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171 posters, 10 topics, 5 sessions, 690 authors, 211 institutions

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American Association of Plastic Surgeons Meeting 2022

April 9 - 12 | San Diego, California

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P72

Insurance Status Influences Mandible Fracture Management And Outcomes: A National Inpatient Sample Analysis Of 268,809 Admissions

Part of Topic

Craniofacial/Peds

Introduction: 

The role of insurance status in mandible fracture management has not been well-characterized.

 

Aim: 

To investigate the role of insurance status on mandible fracture management and outcomes nationally.


Methods: 

Study Design: 

  • Adults w/mandible fracture

  • National Inpatient Sample (NIS): 2002 - 2019 

  • Cross-sectional observational


Outcomes: 

  • Open reduction internal fixation (ORIF) vs. no intervention, days to ORIF, length of stay (LOS), admission cost, home discharge, post-operative infection, dehiscence, and hematoma.


Statistical Analysis:

Multivariable regression to compare outcomes by insurance status and adjust for confounders. 


Conclusions: 

Insurance coverage may influence; 

  • Odds of ORIF

  • Time to surgery 

  • Post-operative infection

  • Length of stay

  • Cost


References: 

  1. NIS: https://www.hcup-us.ahrq.gov/nisoverview.jsp

  2. Tang OY, Pugacheva A, Bajaj AI, Rivera Perla KM, Weil RJ, Toms SA. The National Inpatient Sample: A Primer for Neurosurgical Big Data Research and Systematic Review. World Neurosurg. 2022;S1878-8750(22)00260-1. doi:10.1016/j.wneu.2022.02.113



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