Literature DB >> 25052515

The cost and inpatient burden of treating mandible fractures: a nationwide inpatient sample database analysis.

Israel Pena1, Laura Evelyn Roberts2, W Marshall Guy2, Jose P Zevallos2.   

Abstract

OBJECTIVE: To discuss patient demographics, hospitalization characteristics, and costs associated with the treatment of mandible fractures. STUDY
DESIGN: Cross-sectional study.
SETTING: The 2009 Nationwide Inpatient Sample (NIS) database. SUBJECTS/
METHODS: Patient demographics, hospital characteristics, fracture locations, and common comorbidities for patients with isolated mandible fractures were analyzed, and variables associated with increased cost and length of hospitalization stay were ascertained.
RESULTS: A total of 1481 patients were identified with isolated mandible fractures. The average age was 32, 85.4% were male, 39% were Caucasian, and 25% African American. Forty percent were from the lowest median household income quartile, and 77% were uninsured or government funded. The average length of stay (LOS) was 2.65 days, and average hospitalization cost was $35,804. A statistically significant increased LOS was associated with alcohol abuse, drug abuse, mental illness, diabetes mellitus type 2, cardiovascular disease, HIV, and age over 40. There was a statistically significant increased total cost associated with drug abuse, alcohol abuse, mental illness, cardiovascular disease, and age over 40.
CONCLUSION: The average cost for treatment of mandible fractures was $35,804 per person with increased expenditures for older patients and those with a history of mental illness, cardiovascular disease, or substance abuse. To improve outcomes and reduce hospital charges, outpatient resources and inpatient protocols should be implemented to address the factors we identified as contributing to higher costs and increased hospital stay. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.

Entities:  

Keywords:  facial fractures; facial plastic and reconstruction; hospital cost; isolated mandible fracture; jaw fracture; length of stay; national inpatient sample database; open reduction internal fixation

Mesh:

Year:  2014        PMID: 25052515     DOI: 10.1177/0194599814542590

Source DB:  PubMed          Journal:  Otolaryngol Head Neck Surg        ISSN: 0194-5998            Impact factor:   3.497


  7 in total

1.  Treatment costs of mandibular fractures in a Nigerian hospital.

Authors:  Bamidele A Famurewa; Stephen B Aregbesola; Omolola T Alade; Taofeek A Akinniyi
Journal:  Oral Maxillofac Surg       Date:  2021-09-14

Review 2.  Fractures of the lower jaw in children (causes, types, diagnosis and treatment). Retrospective 5 year analysis.

Authors:  Yehorov Rostyslav; Lyudmila Yakovenko; Primak Irina
Journal:  J Oral Biol Craniofac Res       Date:  2020-01-24

3.  Patient Race and Insurance Status Do Not Impact the Treatment of Simple Mandibular Fractures.

Authors:  Thomas Q Xu; Aaron L Wiegmann; Taylor J Jarazcewski; Ethan M Ritz; Carlos A Q Santos; Amir H Dorafshar
Journal:  Craniomaxillofac Trauma Reconstr       Date:  2020-03-04

4.  Effectiveness of Prophylactic Preoperative Antibiotics in Mandible Fracture Repair: A National Database Study.

Authors:  Elizabeth H Wick; Brian Deutsch; Dorina Kallogjeri; John J Chi; Gregory H Branham
Journal:  Otolaryngol Head Neck Surg       Date:  2021-04-13       Impact factor: 5.591

5.  Epidemiology of facial fractures: incidence, prevalence and years lived with disability estimates from the Global Burden of Disease 2017 study.

Authors:  Ratilal Lalloo; Lydia R Lucchesi; Catherine Bisignano; Chris D Castle; Zachary V Dingels; Jack T Fox; Erin B Hamilton; Zichen Liu; Nicholas L S Roberts; Dillon O Sylte; Fares Alahdab; Vahid Alipour; Ubai Alsharif; Jalal Arabloo; Mojtaba Bagherzadeh; Maciej Banach; Ali Bijani; Christopher Stephen Crowe; Ahmad Daryani; Huyen Phuc Do; Linh Phuong Doan; Florian Fischer; Gebreamlak Gebremedhn Gebremeskel; Juanita A Haagsma; Arvin Haj-Mirzaian; Arya Haj-Mirzaian; Samer Hamidi; Chi Linh Hoang; Seyed Sina Naghibi Irvani; Amir Kasaeian; Yousef Saleh Khader; Rovshan Khalilov; Abdullah T Khoja; Aliasghar A Kiadaliri; Marek Majdan; Navid Manaf; Ali Manafi; Benjamin Ballard Massenburg; Abdollah Mohammadian-Hafshejani; Shane Douglas Morrison; Trang Huyen Nguyen; Son Hoang Nguyen; Cuong Tat Nguyen; Tinuke O Olagunju; Nikita Otstavnov; Suzanne Polinder; Navid Rabiee; Mohammad Rabiee; Kiana Ramezanzadeh; Kavitha Ranganathan; Aziz Rezapour; Saeed Safari; Abdallah M Samy; Lidia Sanchez Riera; Masood Ali Shaikh; Bach Xuan Tran; Parviz Vahedi; Amir Vahedian-Azimi; Zhi-Jiang Zhang; David M Pigott; Simon I Hay; Ali H Mokdad; Spencer L James
Journal:  Inj Prev       Date:  2020-01-08       Impact factor: 2.399

6.  Fracture Fixation Technique and Chewing Side Impact Jaw Mechanics in Mandible Fracture Repair.

Authors:  Hyab Mehari Abraha; José Iriarte-Diaz; Russell R Reid; Callum F Ross; Olga Panagiotopoulou
Journal:  JBMR Plus       Date:  2021-10-13

7.  The Impact of Treatment Delay on Malunion and Nonunion After Open Reduction of Mandible Fractures.

Authors:  Daniel P Lander; Jake J Lee; Dorina Kallogjeri; Dustin Stwalley; Margaret A Olsen; Jay F Piccirillo; Emily A Spataro
Journal:  Facial Plast Surg Aesthet Med       Date:  2021-07-26
  7 in total

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