The Cause of Cost in the Management of Odontogenic Infections 1: A Demographic Survey and Multivariate Analysis

Christensen, B.; Han, Michael; Dillon, Jasjit K.

doi:10.1016/j.joms.2013.05.026

Cited by 25 publications

(19 citation statements)

References 12 publications

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“…The demographic survey of this study showed a predominantly male cohort with an average age of 39.5 years. This is consistent with previous studies which have also shown a male predilection, and an age distribution skewed towards younger adults . The total cost of care, adjusted for inflation, amounted in excess of $5.5 million over the 7‐year study period, with the average cost per patient above $12 000.…”

Section: Discussionsupporting

confidence: 90%

“…To date, there is little published literature quantifying the financial burden of severe odontogenic infections within the Australian population. However, similar studies have been reported in the North American literature, demonstrating an increase in cost associated with the treatment of odontogenic infections requiring hospital admission …”

Section: Introductionsupporting

confidence: 67%

“…This is consistent with previous studies which have also shown a male predilection, and an age distribution skewed towards younger adults. 2,3 The total cost of care, adjusted for inflation, amounted in excess of $5.5 million over the 7-year study period, with the average cost per patient above $12 000. Predictably, statistically significant variables contributing to the total length of stay, ICU use and ultimately, total cost of care, concerned a diagnosis of high-risk infections with sequelae of treatment and hospital course variables which subsequently followed.…”

Section: Discussionmentioning

confidence: 99%

“…However, similar studies have been reported in the North American literature, demonstrating an increase in cost associated with the treatment of odontogenic infections requiring hospital admission. 2,3 This retrospective cohort study aimed to identify patient and treatment variables associated with acute odontogenic infections, and to quantify their respective impact on the total cost of care.…”

Section: Introductionmentioning

confidence: 99%

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The financial burden of acute odontogenic infections: the South Australian experience

Han

Liau

Bayetto

et al. 2019

Australian Dental Journal

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Background Acute odontogenic infections are a common surgical emergency managed by public hospitals in Australia which cause considerable patient morbidity and occasionally, mortality. Despite posing a significant public health burden, Australian data evaluating the cost of the management of these patients are lacking. This study assessed the patient and treatment variables associated with inpatient management of deep odontogenic infections, and their respective financial impact, at a statewide Oral & Maxillofacial service. Methods A retrospective audit was carried out of patients with deep odontogenic infections at our institution, over a 7‐year period. The primary outcome was the total cost of admission. Secondary outcomes included treatment received, operating room time, return‐to‐theatre, length of admission (LOS), and intensive care unit (ICU) use. Cost variables were assessed against the total LOS and ICU use to determine clinical predictors affecting outcome. Results Four hundred and sixty two patients met the inclusion criteria. The average cost per patient was $12 228 Australian Dollars. After multivariate analysis, variables most significantly associated with increased cost of care and LOS were high‐risk infections with airway compromise, high admission white cell count and age. Conclusion Hospital‐based management of deep‐space odontogenic infections engender significant costs compared to early primary care intervention such as a dental extraction ($181/extraction).

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Section: Discussionsupporting

confidence: 90%

Section: Introductionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The financial burden of acute odontogenic infections: the South Australian experience

Han

Liau

Bayetto

et al. 2019

Australian Dental Journal

View full text Add to dashboard Cite

show abstract

“…Furthermore, only 3 other studies were found in the literature that specifically cross-checked patient records to determine appropriate inclusion (ie, etiology of odontogenic infections as the primary diagnosis code) other than using ICD-9 codes alone. 10,14,15 The overinclusion of data without reviewing patient records for applicability of diagnosis codes can be inaccurate, because the present final data included only 27% of the initial data collected from the codes used. The stringent data collection used in the present study ensures appropriate inclusion criteria (ie, odontogenic etiology) and vastly improves the accuracy of the data.…”

Section: Discussionmentioning

confidence: 98%