Emergency department visits for nontraumatic dental problems: a mixed-methods study

American Journal of Public Health
Benjamin C SunRobert A Lowe

Abstract

We documented emergency department (ED) visits for nontraumatic dental problems and identified strategies to reduce ED dental visits. We used mixed methods to analyze claims in 2010 from a purposive sample of 25 Oregon hospitals and Oregon's All Payer All Claims data set and interviewed 51 ED dental visitors and stakeholders from 6 communities. Dental visits accounted for 2.5% of ED visits and represented the second-most-common discharge diagnosis in adults aged 20 to 39 years, were associated with being uninsured (odds ratio [OR] = 5.2 [reference: commercial insurance]; 95% confidence interval [CI] = 4.8, 5.5) or having Medicaid insurance (OR = 4.0; 95% CI = 3.7, 4.2), resulted in opioid (56%) and antibiotic (56%) prescriptions, and generated $402 (95% CI = $396, $408) in hospital costs per visit. Interviews revealed health system, community, provider, and patient contributors to ED dental visits. Potential solutions provided by interviewees included Medicaid benefit expansion, care coordination, water fluoridation, and patient education. Emergency department dental visits are a significant and costly public health problem for vulnerable individuals. Future efforts should focus on implementing multilevel interventions to reduc...Continue Reading

References

May 1, 1996·The Journal of the American Dental Association·L A CohenF J Hooper
Jun 27, 2002·The Journal of the American Dental Association·Leonard A CohenC Daniel Mullins
Jun 27, 2003·Annals of Emergency Medicine·Charlotte LewisBrian Johnston
Nov 9, 2004·Journal of Health Care for the Poor and Underserved·C Daniel MullinsRichard J Manski
Mar 31, 2006·The Journal of the American Dental Association·Teresita E LadrilloA Chantal Caviness
May 21, 2008·Journal of Health Economics·Miguel A Negrín, Francisco-José Vázquez-Polo
Mar 27, 2010·Journal of Public Health Dentistry·Elizabeth E DavisEugenie W H Maïga
Jul 10, 2010·Journal of the American Board of Family Medicine : JABFM·Melinda M DavisLyle Fagnan
Nov 26, 2010·Journal of Community Health·Ludmila AndersonNancy R Martin
Jun 18, 2011·American Journal of Public Health·Neal T WallaceBill J Wright
Sep 29, 2011·Findings Brief : Health Care Financing & Organization·Sarah Katz
Aug 14, 2012·Journal of Public Health Dentistry·Nicholas M Pajewski, Christopher Okunseri
Sep 22, 2012·American Journal of Public Health·Helen H LeeHelene Starks
Oct 4, 2012·Community Dentistry and Oral Epidemiology·David A Nash
Aug 7, 2013·Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi·T L ChowK H Au Yeung

❮ Previous
Next ❯

Citations

Oct 16, 2015·Public Health Nursing·Lisabeth M Searing, Kelly A Cantlin
Oct 14, 2016·American Journal of Public Health·Sandi RowlandAlana Knudson
Jun 3, 2017·International Dental Journal·Rafael FigueiredoLiran Levin
Jul 1, 2017·American Journal of Public Health·Melanie E Mayberry
Jun 5, 2015·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Xiulu Ruan, Alan D Kaye
Jul 21, 2017·Health Services Research·Robert A Lowe
Feb 9, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Richard W Valachovic
Sep 9, 2017·Health Services Research·Katherine BaickerAmy N Finkelstein
Sep 1, 2017·Journal of Public Health Dentistry·Christopher OkunseriAniko Szabo
Sep 7, 2018·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Rafael FigueiredoLiran Levin
Jan 25, 2019·Health Services Research·Jennifer Hornung GarvinCarol Sweeney
Jan 22, 2019·Journal of Oral Rehabilitation·Nicola J PartenChristopher R Vernazza
Jul 30, 2019·Advanced Emergency Nursing Journal·Erica May, Jennifer Wilbeck
Jul 3, 2019·Health Economics·Chad D MeyerhoeferRichard J Manski
Jul 10, 2020·The Journal of Clinical Pediatric Dentistry·Evan CyrkinRichard Yoon
Aug 2, 2020·International Dental Journal·Chaofan Li, Nengliang Aaron Yao
Oct 3, 2020·Journal of Public Health Dentistry·Marvellous A Akinlotan, Alva O Ferdinand
Aug 17, 2018·International Journal of Environmental Research and Public Health·Emmett HendersonLeslie Hinyard
Nov 30, 2016·Journal of Oral Rehabilitation·C C CurrieJ Durham
Dec 12, 2018·Journal of Public Health Dentistry·Ashwini RanadeJean McGuire
Aug 2, 2018·Journal of Investigative and Clinical Dentistry·Deepti ShroffVeerasathpurush Allareddy
Mar 31, 2019·Dentistry Journal·Lisa SimonRomesh P Nalliah
Jan 18, 2018·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Agnes Lau
Oct 3, 2019·International Journal of Environmental Research and Public Health·Pearl C KimJay J Shen
Mar 28, 2017·Journal of Public Health Dentistry·Nadia LaniadoEllen Johnson Silver
May 24, 2020·Israel Journal of Health Policy Research·Leon BilderZvi Gutmacher
Dec 6, 2020·BMC Oral Health·Rebekah FiehnEric P Tranby
Feb 23, 2021·International Dental Journal·Chaofan Li, Nengliang Aaron Yao
Feb 27, 2021·International Dental Journal·Elham T KateebJohn J Warren
Dec 19, 2017·Annals of Emergency Medicine·Benjamin C SunK John McConnell
Jun 3, 2021·Journal of Public Health Dentistry·Annaliese CothronJulie Frantsve-Hawley
Jun 8, 2021·The Journal of the American Dental Association·Dania BahdilaR Monina Klevens
Oct 23, 2018·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Brian J ChristensenBrett J King

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved