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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Am+Dent+Assoc 2015 ; 146 (5): 295-302.e2 Nephropedia Template TP
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Visits to US Emergency Departments by 20 to 29 Year-olds with Chief Complaint of Toothache during 2001?2010 #MMPMID25925521
Lewis CW; McKinney CM; Lee HH; Melbye ML; Rue TC
J Am Dent Assoc 2015[May]; 146 (5): 295-302.e2 PMID25925521show ga
Background: Visits to emergency departments (EDs) for dental complaints are on the rise, yet reliance on EDs for dental care is far from ideal. ED toothache visits represent opportunities to improve access to professional dental care. Methods: This research focuses on 20?29 year-olds, who account for more ED toothache visits than other age groups. We analyzed publicly available ED visits data from the National Hospital Ambulatory Medical Care Survey (NHAMCS). We assessed trends in ED toothache visit rates compared with back pain and all-cause ED visits during the past decade. We used 2009?2010 NHAMCS to characterize the more recent magnitude, relative frequency, and independent risk factors for ED toothache visits. Statistical analyses accounted for the complex sampling design. Results: The average annual increase in ED visit rates among 20?29 year-olds during 2001?2010 was 6.1% for toothache; 0.3% for back pain; and 0.8% for all-causes ED visits. In 2009?2010, 20?29 year-olds made an estimated 1.27 million ED visits for toothaches and accounted for 42% of all ED toothache visits. Toothache was the fifth most common reason for any ED visit and third most common for uninsured ED visits in 20?29 year-olds. Independent risk factors for ED toothache visits were being uninsured or Medicaid-insured. Conclusions: Younger adults increasingly rely on EDs for toothaches?likely because of barriers to accessing professional dental care. Expanding dental coverage and access to affordable dental care could increase options for timely dental care and decrease ED use for dental complaints.