Non-traumatic Dental Condition-Related Emergency Department Visits and Associated Costs for Children and Adults with Autism Spectrum Disorders

Nakao, Sy; Scott, Joanna; Masterson, Erin E.; Donald, L.

doi:10.1007/s10803-014-2298-0

Cited by 16 publications

(21 citation statements)

References 47 publications

(46 reference statements)

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“…In United States‐based studies, individuals with less education were more likely to use the ED for NTDCs compared to the more educated 17,33 . A North Carolina study found that fewer years of maternal education was associated with increased likelihood of NTDC ED visits among children participating in the Women Infants and Children (WIC) program 49 . In a Canadian survey assessing NTDC ED use among adults, education was not significantly associated with NTDC ED use 34 …”

Section: Resultsmentioning

confidence: 99%

“…ED use for NTDCs increased with lower levels of median community income and higher levels of unemployment. 23,24,45,56,49,52 Measures such as county Medicaid population and county uninsured population were not associated with ED use for NTDCs. 21,57 One study reported that not-for-profit hospitals had higher rates of NTDC ED visits compared to privately owned hospitals.…”

Section: Other Enabling Factorsmentioning

confidence: 92%

“…23,49,55 On the contrary, adults in rural areas were consistently more likely to have an NTDC ED visit compared to their urban counterparts (OR = 1.31, 95 percent CI = 1.12-1.52). 16,23,24,49 Nonage-specific studies reported that rural residents had lower odds of NTDC ED use compared to urban residents (OR = 0.81, 95 percent CI = 0.67-0.97). Shortridge and Moore reported that in states with generous Medicaid benefits, rural residents had fewer NTDC ED visits, mirroring that of the privately insured population.…”

Section: Rural-urban Classificationmentioning

confidence: 96%

“…In studies focusing on children, ED visits for NTDCs were higher among children aged 6-18 compared to younger children aged 3-5. 23,49,50 Studies comparing children with adults reported higher ED visits for NTDCs among adults, 1,5,8 and studies focusing on adults reported that adults aged 20-44 were more likely to visit the ED for NTDCs compared to older adults. 2,20,23,24,45,49,51…”

Section: Agementioning

confidence: 99%

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Emergency department visits for nontraumatic dental conditions: a systematic literature review

Akinlotan

Ferdinand

2020

J Public Health Dent

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Objective: To summarize the literature on factors associated with emergency department (ED) use for nontraumatic dental conditions (NTDCs). Methods: Following a database search, empirical studies were included if they examined factors associated with ED visits for NTDCs. The factors identified in these studies were further categorized using the Andersen Behavioral Model. Where appropriate, odds ratios (ORs) predicting the likelihood of NTDC ED visits were extracted to obtain summary estimates using random effects models. Results: Sixty-three articles were included. Nontraumatic dental ED visits made up about 2.2 percent of all ED visits. Having public health insurance coverage such as Medicaid [OR = 2.17, 95 percent confidence interval (CI) = 1.79-2.64], and being uninsured (OR = 2.80, 95 percent CI = 2.39-3.39) were predictive of ED visits for NTDCs. Adults were more likely to use the ED for NTDCs compared to children and older adults. Rural adults had increased odds of ED use for NTDCs compared to urban adults (OR = 1.31, 95 percent CI = 1.12-1.52). Among younger children, regular dental care without sealant placement was associated with increased ED use for NTDCs. In the United States, both expansion and restriction of Medicaid dental coverage for adults were associated with increased ED visits for NTDCs. Conclusions: Policy makers and health care providers should address modifiable factors such as accessible dental care for the uninsured, and comprehensive dental coverage for those with public dental benefits. Targeted interventions should focus on young adults, children with special needs, and subpopulations with low socioeconomic status and chronic health conditions.

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Section: Resultsmentioning

confidence: 99%

Section: Other Enabling Factorsmentioning

confidence: 92%

Section: Rural-urban Classificationmentioning

confidence: 96%

Section: Agementioning

confidence: 99%

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Emergency department visits for nontraumatic dental conditions: a systematic literature review

Akinlotan

Ferdinand

2020

J Public Health Dent

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“…The international literature provides several reports that separate studies based on traumatic and nontraumatic dental emergencies [36][37][38][39], but not a single Brazilian study used this division, probably because of the differences between the organization of health services, since a large share of these articles refer to care in outpatient clinics and some involve care provided by a medical professional. Nonetheless, there was an analysis of traumatic events that corroborated the greater frequency of trauma in men and younger boys [40].…”

Section: Discussionmentioning

confidence: 99%

Dental emergency: Scoping review

2020

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Part of the oral health care in the care network encompasses users in emergency cases. This study proposed mapping the determinants of the use of dental care services within the health care network to address dental emergencies within the Brazilian Unified Health System (UHS) and to verify the main gaps in the research in this area. This is a scoping review that took place in 2018 using Andersen's behavioral model as a reference. A total of 16 studies, out of 3786 original articles identified, were included and reviewed. Two reviewers independently conducted the selection process and the decision was consensually made. The mapping of the determinants revealed a greater number of enabling factors and a larger gap in the results. Greater use of the emergency service was registered by people in pain, women, adults, those from an urban area, people with a lower income, and those with less education. In future studies, primary surveys are recommended, which include all ages, and analyze different groups of needs and users that take into account the country's northern region and the different subjects pointed out by this review.

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Dental Homes for Children With Autism

Donald

Momany

Mancl

et al. 2016

American Journal of Preventive Medicine

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Introduction Medicaid-enrolled children with autism spectrum disorder (ASD) encounter significant barriers to dental care. Iowa’s I-Smile Program was implemented in 2006 to improve dental use for all children in Medicaid. This study compared dental home and preventive dental utilization rates for Medicaid-enrolled children by ASD status and within three time periods (pre-implementation, initial implementation, maturation) and determined I-Smile’s longitudinal influence on ASD-related dental use disparities. Methods Data from 2002–2011 were analyzed for newly Medicaid-enrolled children aged 3–17 years (N=30,059), identified each child’s ASD status, and assessed whether the child had a dental home or utilized preventive dental care. Log-linear regression models were used to generate rate ratios. Analyses were conducted in 2015. Results In 2003–2011, 9.8% of children with ASD had dental homes compared with 8% of children without ASD; 36.3% of children with ASD utilized preventive care compared to 45.7% of children without ASD. There were no significant differences in dental home rates by ASD status during pre-implementation, initial implementation, or maturation. There were no significant differences in preventive dental utilization by ASD status during pre-implementation or initial implementation, but children with ASD were significantly less likely to utilize preventive care during maturation (rate ratio=0.79, p<0.001). Longitudinal trends in dental home and preventive dental utilization rates were not significant (p=0.54 and p=0.71, respectively). Conclusions Among newly Medicaid-enrolled children in Iowa’s I-Smile Program, those with ASDs were not less likely than those without ASD to have dental homes but were significantly less likely to utilize preventive dental care.

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Non-traumatic Dental Condition-Related Emergency Department Visits and Associated Costs for Children and Adults with Autism Spectrum Disorders

Cited by 16 publications

References 47 publications

Emergency department visits for nontraumatic dental conditions: a systematic literature review

Emergency department visits for nontraumatic dental conditions: a systematic literature review

Dental emergency: Scoping review

Dental Homes for Children With Autism

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