colette che, rn, bsn ayo adeniyi, mbbs, mph jon roesler, ms
DESCRIPTION
That Must Have Been Some Toothache !!! MINNESOTA SURVEILLANCE OF HOSPTIAL-TREATED ORAL HEALTH COMPLAINTS . Colette Che, RN, BSN Ayo Adeniyi, MBBS, MPH Jon Roesler, MS Council of State & Territorial Epidemiologists Omaha, Nebraska June 4, 2012. BACKGROUND METHODS RESULTS DISCUSSION. - PowerPoint PPT PresentationTRANSCRIPT
That Must Have Been Some Toothache!!!
MINNESOTA SURVEILLANCE OF HOSPTIAL-TREATED ORAL HEALTH COMPLAINTS
Colette Che, RN, BSN Ayo Adeniyi, MBBS, MPH
Jon Roesler, MS
Council of State & Territorial Epidemiologists
Omaha, NebraskaJune 4, 2012
BACKGROUND
METHODS
RESULTS
DISCUSSION
BACKROUND
METHODS
Methodology• Oral trauma & non-trauma conditions defined using ICD-9 codes on hospitaldischarge data. Primary diagnosis only• Data analyzed by gender, residence (11 metro county vs. non-metro county),age-group, hospital charges and communityincome levels• Excluded: Oral cancers, surgical correction of birth defects.• Oral Trauma n=32,553 (2000-2010)ICD-9 Diagnostic Codes: 873.60 -.69, 873.70 -.79; primary diagnoses onlyExamples of hospital-treated oral trauma: Broken tooth, open wound of internalstructures of mouth, etc.• Oral (non-traumatic) Conditions n= 136,982 (2007-2010)ICD-9 Diagnostic Codes: 520.0 – 529.9; primary diagnoses onlyExamples of hospital-treated non-traumatic dental conditions: Disorder of toothdevelopment and eruption, abscess, periodontal disease, gingivitis, dentofacialanomalies, malocclusion, and other diseases of the internal structures of mouth.
RESULTS
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
0
10
20
30
40
50
60
70
80
90
Incidence of Hospital-treated Oral Trauma Increasing in Minnesota ( Age adjusted Rate/100 000 by Year)
2007
2008
2009
2010
2011
0
10
20
30
40
50
60
70
80
Incidence of Hospital-treated Non-traumatic Oral ComplaintsIncreasing in Minnesota
( Age adjusted Rate/100 000 by Year)
Hospital-treated Oral TraumaMinnesota, 2000-2010
Hospital-treated Non-traumatic Oral ComplaintsMinnesota, 2007-2010
<1 1-4
5-9
10-1
415
-19
20-2
425
-29
30-3
435
-39
40-4
445
-49
50-5
455
-59
60-6
465
-69
70-7
475
-79
80-8
485
+
0
50
100
150
200
250
300
MaleFemale
Hospital-treated Oral TraumaTrimodal in Males, Bimodal in FemalesMinnesota, 2000-2010, Rate/100,000 by Age Group
<1 1-4
5-9
10-1
415
-19
20-2
425
-29
30-3
435
-39
40-4
445
-49
50-5
455
-59
60-6
465
-69
70-7
475
-79
80-8
485
+
0
200
400
600
800
1000
1200
1400
1600
1800
MaleFemale
Hospital-treated Non-traumatic Oral ComplaintsBimodal in Males, Trimodal in Females Minnesota, 2007-2010, Rate/100,000 by Age Group
Community Income Level n Rate/100,000
$0 -$24,999 1,423 216.2
$25,000 - $49,999 14,345 52.9
$50,000 -$74,999 8,016 45.1
$75,000 + 1,053 28.8
Hospital-treated Oral Trauma by Patient’s Community Median Income Minnesota’s Poor Have Rates 7.5X That of Rich
Number & Rates by Median Community Income , 1999-2011
Community Income Level n Rate/100,000
$0 - $24,999 2,393 3,661.1
$25,000 - $49,999 19,060 702.8
$50,000 - $74,999 7,242 407.7
$75,000 792 216.6
Hospital-treated Non-Traumatic Oral Complaints by Patient’s Community Median Income
Minnesota’s Poor Have Rates 17.5X That of RichNumber & Rates by Median Community Income , 2007-2011
Hospital-treated Oral Trauma
Hospital-treated Non-traumatic Oral Complaints
DISCUSSION
SO WHAT?
So what?
Too Many Oral Emergencies to the EDIncidence is IncreasingDisporportionate Burden Among the PoorED Docs Need Training in Oral Health Care
RECOMMENDATIONSfor Surveillance
Gauge the Burden of Oral Disease
Guide Policy & Preventive Strategies
Add Hospital Data to the NOHSS
