Treatment of Facial Fractures at Safety-Net Hospitals: A National Analysis of Inpatient Burden and Cost
| Autor: | Patrick Chin, Darya Fadavi, Leila S. Musavi, Oluseyi Aliu, Robin Yang, Miles J. Pfaff |
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| Rok vydání: | 2021 |
| Předmět: |
Facial trauma
Adult medicine.medical_specialty Inpatients business.industry Medicaid Safety net General Medicine Odds ratio Length of Stay medicine.disease Hospitals United States Odds Otorhinolaryngology Bayesian multivariate linear regression Health care Emergency medicine Medicine Humans Surgery business Socioeconomic status Safety-net Providers |
| Zdroj: | The Journal of craniofacial surgery. 32(4) |
| ISSN: | 1536-3732 |
| Popis: | PURPOSE Safety-net hospitals (SNHs) are vital in the care of trauma populations, but little is known about the burden of facial trauma presenting to SNHs. The authors sought to characterize the presentation and treatment of facial fractures across SNHs and determine the association between SNH care and healthcare utilization in patients undergoing fracture repair. METHODS Adult patients presenting with a facial fracture as their primary admitting diagnosis from the year 2012 to 2015 were identified in the National Inpatient Sample. The "safety-net burden" of each hospital was defined based on the proportion of Medicaid and self-pay discharges. Patient factors analyzed were sex, race, age, income level, insurance status, fracture location, and comorbidities. Hospital factors analyzed were safety-net burden, teaching status, geographic region, bed size, and ownership status. The main outcomes were length of stay (LOS), hospital costs, time to repair, and postoperative complications. RESULTS Of 78,730 patients, 27,080 (34.4%) were treated at SNHs and 24,844 (31.6%) were treated at non-SNHs. Compared to non-SNHs, patients treated at SNHs were more likely to undergo operative repair at SNHs (65.8% versus 53.9%, P |
| Databáze: | OpenAIRE |
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