Emergency Room Visits with a Non-Traumatic Dental-Related Diagnosis in Hawaii, 2016–2020
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data
2.2. Principal and Any Listed Dental-Related Diagnoses
2.3. Other Variables
2.4. Data Analysis
3. Results
3.1. Frequency of ER Visits with a Non-Traumatic Dental-Related Diagnosis
3.2. ER Visits by Race/Ethnicity
3.3. Cumulative Total Charges
3.4. Rates of ER Visits with a Principal Non-Traumatic Dental-Related Diagnosis
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Total | 2016 | 2017 | 2018 | 2019 | 2020 | |
---|---|---|---|---|---|---|
(2016–2020) | ||||||
ER visits with any listed NTDR diagnosis, n (%) a | 29,536 | 6051 (20.5) | 6475 (21.9) | 6114 (20.7) | 5992 (20.3) | 4904 (16.6) |
ER visits with a principal NTDR diagnosis, n (%) b | 19,691 (66.7) | 4009 (66.3) | 4345 (67.1) | 4103 (67.1) | 4063 (67.8) | 3171 (64.7) |
Sex, n (%) c | ||||||
Male | 10,129 (51.4) d,† | 1990 (49.6) | 2237 (51.5) | 2083 (50.8) | 2120 (52.2) | 1699 (53.6) |
Female | 9562 (48.6) | 2019 (50.4) | 2108 (48.5) | 2020 (49.2) | 1943 (47.8) | 1472 (46.4) |
Age, n (%) c | ||||||
21–44 y | 12,138 (61.6) d,*** | 2554 (63.7) | 2770 (63.8) | 2551 (62.2) | 2415 (59.4) | 1848 (58.3) |
45–64 y | 5514 (28.0) | 1129 (28.2) | 1172 (27.0) | 1139 (27.8) | 1158 (28.5) | 916 (28.9) |
65–84 y | 1782 (9.0) | 277 (6.9) | 344 (7.9) | 370 (9.0) | 432 (10.6) | 359 (11.3) |
+85 y | 257 (1.3) | 49 (1.2) | 59 (1.4) | 43 (1.0) | 58 (1.4) | 48 (1.5) |
County of Residence, n (%) c | ||||||
Honolulu | 11,118 (56.5) | 2297 (57.3) | 2428 (55.9) | 2311 (56.3) | 2292 (56.4) | 1790 (56.4) |
Hawaii | 4515 (22.9) | 869 (21.7) | 1004 (23.1) | 903 (22.0) | 1005 (24.7) | 734 (23.1) |
Maui | 2248 (11.4) | 481 (12.0) | 490 (11.3) | 467 (11.4) | 438 (10.8) | 372 (11.7) |
Kauai | 1810 (9.2) | 362 (9.0) | 423 (9.7) | 422 (10.3) | 328 (8.1) | 275 (8.7) |
Primary Payment Source, n (%) c | ||||||
Medicaid | 9680 (49.2) d,*** | 2066 (51.6) | 2175 (50.1) | 2033 (49.6) | 1826 (45.0) | 1580 (49.9) |
Private | 5481 (27.8) | 1079 (26.9) | 1222 (28.1) | 1160 (28.3) | 1157 (28.5) | 863 (27.2) |
Medicare | 2587 (13.1) | 497 (12.4) | 554 (12.8) | 503 (12.3) | 612 (15.1) | 421 (13.3) |
Self-Pay | 1406 (7.1) | 242 (6.0) | 286 (6.6) | 305 (7.4) | 343 (8.4) | 230 (7.3) |
Other | 528 (2.7) | 123 (3.1) | 108 (2.5) | 101 (2.5) | 122 (3.0) | 74 (2.3) |
Race/ethnicity, n (%) c | ||||||
White | 5738 (29.5) d,*** | 1220 (30.7) | 1256 (29.2) | 1164 (28.7) | 1185 (29.5) | 913 (29.1) |
Native Hawaiian (NH)/Part NH | 5018 (25.8) | 1035 (26.1) | 1144 (26.6) | 988 (24.3) | 1025 (25.5) | 826 (26.3) |
Pacific Islander | 2182 (11.2) | 418 (10.5) | 510 (11.8) | 461 (11.4) | 450 (11.2) | 343 (10.9) |
Filipino | 2234 (11.5) | 463 (11.7) | 465 (10.8) | 512 (12.6) | 442 (11.0) | 352 (11.2) |
Japanese | 1018 (5.2) | 211 (5.3) | 239 (5.6) | 210 (5.2) | 198 (4.9) | 160 (5.1) |
Other Asian | 865 (4.4) | 146 (3.7) | 171 (4.0) | 189 (4.7) | 195 (4.9) | 164 (5.2) |
Other race | 2427 (12.5) | 476 (12.0) | 521 (12.1) | 534 (13.2) | 518 (12.9) | 378 (12.1) |
Number of Patients, n (%) e | ||||||
Patients with one visit | 13,204 (84.3) | 3091 (89.3) | 3393 (89.8) | 3,192 (89.2) | 3273 (90.8) | 2513 (90.2) |
Patients with >1 visits | 2465 (15.7) | 372 (10.7) | 387 (10.2) | 388 (10.8) | 331 (9.2) | 274 (9.8) |
Total | 2016 | 2017 | 2018 | 2019 | 2020 | |
---|---|---|---|---|---|---|
(2016–2020) | ||||||
Cumulative Total Charges a, million | 38.7 | 6.6 | 7.3 | 8.1 | 9.9 | 6.7 |
Cumulative Total Charges a, million b | 27.5 | 4.9 | 5.7 | 5.7 | 6.2 | 5.1 |
Cumulative Total Charges a by Patient Type with Primary Payment Source, million b (%) | ||||||
Medicaid | 12.3 (44.8) | 2.4 (47.8) | 2.6 (46.2) | 2.6 (45.2) | 2.5 (40.9) | 2.3 (44.7) |
Private | 8.1 (29.6) | 1.4 (28.5) | 1.6 (29.2) | 0.9 (15.3) | 1.8 (29.8) | 1.6 (30.7) |
Medicare | 4.5 (16.3) | 0.8 (15.5) | 0.9 (16.2) | 1.7 (29.6) | 1.1 (18.4) | 0.8 (15.9) |
Self-pay | 1.8 (6.5) | 0.3 (5.1) | 0.3 (5.7) | 0.4 (7.2) | 0.5 (7.7) | 0.3 (6.7) |
Other | 0.7 (2.7) | 0.2 (3.0) | 0.2 (2.8) | 0.1 (2.6) | 0.2 (3.1) | 0.1 (2.0) |
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Matsunaga, M.; Chen, J.J.; Donnelly, P.; Fok, C.C.T.; Partika, N.S. Emergency Room Visits with a Non-Traumatic Dental-Related Diagnosis in Hawaii, 2016–2020. Int. J. Environ. Res. Public Health 2022, 19, 3073. https://doi.org/10.3390/ijerph19053073
Matsunaga M, Chen JJ, Donnelly P, Fok CCT, Partika NS. Emergency Room Visits with a Non-Traumatic Dental-Related Diagnosis in Hawaii, 2016–2020. International Journal of Environmental Research and Public Health. 2022; 19(5):3073. https://doi.org/10.3390/ijerph19053073
Chicago/Turabian StyleMatsunaga, Masako, John J. Chen, Patrick Donnelly, Carlotta Ching Ting Fok, and Nancy S. Partika. 2022. "Emergency Room Visits with a Non-Traumatic Dental-Related Diagnosis in Hawaii, 2016–2020" International Journal of Environmental Research and Public Health 19, no. 5: 3073. https://doi.org/10.3390/ijerph19053073