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Orbital fractures: national inpatient trends and complications.

Publication ,  Journal Article
Ko, MJ; Morris, CK; Kim, JW; Lad, SP; Arrigo, RT; Lad, EM
Published in: Ophthalmic Plast Reconstr Surg
2013

PURPOSE: The present study aimed to examine cost, demographics, and short-term complications associated with orbital fractures and their surgical repair in the inpatient population in the United States over a 7-year period. METHODS: A retrospective cohort study was performed by using the Nationwide Inpatient Sample from 2002 to 2008 and searching the database for discharges classified with International Classification of Disease-9 diagnosis codes of orbital fractures, orbital fracture repair, and associated diagnoses. RESULTS: There was nearly a 50% increase in the annual number of orbital fracture admissions from 2002 to 2008. Demographics for patients with orbital fractures showed that 68% of them were male, most commonly between 18 and 44 years of age, with 69% of cases at large teaching hospitals. Associated ocular diagnoses included eyelid laceration, commotio retinae, and globe rupture. Approximately 25% of patients underwent surgical repair. Surgical patients were younger than nonsurgical patients by approximately 10 years. An overall complication rate of 15.8% was noted, including: pulmonary complications, diplopia, renal impairment, venous thromboembolism, and wound complications. Orbital fracture repair was associated with approximately 1 extra day of hospitalization and $22,000 in-hospital charges. The rates of pulmonary, wound, and ocular motility complications were significantly higher in the patients undergoing orbital fracture repair (p<0.05). CONCLUSIONS: The number of orbital fractures and associated cost has dramatically increased over the past decade. Acute repair of orbital fractures is common and is associated with a longer hospital course, increased cost, and higher rate of complications.

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Published In

Ophthalmic Plast Reconstr Surg

DOI

EISSN

1537-2677

Publication Date

2013

Volume

29

Issue

4

Start / End Page

298 / 303

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Retrospective Studies
  • Orbital Fractures
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Length of Stay
  • Incidence
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ko, M. J., Morris, C. K., Kim, J. W., Lad, S. P., Arrigo, R. T., & Lad, E. M. (2013). Orbital fractures: national inpatient trends and complications. Ophthalmic Plast Reconstr Surg, 29(4), 298–303. https://doi.org/10.1097/IOP.0b013e318295f91d
Ko, Marcus J., Caleb K. Morris, Jonathan W. Kim, Shivanand P. Lad, Robert T. Arrigo, and Eleonora M. Lad. “Orbital fractures: national inpatient trends and complications.Ophthalmic Plast Reconstr Surg 29, no. 4 (2013): 298–303. https://doi.org/10.1097/IOP.0b013e318295f91d.
Ko MJ, Morris CK, Kim JW, Lad SP, Arrigo RT, Lad EM. Orbital fractures: national inpatient trends and complications. Ophthalmic Plast Reconstr Surg. 2013;29(4):298–303.
Ko, Marcus J., et al. “Orbital fractures: national inpatient trends and complications.Ophthalmic Plast Reconstr Surg, vol. 29, no. 4, 2013, pp. 298–303. Pubmed, doi:10.1097/IOP.0b013e318295f91d.
Ko MJ, Morris CK, Kim JW, Lad SP, Arrigo RT, Lad EM. Orbital fractures: national inpatient trends and complications. Ophthalmic Plast Reconstr Surg. 2013;29(4):298–303.

Published In

Ophthalmic Plast Reconstr Surg

DOI

EISSN

1537-2677

Publication Date

2013

Volume

29

Issue

4

Start / End Page

298 / 303

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Retrospective Studies
  • Orbital Fractures
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Length of Stay
  • Incidence
  • Humans