Oral surgery, oral medicine, oral pathology and oral radiology · 2025
Temporomandibular disorder and emergency department utilization: demographic, clinical, and economic perspectives from a national database.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Gandhi Vaibhav, Firinciogullari Ezgi Cansu, Oubaidin Maysaa, Lee Min Kyeong, Malek Farheen, Allareddy Veerasathpurush, Yadav Sumit
Аннотация
OBJECTIVE: To evaluate the epidemiological characteristics, comorbidity patterns, and economic burden of temporomandibular disorder (TMD)-related hospital emergency department (ED) visits in the United States using a nationally representative database.
STUDY DESIGN: A retrospective cross-sectional analysis of 2021-2022 National Emergency Department Samples data identified TMD-related ED visits using ICD-10 codes. Descriptive statistics summarized demographics, hospital characteristics, payer status, and comorbidities. Multivariable linear regression model determined associations between patient- and system-level factors and ED charges.
RESULTS: A total of 52,412 TMD-related ED visits were identified. Most patients were female (67.5%) with a mean age of 39.5 years. Black (19.1%) and Hispanic (18.7%) patients were overrepresented. The mean ED charge per visit was $2,827. Common comorbidities included hypertension (12.9%) and depression (2.5%). Regression analysis showed that older age, higher income, and Western U.S. location were associated with higher ED charges. Medicaid and self-pay status predicted lower charges, while hypertension increased ED charges.
CONCLUSIONS: More than 52,000 TMD-related ED visits resulting in $147 million in ED charges highlight a major public health issue disproportionately affecting women, minorities, and low-income groups. Many visits may be preventable with improved outpatient care. Integrated, cost-effective, multidisciplinary strategies are needed to reduce emergency use and long-term complications.
STUDY DESIGN: A retrospective cross-sectional analysis of 2021-2022 National Emergency Department Samples data identified TMD-related ED visits using ICD-10 codes. Descriptive statistics summarized demographics, hospital characteristics, payer status, and comorbidities. Multivariable linear regression model determined associations between patient- and system-level factors and ED charges.
RESULTS: A total of 52,412 TMD-related ED visits were identified. Most patients were female (67.5%) with a mean age of 39.5 years. Black (19.1%) and Hispanic (18.7%) patients were overrepresented. The mean ED charge per visit was $2,827. Common comorbidities included hypertension (12.9%) and depression (2.5%). Regression analysis showed that older age, higher income, and Western U.S. location were associated with higher ED charges. Medicaid and self-pay status predicted lower charges, while hypertension increased ED charges.
CONCLUSIONS: More than 52,000 TMD-related ED visits resulting in $147 million in ED charges highlight a major public health issue disproportionately affecting women, minorities, and low-income groups. Many visits may be preventable with improved outpatient care. Integrated, cost-effective, multidisciplinary strategies are needed to reduce emergency use and long-term complications.