That Must Have Been Some Toothache!!!

MINNESOTA SURVEILLANCE OF HOSPTIAL-TREATED ORAL HEALTH COMPLAINTS

Colette Che, RN, BSN Ayo Adeniyi, MBBS, MPH

Jon Roesler, MS

Council of State & Territorial Epidemiologists

Omaha, NebraskaJune 4, 2012

BACKGROUND

METHODS

RESULTS

DISCUSSION

BACKROUND

METHODS

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.

RESULTS

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

0

10

20

30

40

50

60

70

80

90

Incidence of Hospital-treated Oral Trauma Increasing in Minnesota ( Age adjusted Rate/100 000 by Year)

2007

2008

2009

2010

2011

0

10

20

30

40

50

60

70

80

Incidence of Hospital-treated Non-traumatic Oral ComplaintsIncreasing in Minnesota

( Age adjusted Rate/100 000 by Year)

Hospital-treated Oral TraumaMinnesota, 2000-2010

Hospital-treated Non-traumatic Oral ComplaintsMinnesota, 2007-2010

<1 1-4

5-9

10-1

415

-19

20-2

425

-29

30-3

435

-39

40-4

445

-49

50-5

455

-59

60-6

465

-69

70-7

475

-79

80-8

485

+

0

50

100

150

200

250

300

MaleFemale

Hospital-treated Oral TraumaTrimodal in Males, Bimodal in FemalesMinnesota, 2000-2010, Rate/100,000 by Age Group

<1 1-4

5-9

10-1

415

-19

20-2

425

-29

30-3

435

-39

40-4

445

-49

50-5

455

-59

60-6

465

-69

70-7

475

-79

80-8

485

+

0

200

400

600

800

1000

1200

1400

1600

1800

MaleFemale

Hospital-treated Non-traumatic Oral ComplaintsBimodal in Males, Trimodal in Females Minnesota, 2007-2010, Rate/100,000 by Age Group

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 Rates 7.5X That of Rich

Number & Rates by Median Community Income , 1999-2011

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 Complaints by Patient’s Community Median Income

Minnesota’s Poor Have Rates 17.5X That of RichNumber & Rates by Median Community Income , 2007-2011

Hospital-treated Oral Trauma

Hospital-treated Non-traumatic Oral Complaints

DISCUSSION

SO WHAT?

So what?

Too Many Oral Emergencies to the EDIncidence is IncreasingDisporportionate Burden Among the PoorED Docs Need Training in Oral Health Care

RECOMMENDATIONSfor Surveillance

Gauge the Burden of Oral Disease

Guide Policy & Preventive Strategies

Add Hospital Data to the NOHSS

Jon Roesler, MSMinnesota Department of Health

jon.roesler@state.mn.us612-201-9011