Emergency Department Visits for Nontraumatic Dental Problems: A Mixed-Methods Study

Sun, Benjamin; Donald, L.; Schwarz, Eli; Milgrom, Peter; Yagapen, Annick N.; Malveau, Susan; Chen, Zunqui; Chan, Ben; Danner, Sankirtana; Owen, Erin; Morton, Vickie; Lowe, Robert A.

doi:10.2105/ajph.2014.302398

Cited by 93 publications

(122 citation statements)

References 23 publications

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“…These findings were consistent with those of several studies that demonstrated that adolescents have a higher prevalence of use of services essentially characterized as an emergency for a dental problem when compared with children [14,15]. Emergency care of adolescents at UPAs can be considered a unique opportunity for their connection with the health system as there is a decrease in the search for health services during adolescence [16] and as the presence of toothache is associated with a higher demand for dental care [17].…”

Section: Discussionsupporting

confidence: 90%

Emergency Dental Care of Children and Adolescents in Basic Health Unit and Emergency Care Unit

Pereira

Assunção

Ferreira

et al. 2017

Pesqui. bras. odontopediatria clín. integr.

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Objective: To evaluate the factors related to the dental emergency care of children and adolescents in Basic Health Units (UBS) and Emergency Care Units (UPA) affiliated with the public dental network of Curitiba, Brazil. Material and Methods: Crosssectional study that evaluated 1,012 emergency cases in individuals aged up to 17 years old and with a permanent record in the Unified Health System of Curitiba. Demographic data of individuals and of services were taken from electronic medical records. Statistical analysis was performed using the chi-square test and chi-square test for linear trend (α = 0.05), estimating the prevalence ratio (PR) (95%CI). Results: Of the total of emergency cases, 68.2% and 31.8% were of children and adolescents, respectively. UBS accounted for 89.7% of the cases while UPA represented 10.3%, and 12.2% of the treatments were characterized as first access to the system. Adolescents used UPAs for emergency care more often than children (PR = 1.84; 95%CI: 1.28-2.64). Among children, those with more than 1 year since the last appointment used UPAs for emergency care more often (PR = 1.86; 95%CI: 1.09-3.17). Adolescents for whom emergency care was characterized as first access to the system used UPAs more often (PR = 2.16; 95%CI: 1.04-4.46). The proximity between the UBS of origin and the UPA was associated with greater UPA utilization by both groups. Conclusion: UBSs accounted for most of the dental emergency treatments. Children and adolescents with a poorer connection with UBSs and those who lived near an UPA had a higher prevalence of UPA utilization for emergency care.

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Section: Discussionsupporting

confidence: 90%

Emergency Dental Care of Children and Adolescents in Basic Health Unit and Emergency Care Unit

Pereira

Assunção

Ferreira

et al. 2017

Pesqui. bras. odontopediatria clín. integr.

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“…Claims data can potentially fill these cancer data gaps, and, as noted above, the linked SEER‐Medicare database has demonstrated the power of linkage of registry data with claims to obtain rich research data for individuals diagnosed with cancer at age 65 and older . APCD claims are being accessed for health research in Utah and in other states including Oregon, Colorado, and Massachusetts, but to our knowledge this is the first report demonstrating feasibility of linking APCD to a central cancer registry. Demonstrating a high linkage rate of patients is a first step toward using APCD to obtaining additional treatment, comorbidity, and outcome data for cancer research.…”

Section: Discussionmentioning

confidence: 99%

Linkage between Utah All Payers Claims Database and Central Cancer Registry

Garvin

Herget

Hashibe

et al. 2019

Health Services Research

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Objective To evaluate the linkage of claims from the Utah All Payers Claims Database (APCD) and Utah Cancer Registry (UCR). Data Sources Secondary data from 2013 and 2014 Utah APCD and 2013 UCR cases. Study Design This is a descriptive analysis of the quality of linkage between APCD claims data and cancer registry cases. Data Collection/Extraction Methods We used the LinkPlus software to link Utah APCD and UCR data. Principal Findings We were able to link 82.4 percent (9441/11 453) of the UCR reportable cancer cases with APCD claims. Of those linked, 66 percent were perfect matches. Conclusions The quality of identifiers is high, evidence that claims data can potentially supplement cancer registry data for use in research.

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“…The inappropriate use of emergency services for dental‐related problems extends beyond the UK . MED internationally are seeing high volumes of attendances for non‐traumatic dental problems, often caused by dental caries and are frequently managed in the emergency setting with pain relief or antibiotics .…”

Section: Introductionmentioning

confidence: 99%

Medical emergency department attendance of under 16‐year‐olds with dental problems

Parten

Currie

et al. 2019

J of Oral Rehabilitation

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Summary Background Medical emergency departments (MED) are under increasing pressure in the UK with suggestions that unnecessary attendances to MED, which may include dental problems, are to blame. Objectives The aim of this cross‐sectional study was to examine the period prevalence of under 16‐year‐olds attendance to medical emergency departments (MED) with oral and dental problems over a 5‐year period and investigate reason for attendance. This cross‐sectional study was carried out as part of a service evaluation at the Newcastle upon Tyne Hospitals NHS Foundation Trust. Methods Retrospective data were collected between 1 January 2012 and 31 December 2016 from the MED database using coding and a free text search of all paediatric attendances. The data were then analysed using descriptive statistics. Results Over the 5‐year period, 135 760 under 16‐year‐olds attended the MED. Of these, 868 (0.6%) attended for dental problems. The most common dental reasons for attendance were as follows: Candida accounted for 22.6% of the 0‐ to 5‐year‐olds; dental trauma accounted for 29.5% of 6‐ to 11‐year‐olds; and mandibular fractures accounted for 18.9% of the 12‐ to 16‐year‐olds. Of those who attended the MED for dental problems, 28.5% resided in areas with an Index of Multiple Deprivation decile of 1, the areas of highest deprivation in the UK. Conclusion Many of the diagnoses may have been appropriately managed elsewhere in the community, which may result in improved treatment provision and tailored care pathways, as well as reducing strain on the MED. Further research is needed to investigate why patients attend MED with dental problems.

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Emergency Department Visits for Nontraumatic Dental Problems: A Mixed-Methods Study

Abstract: Emergency department dental visits are a significant and costly public health problem for vulnerable individuals. Future efforts should focus on implementing multilevel interventions to reduce ED dental visits.

Cited by 93 publications

References 23 publications

Emergency Dental Care of Children and Adolescents in Basic Health Unit and Emergency Care Unit

Emergency Dental Care of Children and Adolescents in Basic Health Unit and Emergency Care Unit

Linkage between Utah All Payers Claims Database and Central Cancer Registry

Medical emergency department attendance of under 16‐year‐olds with dental problems

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