June 2023
Volume 64, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2023
The Cost of Hospitalized Orbital Cellulitis Infections in Texas, 2016-2020
Author Affiliations & Notes
  • Benjamin Trinh
    Texas Tech University Health Sciences Center El Paso Paul L Foster School of Medicine, El Paso, Texas, United States
  • Bronson Bailey
    Texas Tech University Health Sciences Center El Paso Paul L Foster School of Medicine, El Paso, Texas, United States
  • Shubhang Bhalla
    Texas Tech University Health Sciences Center El Paso Paul L Foster School of Medicine, El Paso, Texas, United States
  • Mona Dihoom
    Misurata Medical Center, Libya
  • Fatma Dihowm
    Texas Tech University Health Sciences Center El Paso Paul L Foster School of Medicine, El Paso, Texas, United States
  • Footnotes
    Commercial Relationships   Benjamin Trinh None; Bronson Bailey None; Shubhang Bhalla None; Mona Dihoom None; Fatma Dihowm None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2023, Vol.64, 3082. doi:
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      Benjamin Trinh, Bronson Bailey, Shubhang Bhalla, Mona Dihoom, Fatma Dihowm; The Cost of Hospitalized Orbital Cellulitis Infections in Texas, 2016-2020. Invest. Ophthalmol. Vis. Sci. 2023;64(8):3082.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : As hospitalization costs continue to uptrend, optimizing inpatient care and reducing healthcare-related expenses is necessary. Effort toward this aim requires a clear understanding of the direct financial burden of preventable medical conditions, such as orbital cellulitis (OC). This study aimed to provide a profile detailing the demographics and financial cost of surgical management of OC.

Methods : Retrospective cohort study using the Texas Hospital Inpatient Discharge Public Use Data File, 2016–2020. Patients hospitalized for ocular trauma were identified using ICD-10-CM codes. Baseline data consisted of demographic information, hospitalization year, risk factors, length of hospital stay, ocular diagnosis, surgical procedure, and total charges incurred.

Results : Between 2016-2020 there were 2,674 patients hospitalized with OC, with 20.08% having undergone surgical management. Of the total cohort, 68.29% were adults , 55.77% were males, and 68.88% were not of Hispanic ethnicity. Multivariate regression analysis revealed that most hospitalized cases were categorized as emergent (69.86%) or urgent (19.97%), with an increased risk of mortality (major-extreme) in adults (41.35%) compared to the pediatric population (15.09%) (p<.001). No statistically significant trend was observed in the total number of cases between 2016-2020. The median total charges demonstrated an increased trend, ranging between $30,051 in 2016 and $40,028 in 2020 (p<0.001), with an average total cost of $84,949. However, total OC surgical treatment cost was significantly higher for adult populations ($39,458) than for pediatric populations ($30,574) (p <.001).

Conclusions : We report that hospitalized patients are more likely to be categorized as emergent or urgent, requiring critical management with or without surgery. Despite the total number of orbital cellulitis hospitalizations remaining stable, the total cost incurred for the management of OC demonstrates a significant positive trend, especially for those requiring surgical intervention.

This abstract was presented at the 2023 ARVO Annual Meeting, held in New Orleans, LA, April 23-27, 2023.

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