Characterizing the Impact of Socioeconomic Status on Orbital Floor Reconstruction: A National Inpatient Sample (NIS) Analysis

Abstract

Orbital floor fractures result in posterior globe displacement known as enophthalmos, and diplopia due to extraorbital soft tissue impingement. Surgical repair may involve the use of autolo-gous or synthetic materials. Previous studies have demonstrated a higher prevalence of orbital floor fractures among lower socioeconomic status (SES) populations. The authors aimed to characterize the impact of socioeconomic status on surgical management, outcomes, and use of synthetic orbital implant. The authors conducted a cross-sectional study of adult orbital floor fracture patients from 2002 to 2017 using the National Inpatient Sample. Among patients who underwent surgical treatment, our study found decreased synthetic orbital implant use among uninsured and Black patients and decreased home discharge among Medicare patients. There were no dif-ferences in orbital reconstruction. Further research is needed to elucidate possible mechanisms driving these findings.

Risk Assessments in Orthognathic Surgery: A National Inpatient Sample (NIS) and Nationwide Ambulatory Surgery Sample (NASS) Analysis

“…Clinical outcomes and patient comorbidities were identified using native variables within the NIS and NASS datasets as well as through ICD-10 diagnosis codes. 15 Data collected included patient age, gender, FACE 4 (1) race, median household income percentages by zip code (0-25th, 26th to 50th, 51st to 75th, and 76th to 100th percentiles), and insurance type. In addition, all outcomes (excluding those related to comorbidity) were adjusted for the various comorbidity measures to reduce the risk of bias.…”