title: Utilization of Hospital Emergency Departments for non-traumatic dental care in New Hampshire, 2001-2008.
abstract: Hospital Emergency Departments (ED) provide a variety of medical care, some of which is for non-urgent, chronic conditions. We describe the statewide use of hospital ED for selected non-traumatic dental conditions that occurred during 2001-2008 in New Hampshire. Using the administrative hospital discharge dataset for 2001-2007, and provisional 2008 data, we identified all visits for selected dental conditions and calculated age-adjusted rates per 10,000 New Hampshire residents by several socio-demographic characteristics. The Spearman correlation coefficient was used to assess the statistical significance for trend over time. Emergency department visits for non-traumatic dental conditions increased significantly from 11,067 in 2001 to 16,238 visits in 2007 (P < 0.007). There were persistent differences in ED visits by age, county and primary payor, and varying difference by gender. Self-paying individuals and those 15-44 years old were the most frequent ED dental care users. The most frequent dental complains (46%) were diseases of the teeth and supporting structures, diagnostic code ICD-9-CM-525. Dental care associated ED visits have increased in New Hampshire. Individuals seeking dental treatment in ED are not receiving definitive treatment, and they misuse limited resources. Future studies need to determine the specific barriers to timely and effective dental care in dental offices. Ongoing consistent monitoring of ED use for non-traumatic dental conditions is essential.
authors.affiliation: Division of Public Health Services, New Hampshire Department of Health and Human Services, Concord, NH 03301-6504, USA. landerson@dhhs.state.nh.us
authors.forename: Ludmila
authors.initials: L
authors.lastname: Anderson
authors.forename: Sai
authors.initials: S
authors.lastname: Cherala
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Traore
authors.forename: Nancy R
authors.initials: NR
authors.lastname: Martin
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D002648:Child; D003729:Dental Care / Q000706:statistics & numerical data*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006300:Health Services Misuse / Q000706:statistics & numerical data; D006764:Hospitals, Community / Q000706:statistics & numerical data; D006769:Hospitals, General / Q000706:statistics & numerical data; D016304:Hospitals, Private / Q000706:statistics & numerical data; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D008875:Middle Aged; D009513:New Hampshire / Q000453:epidemiology; D010343:Patient Admission / Q000706:statistics & numerical data*; D014076:Tooth Diseases / Q000453:epidemiology* / Q000628:therapy*; D055815:Young Adult