Must Have Been Some Toothache MINNESOTA SURVEILLANCE OF HOSPTIALTREATED ORAL HEALTH COMPLAINTS Colette Che RN BSN Ayo Adeniyi MBBS MPH Jon Roesler MS Council of State amp Territorial Epidemiologists ID: 603298
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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, MPHJon Roesler, MSCouncil of State & Territorial EpidemiologistsOmaha, NebraskaJune 4, 2012Slide2
BACKGROUNDMETHODS
RESULTSDISCUSSIONSlide3
BACKROUNDSlide4Slide5
METHODSSlide6
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.Slide7
RESULTSSlide8Slide9
Incidence of
Hospital-treated Oral Trauma Increasing in Minnesota ( Age adjusted Rate/100 000 by Year)Slide10
Incidence of Hospital-treated Non-traumatic Oral Complaints
Increasing in Minnesota( Age adjusted Rate/100 000 by Year)Slide11
Hospital-treated Oral Trauma
Minnesota, 2000-2010
Hospital-treated Non-traumatic Oral Complaints
Minnesota, 2007-2010Slide12
Hospital-treated Oral Trauma
Trimodal in Males, Bimodal in FemalesMinnesota, 2000-2010, Rate/100,000 by Age GroupSlide13
Hospital-treated Non-traumatic Oral Complaints
Bimodal in Males, Trimodal in Females Minnesota, 2007-2010, Rate/100,000 by Age GroupSlide14
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
R
ates
7.5X
That of Rich
Number & Rates by Median Community Income , 1999-2011Slide15
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 Complai
nts
by
Patient’s Community Median Income
Minnesota’s Poor Have
R
ates
17.5X
That of Rich
Number & Rates by Median Community Income , 2007-2011Slide16
Hospital-treated Oral Trauma
Hospital-treated Non-traumatic Oral ComplaintsSlide17
DISCUSSIONSlide18Slide19
SO WHAT?Slide20
So what?Too Many Oral Emergencies to the EDIncidence is IncreasingDisporportionate
Burden Among the PoorED Docs Need Training in Oral Health CareSlide21
RECOMMENDATIONSfor Surveillance
Gauge the Burden of Oral DiseaseGuide Policy & Preventive StrategiesAdd Hospital Data to the NOHSSSlide22
Jon Roesler, MSMinnesota Department of Healthjon.roesler@state.mn.us
612-201-9011