title: A serial cross-sectional study of pediatric inpatient hospitalizations for non-traumatic dental conditions.
abstract: Investigators have examined children's dental utilization in various settings (e.g., dental offices, emergency departments, operating rooms), but no studies have examined inpatient hospitalizations for non-traumatic dental conditions (NTDCs). The authors examined NTDC-related hospitalization trends in the United States and identified the relationship between complex chronic condition (CCCs) and NTDC-related inpatient hospitalizations. We analyzed data from the U.S. Nationwide Inpatient Sample (2000-2010) for children ages 3 to 17 years (N = 3,030,970). The predictor variable was number of CCCs (0/1/2+). The outcome variable was whether the child had a NTDC-related hospitalization (no/yes). Covariate-adjusted multivariable logistic regression models were used to estimate prevalence odds ratios (PORs). From 2000 to 2010, there were 17,993 NTDC-related hospitalizations (0.59%) and a slight increase in NTDC-related hospitalizations (p = .049). This increase was not significant in the final regression model. There was no difference in odds of NTDCs for children with 0 or 1 CCCs (POR = 1.08; 95%CI = 0.99, 1.18), but children with 2+ CCCs had significantly greater odds (POR = 1.61; 95%CI = 1.42, 1.83), as did non-White, publicly insured, and lower income children. NTDC-related hospitalizations for children did not increase from 2000 to 2010. Children with 2+ CCCs had the greatest odds of being hospitalized for NTDCs, which highlights the need to develop preventive interventions targeting children with 2+ CCCs.
authors.affiliation: University of Washington, Seattle, WA, USA. dchi@uw.edu
authors.forename: D L
authors.initials: DL
authors.lastname: Chi
authors.forename: E E
authors.initials: EE
authors.lastname: Masterson
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D003731:Dental Caries / Q000453:epidemiology; D003788:Dental Pulp Diseases / Q000453:epidemiology; D003796:Dental Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D007348:Insurance, Health / Q000706:statistics & numerical data; D007945:Leukemia, Lymphoid / Q000453:epidemiology; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data; D006278:Medicare / Q000706:statistics & numerical data; D009059:Mouth Diseases / Q000453:epidemiology; D010343:Patient Admission / Q000706:statistics & numerical data; D010483:Periapical Diseases / Q000453:epidemiology; D011203:Poverty / Q000706:statistics & numerical data; D015995:Prevalence; D012640:Seizures / Q000453:epidemiology; D014076:Tooth Diseases / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data
keywords: children; complex chronic conditions; dental caries; health services research; hospitalization; trends