Characterizing the impact of socioeconomic status on orbital floor reconstruction: A National Inpatient Sample (NIS) analysis Journal Article


Authors: Rivera Perla, K. M.; Zeyl, V. G.; Lopez, C. D.; Lopez, J.; Redett, R. J.; Manson, P. N.; Yang, R.
Article Title: Characterizing the impact of socioeconomic status on orbital floor reconstruction: A National Inpatient Sample (NIS) analysis
Abstract: Orbital floor fractures result in posterior globe displacement known as enophthalmos, and diplopia due to extraorbital soft tissue impingement. Surgical repair may involve the use of autolo-gous or synthetic materials. Previous studies have demonstrated a higher prevalence of orbital floor fractures among lower socioeconomic status (SES) populations. The authors aimed to characterize the impact of socioeconomic status on surgical management, outcomes, and use of synthetic orbital implant. The authors conducted a cross-sectional study of adult orbital floor fracture patients from 2002 to 2017 using the National Inpatient Sample. Among patients who underwent surgical treatment, our study found decreased synthetic orbital implant use among uninsured and Black patients and decreased home discharge among Medicare patients. There were no differences in orbital reconstruction. Further research is needed to elucidate possible mechanisms driving these findings. © 2022 Lippincott Williams and Wilkins. All rights reserved.
Keywords: socioeconomic status; national inpatient sample; orbital floor fracture; orbital reconstruction
Journal Title: Journal of Craniofacial Surgery
Volume: 33
Issue: 5
ISSN: 1049-2275
Publisher: Lippincott Williams & Wilkins  
Date Published: 2022-07-01
Start Page: 1404
End Page: 1408
Language: English
DOI: 10.1097/scs.0000000000008598
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 1 August 2022 -- Source: Scopus
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  1. Joseph Lopez
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