Prevalence estimates and outcomes of mental health conditions in those hospitalized owing to dental conditions

Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Sep;118(3):300-8. doi: 10.1016/j.oooo.2014.06.007. Epub 2014 Jun 27.

Abstract

Objective: Identify characteristics of individuals with mental health conditions who use hospital resources to manage dental conditions.

Study design: Data from the Nationwide Inpatient Sample for the years 2007 to 2010 were used. All hospitalizations with a primary diagnosis of dental conditions were selected. Hospitalizations with secondary diagnoses of mental health conditions were identified.

Results: During the study period, 67,517 hospitalizations were primarily attributed to dental conditions. Of these, 12 080 also involved a mental health condition. The most frequently prevalent mental health conditions were mood disorders (9.9% of dental hospitalizations) and anxiety disorders (3.9%). The mean age of those with a mental health condition was 47.7 years (37.7 years for those without mental health conditions). A greater proportion of those with a mental health condition had Medicare coverage compared with those without a mental health condition (39.4% vs 17%). Those with mental health conditions also had a higher comorbid burden.

Conclusions: When individuals with mental health conditions are hospitalized for a dental condition, they are more likely to be older and sicker and to use more hospital resources. Better preventive care may benefit patients and health care budgets.

MeSH terms

  • Adult
  • Female
  • Hospitalization / statistics & numerical data*
  • Humans
  • Length of Stay / statistics & numerical data
  • Male
  • Medicare
  • Mental Disorders / epidemiology*
  • Mental Disorders / therapy
  • Middle Aged
  • Prevalence
  • Tooth Diseases / epidemiology*
  • Tooth Diseases / therapy
  • Treatment Outcome
  • United States / epidemiology