Craniomaxillofacial traumaEpidemiology of Facial Fracture Injuries
Section snippets
Description of Database
The Nationwide Emergency Department Sample (NEDS) for 2007, a database of the Healthcare Cost and Utilization Project (HCUP), was used for the current study.9 The HCUP is sponsored by the Agency for Healthcare Research and Quality (AHRQ). The NEDS database enables analyses of ED use patterns. The NEDS database is a 20% stratified sample of hospital-based ED visits in the United States and is the largest all-payer ED sample that is publicly available. The NEDS 2007 database draws its sample from
Results
In total 407,167 ED visits were reported to concern a facial fracture in the United States during 2007. The average age of a patient at each ED visit was 37.9 years. Close to 68% of all ED visits occurred in men and about 36% occurred during the weekends (Table 1). After an ED visit, 71% were discharged routinely, 3.5% to a short-term facility, 1.7% to another facility (including skilled nursing facility, intermediate care, and another type of facility), 0.5% to home health care, 0.5% were
Discussion
The present study used the largest all-payer, nationally representative, hospital-based ED database in the United States to describe the epidemiology of facial fractures in the United States. The present study showed that 26.4% of those who presented to an ED with facial fracture were uninsured and a further 28.7% had Medicaid or Medicare listed as their primary insurance. In fact, only 37.5% of those who presented with facial fractures had private health insurance. A 2009 U.S. Census Bureau
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