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PreprintCC BY-NCmedRxiv

An investigation of dental-related emergency department presentations and patient characteristics in Victoria, Australia.

  1. 1Deakin University

Abstract

ObjectiveDescribe the profile of consumers utilising Emergency Departments (ED) across Victorian hospitals for dental conditions between financial year 2018-19 to 2022-23.

MethodsDental conditions were grouped according to the diagnosis categories using the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM). Presentations for non-dental conditions were classified as "Other". Dependent variables included age, sex, Aboriginal and Torres Strait Islander (Aboriginal) background, language other than English, interpreter required, remoteness, and socio-economic disadvantage according to the Index of Relative Socio-economic Disadvantage (IRSD).

The primary outcome evaluated is the relative risk ratio (RRR) of having a hospital ED presentation for a dental condition compared to a non-dental condition and age-specific rates per 100,000 population. Multinomial logistic regression was performed following the backwards elimination method.

ResultsOver the years 2018-19 to 2022-23, 0.55% (n=44,382) of ED presentations across Victorian hospitals by Victorian residents were due to dental conditions. Patients aged 20-44 years have the highest RRR compared to other age groups for dental-related ED presentations. Patients experiencing social inequity in terms of demographic factors such as Aboriginal background, requiring an interpreter, not living in a major city and living in areas of greater disadvantage (IRSD) have statistically significant increased RRR for dental-related ED presentations.

ConclusionPatient characteristics were useful for identifying the relative risk of dental-related ED presentations between socio-economic and demographic groups to inform relevant public policy design focus on preventing dental-related ED.

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BibTeX
@misc{adam2026investigation,
  title = {{An investigation of dental-related emergency department presentations and patient characteristics in Victoria, Australia.}},
  author = {R. Adam and J. Nguyen and A. Keating and C. Lin and T. M. Nguyen},
  howpublished = {medRxiv},
  year = {2026},
  month = sep,
  doi = {10.64898/2026.09.24.26363871},
  url = {https://www.medrxiv.org/content/10.64898/2026.09.24.26363871v1},
  note = {CC BY-NC},
}
RIS
TY  - UNPB
TI  - An investigation of dental-related emergency department presentations and patient characteristics in Victoria, Australia.
AU  - R. Adam
AU  - J. Nguyen
AU  - A. Keating
AU  - C. Lin
AU  - T. M. Nguyen
PY  - 2026
DA  - 2026/09/24
PB  - medRxiv
DO  - 10.64898/2026.09.24.26363871
UR  - https://www.medrxiv.org/content/10.64898/2026.09.24.26363871v1
AB  - ObjectiveDescribe the profile of consumers utilising Emergency Departments (ED) across Victorian hospitals for dental conditions between financial year 2018-19 to 2022-23.  MethodsDental conditions were grouped according to the diagnosis categories using the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM). Presentations for non-dental conditions were classified as "Other". Dependent variables included age, sex, Aboriginal and Torres Strait Islander (Aboriginal) background, language other than English, interpreter required, remoteness, and socio-economic disadvantage according to the Index of Relative Socio-economic Disadvantage (IRSD).  The primary outcome evaluated is the relative risk ratio (RRR) of having a hospital ED presentation for a dental condition compared to a non-dental condition and age-specific rates per 100,000 population. Multinomial logistic regression was performed following the backwards elimination method.  ResultsOver the years 2018-19 to 2022-23, 0.55% (n=44,382) of ED presentations across Victorian hospitals by Victorian residents were due to dental conditions. Patients aged 20-44 years have the highest RRR compared to other age groups for dental-related ED presentations. Patients experiencing social inequity in terms of demographic factors such as Aboriginal background, requiring an interpreter, not living in a major city and living in areas of greater disadvantage (IRSD) have statistically significant increased RRR for dental-related ED presentations.  ConclusionPatient characteristics were useful for identifying the relative risk of dental-related ED presentations between socio-economic and demographic groups to inform relevant public policy design focus on preventing dental-related ED.
ER  -