September 2013

Volume 30, Issue 3

Dental infections increase the likelihood of hospital admissions among adult patients with sickle cell disease

Authors: B. Laurence C. Haywood Jr S. Lanzkron
doi: 10.1922/CDH_3126Laurence05

Abstract

The objective: To determine if dental infections increase the likelihood of hospital admission among adult patients with sickle cell disease (SCD). Basic Research Design: Cross-sectional analysis of data from the Nationwide Emergency Department Sample (NEDS) pooled for the years 2006 through 2008. Prevalence ratios (PR) for the effects of interest were estimated using Poisson regression with robust estimates of the variance. Participants: Adults, aged 18 and over, diagnosed with SCD using ICD-9-CM codes excluding participants discharged with a code for sickle cell trait. Main outcome measure: Emergency department (ED) visit disposition, dichotomised to represent whether or not the ED visit ended in admission versus being treated and released. Results: Among patients having a sickle cell crisis, those with dental infections were 72% more likely to be admitted compared to those not having dental infections (PR=1.72, 95%CI 1.58-1.87). No association was observed among adult SCD patients not having a sickle crisis event. Based on preliminary data from this analysis, prevention of dental infection among patients with SCD could result in an estimated cost saving of $2.5 million dollars per year. Conclusions: Having a dental infection complicated by a sickle cell crisis significantly increases the likelihood of hospital admission among adult SCD patients presenting to the ED. Key words: sickle cell diseases, emergency treatment, hospital admission, dental care, oral health, sickle cell crisis, resource allocation

£10 single article

Other articles in this issue

Article Pages Access
Editorial - The Challenges of Scientific Publishing 130-131 £10 single article
The origins of BASCD and the Specialty of Dental Public Health: Some personal memories 132-133 £10 single article
Dental Public Health in Action - Oral health education and disease prevention in primary dental care: Insight from a pilot intervention targeting children aged 0-7 years in northeast England 134-137 £10 single article
Caries prevalence in 12-year-old children from Germany: Results of the 2009 national survey 138-142 £10 single article
Longitudinal register study of attendance frequencies in public and private dental services in Finland 143-148 £10 single article
The geographic distribution of patients seeking emergency dental care at the Royal Dental Hospital of Melbourne, Australia 149-154 £10 single article
Using GIS to analyse dental practice distribution in Indiana, USA 155-160 £10 single article
Oral health care services utilisation in the adult US population: Medical Expenditure Panel Survey 2006 161-167 £10 single article
Dental infections increase the likelihood of hospital admissions among adult patients with sickle cell disease 168-172 £10 single article
Preschool teachers as agents of oral health promotion: an intervention study in Sri Lanka 173-177 £10 single article
Oral health literacy and information sources among adults in Tehran, Iran 178-182 £10 single article
Child oral health-related quality of life (COHQoL), enamel defects of the first permanent molars and caries experience among children in Western Australia 183-188 £10 single article
Oral health-related quality of life in non-syndromic cleft lip and/or palate patients: a systematic review 189-195 £10 single article

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