{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T18:13:49Z","timestamp":1788545629389,"version":"build-2803163510"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1 TR 002384"],"award-info":[{"award-number":["UL1 TR 002384"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trauma"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The complexity of orbital fracture management necessitates systematic investigation of the financial burden of these fractures and the cost-effectiveness of management. Here, we analyze the cost and inpatient burden of patients presenting with orbital fractures at an academic medical center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective chart review of 1449 patients presenting with orbital fractures between 2008 and 2022 was performed. Patient characteristics, treatment approach, length of stay (LOS), and hospital costs were collected. Linear regression and pairwise comparison tests were performed to identify factors associated with increased cost burden and LOS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 2093 total orbital fractures, the most common locations were floor (50%) and medial wall (24%). Average cost of management did not significantly change over time (p\u2009=\u20090.072), while average LOS decreased (6.3\u20134 days, p\u2009=\u20090.050). Compared to injuries from falls, traffic injuries were associated with higher cost ($36,703 vs. $12,513, p\u2009&lt;\u20090.001). The presence of \u22654 facial fractures was associated with higher cost ($29,746 vs. $6415, p\u2009&lt;\u20090.001), while surgical management was associated with longer LOS (8.3 vs. 3.5 days, p\u2009&lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The cost or inpatient burden of treating patients with orbital fractures is greater in patients with traffic injuries, \u22654 facial fractures, and operative management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14604086261481676","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T22:40:35Z","timestamp":1788388835000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cost and inpatient burden of orbital fracture management: A 14-year analysis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5569-7795","authenticated-orcid":false,"given":"Eli","family":"Stein","sequence":"first","affiliation":[{"name":"New York-Presbyterian Hospital\/Weill Cornell Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel E","family":"Weitzman","sequence":"additional","affiliation":[{"name":"New York-Presbyterian Hospital\/Weill Cornell Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karena","family":"Zhao","sequence":"additional","affiliation":[{"name":"Weill Cornell Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tejas","family":"Subramanian","sequence":"additional","affiliation":[{"name":"Weill Cornell Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony P","family":"Sclafani","sequence":"additional","affiliation":[{"name":"Weill Cornell Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.emc.2007.11.006"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29397"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31299"},{"key":"e_1_3_2_5_2","first-page":"3580","article-title":"Complications of orbital fracture repair: A ten year review","volume":"48","author":"Pierce K","year":"2007","unstructured":"Pierce K, Holck D. Complications of orbital fracture repair: A ten year review. Invest Ophthalmol Visual Sci 2007; 48: 3580\u20133580.","journal-title":"Invest Ophthalmol Visual Sci"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3109\/08820538909063833"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S80463"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1393728"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1148\/rg.263045710"},{"key":"e_1_3_2_10_2","article-title":"Surgical approaches to orbital fractures: A practical and systematic review","volume":"11","author":"Palavalli MH","year":"2023","unstructured":"Palavalli MH, Huayllani MT, Gokun Y, et al. Surgical approaches to orbital fractures: A practical and systematic review. Plast Reconstr Surg Glob Open 2023; 11: e4967.","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2020.06.065"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000002922"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1661355"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2017.12.015"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2023.111199"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-010-0385-y"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjo.2015.12.002"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e318295f91d"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1159\/000238932"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2004.00262.x"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.scs.0000235111.92988.b2"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-011110"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2003.51110.x"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-200605000-00009"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.428"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2015.09.023"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1584892"}],"container-title":["Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14604086261481676","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14604086261481676","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14604086261481676","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T17:48:31Z","timestamp":1788544111000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14604086261481676"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,2]]},"references-count":26,"alternative-id":["10.1177\/14604086261481676"],"URL":"https:\/\/doi.org\/10.1177\/14604086261481676","relation":{},"ISSN":["1460-4086","1477-0350"],"issn-type":[{"value":"1460-4086","type":"print"},{"value":"1477-0350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,2]]},"article-number":"14604086261481676"}}