{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:09:53Z","timestamp":1747184993265,"version":"3.40.5"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,11,27]],"date-time":"2019-11-27T00:00:00Z","timestamp":1574812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Older Americans are at risk of many oral diseases and conditions, but limited access to dental care may lead to the use of hospital emergency departments (EDs) or inpatient admissions. This study examined the use of hospitals for non\u2010traumatic dental conditions (NTDCs) among persons aged \u226565\u00a0years in the Florida.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analysed hospital use for NTDCs in Florida in 2018 from health department data sets. We calculated frequencies and rates of ED visits and hospital inpatient admissions, overall and by county, age, sex, race\/ethnicity and principal payer. We also examined the source of hospital admission, primary diagnoses and charges.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 2018, there were 4894 ED visits and 747 inpatient admissions for NTDCs among persons aged \u226565\u00a0years in Florida. The rate for ED visits was 112.30 per 100\u00a0000 population and for hospital inpatient admissions was 17.14; rates varied widely among counties. Medicare was the most common primary payer. Referrals from EDs accounted for 76.2% of inpatient admissions for NTDCs by older adults. Total charges were $21.4 million for ED visits and $40.2 million for inpatient admissions. The most common principal diagnosis for ED visits for NTDCs was \u201cperiapical abscess without sinus tract\u201d (K04.7; 26.2%) and for inpatient admissions was \u201cinflammatory conditions of the jaw\u201d (M27.2; 19.1%). Of the 747 inpatient admissions, two people died.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Hospital use for NTDCs in Florida among persons aged \u226565\u00a0years is a clinical and financial challenge. Public coverage for basic adult dental services may lead to more effective use of funds and better health outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ger.12448","type":"journal-article","created":{"date-parts":[[2019,11,27]],"date-time":"2019-11-27T11:24:29Z","timestamp":1574853869000},"page":"66-71","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Hospital use for non\u2010traumatic dental conditions among older adults in Florida"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3108-1945","authenticated-orcid":false,"given":"Scott L.","family":"Tomar","sequence":"first","affiliation":[{"name":"Department of Community Dentistry and Behavioral Science University of Florida College of Dentistry Gainesville Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"El\u00edas","family":"Mor\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Community Dentistry and Behavioral Science UF Hialeah Dental Center University of Florida College of Dentistry Hialeah Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amna","family":"Alwalie","sequence":"additional","affiliation":[{"name":"NYU Langone Health Brooklyn New York"},{"name":"University of Florida Gainesville Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,11,27]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"Centers for Disease Control and Prevention.Facts about older adult oral health [website]. Atlanta GA: Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Oral Health; 2019. Available at:https:\/\/www.cdc.gov\/oralhealth\/basics\/adult-oral-health\/adult_older.htm. Accessed August 20 2019."},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300362"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/003335491012500202"},{"key":"e_1_2_5_5_1","unstructured":"KramarowEA.Dental care among adults aged 65 and over 2017. NCHS Data Brief no 337. Hyattsville MD: National Center for Health Statistics. 2019. Available at:https:\/\/www.cdc.gov\/nchs\/products\/databriefs\/db337.htm. Accessed July 13 2019."},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2019.01.001"},{"key":"e_1_2_5_7_1","unstructured":"US Census Bureau.Quick Facts Florida: 2018. Available at:https:\/\/www.census.gov\/quickfacts\/fact\/table\/FL US\/PST045218. Accessed July 13 2019."},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12158"},{"key":"e_1_2_5_9_1","unstructured":"Centers for Disease Control and Prevention.International Classification of Diseases Tenth Revision Clinical Modification (ICD\u201010\u2010CM). July 26th 2018. Available at:https:\/\/www.cdc.gov\/nchs\/icd\/icd10cm.htm. Accessed July 13 2019."},{"key":"e_1_2_5_10_1","unstructured":"ManzMC.Recommended guidelines for surveillance of non\u2010traumatic dental care in emergency departments. Reno NV: Association of State and Territorial Dental Directors; 2017. Available at:https:\/\/www.astdd.org\/docs\/ed-dental-care-protocols-w-appendices-july-6-2017.pdf. Accessed July 13 2019."},{"key":"e_1_2_5_11_1","unstructured":"University of Virginia Weldon Cooper Center Demographics Research Group.National Population Projections [website]. Charlottesville VA: Weldon Cooper Center for Public Service; 2018. Available at:https:\/\/demographics.coopercenter.org\/national-population-projections. Accessed August 21 2019."},{"key":"e_1_2_5_12_1","unstructured":"U.S. Centers for Medicare and Medicaid Services.What\u2019s Medicare? [website]. Washington DC: U.S. Centers for Medicare and Medicaid Services; 2019. Available at:https:\/\/www.medicare.gov\/what-medicare-covers\/your-medicare-coverage-choices\/whats-medicare. Accessed 23 October 2019."},{"key":"e_1_2_5_13_1","unstructured":"Centers for Medicare and Medicaid Services.Medicaid [website]. Washington DC: U.S. Centers for Medicare and Medicaid Services; 2019. Available at:https:\/\/www.medicaid.gov\/medicaid\/index.html. Accessed 23 October 2019."},{"key":"e_1_2_5_14_1","unstructured":"Henry Kaiser Family Foundation.An overview of Medicare. Available at:https:\/\/www.kff.org\/medicare\/issue-brief\/an-overview-of-medicare\/. 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Accessed July 16 2019."},{"key":"e_1_2_5_18_1","first-page":"21","article-title":"Hospital charges for dental caries related emergency admissions","volume":"22","author":"Ettelbrick KL","year":"2000","journal-title":"Pediatr Dent"},{"key":"e_1_2_5_19_1","first-page":"463","article-title":"A comparison of Medicaid reimbursement for non\u2010definitive pediatric dental treatment in the emergency room versus periodic preventive care","volume":"22","author":"Pettinato ES","year":"2000","journal-title":"Pediatr Dent"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.2147\/CCIDE.S28168"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2003.08.013"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jebdp.2010.09.013"},{"key":"e_1_2_5_23_1","unstructured":"SeuK HallKK MoyE.Emergency Department Visits for Dental\u2010related Conditions 2009. Healthcare Cost and Utilization Project (HCUP) Statistical Brief 143. Agency for Healthcare Research and Quality Rockville Md; 2012. Available at:www.hcup-us.ahrq.gov\/reports\/statbriefs\/sb143.pdf. Accessed July 16 2019."},{"key":"e_1_2_5_24_1","unstructured":"University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation.County health rankings and roadmaps: building a culture of health county by county [website]. Madison WI: County Health Rankings; 2019. Available at:https:\/\/www.countyhealthrankings.org\/app\/florida\/2019\/overview. 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