Characteristics, length of stay, and hospital bills associated with severe odontogenic infections in Houston, TX.
Background. There were 2 main purposes of this retrospective chart review study. The first was to describe the demographic, social, and financial characteristics of patients with severe odontogenic infections. The second was to assess the relationships among several demographic, social, and treatmen...
| Publicado en: | Journal of the American Dental Association (JADA) Vol. 148; no. 4; pp. 221 - 230 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Dental Association
Apr2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122307239&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 122307239 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00028177 DEN jtl: Journal of the American Dental Association (JADA) issn: 00028177 maglogo: N pubinfo: dt: Apr2017 vid: 148 iid: 4 pid: 8266 pub: American Dental Association place: Chicago, Illinois artinfo: ui: 122307239 122307239 122307239 10.1016/j.adaj.2016.11.033 122307239 ppf: 221 ppct: 9 formats: tig: atl: Characteristics, length of stay, and hospital bills associated with severe odontogenic infections in Houston, TX. aug: au: Gams, Kevin Shewale, Jitesh Demian, Nagi Khalil, Kamal Banki, Farzaneh affil: Resident, Department of Oral and Maxillofacial Surgery, School of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX sug: subj: Tooth Diseases Surgery Bacterial Infections Prevention and Control Length of Stay Health Care Costs Human Mouth Diseases Surgery Retrospective Design Record Review Texas Male Female Adult Multiple Regression Dental Care Oral Health Public Health Dentistry Adult: 19-44 years Male Female ab: Background. There were 2 main purposes of this retrospective chart review study. The first was to describe the demographic, social, and financial characteristics of patients with severe odontogenic infections. The second was to assess the relationships among several demographic, social, and treatment variables and length of stay (LOS) in the hospital and hospital bill (charges). Methods. The authors conducted a retrospective chart review for patients admitted to the hospital and taken to the operating room for treatment of severe odontogenic infections at 3 hospitals in Houston, TX (Ben Taub, Memorial Hermann Hospital, and Lyndon B. Johnson) from January 2010 through January 2015. Results. The authors included data from severe odontogenic infections in 298 patients (55% male; mean age, 38.9 years) in this study. In this population, 45% required admission to the intensive care unit, and the mean LOS was 5.5 days. Most patients (66.6%) were uninsured. The average cost of hospitalization for this patient population was $13,058, and the average hospital bill was $48,351. At multivariable analysis, age (P = .011), preadmission antibiotic use (P = .012), diabetes mellitus (P = .004), and higher odontogenic infection severity score (P < .001) were associated with increased LOS. Higher odontogenic infection severity score, diabetes mellitus, and an American Society of Anesthesiologists score of 3 or more were associated with an increased charge of hospitalization. Conclusions. Severe odontogenic infections were associated with substantial morbidity and cost in this largely unsponsored patient population. The authors identified variables associated with increased LOS and charge of hospitalization. Practical Implications. Clinicians should consider these findings in their decision-making processes and prioritize early treatment of odontogenic infections potentially to decrease the number of patients admitted to the hospital, LOS, and overall costs of treatment for these infections. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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