visits were examined.
A total of 199,061 ED visits were attributed to broken or fractured teeth; males comprised 63 percent of ED visits. Skull and facial fractures were present in seven percent and intracranial injuries in four percent of ED visits. The most frequent causes for ED visits and for subsequent hospitalization, respectively, were falls and motor vehicle accidents. The mean charge for each ED visit was $1,441. Total charges for the entire United States were $241.8 million. Following an ED visit, 7,233 patients were admitted as inpatients.
Males comprised a majority of these emergency department visits. Occurrence of concomitant bodily injuries appears to be common and is a significant predictor of hospitalization and hospital ED charges.
本研究旨在确定因牙齿骨折而进行的医院急诊科（ED）就诊以及随后与牙科相关的住院治疗的特征。
这是一项对2008年至2010年医疗成本和利用项目全国急诊科样本的回顾性分析。选取了所有21岁以下因外伤导致牙齿骨折的儿童。研究了医院急诊科费用、并发损伤的发生情况以及急诊科就诊后的住院情况。
共有199,061次急诊科就诊归因于牙齿折断或骨折；男性占急诊科就诊人数的63%。7%的急诊科就诊患者存在颅骨和面部骨折，4%存在颅内损伤。急诊科就诊和随后住院的最常见原因分别是跌倒和机动车事故。每次急诊科就诊的平均费用为1441美元。美国的总费用为2.418亿美元。急诊科就诊后，7233名患者被收治入院。
男性占这些急诊科就诊人数的大多数。并发身体损伤似乎很常见，并且是住院和医院急诊科费用支出的重要预测因素。
