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
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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
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BACKGROUND
METHODS
RESULTS
DISCUSSION
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BACKROUND
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METHODS
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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.
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RESULTS
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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)
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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)
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Hospital-treated Oral TraumaMinnesota, 2000-2010
Hospital-treated Non-traumatic Oral ComplaintsMinnesota, 2007-2010
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<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
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<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
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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
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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
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Hospital-treated Oral Trauma
Hospital-treated Non-traumatic Oral Complaints
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DISCUSSION
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SO WHAT?
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So what?
Too Many Oral Emergencies to the EDIncidence is IncreasingDisporportionate Burden Among the PoorED Docs Need Training in Oral Health Care
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RECOMMENDATIONSfor Surveillance
Gauge the Burden of Oral Disease
Guide Policy & Preventive Strategies
Add Hospital Data to the NOHSS