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Risk Factors for Missed Follow-up Appointments among Facial Trauma Patients
Aaron L Zebolsky1, Nina Gallo1, Travis Clarke1
1Department of Otolaryngology - Head and Neck Surgery, University of Tennessee Health Science Center, Memphis, Tennessee.
Facial Plastic Surgery : FPS
|May 14, 2024
Summary
Facial trauma patients missed nearly one-third of follow-up appointments. Afternoon appointments, lack of private insurance, and midface fractures increased the risk of missed visits.
Area of Science:
- Trauma Surgery
- Oral and Maxillofacial Surgery
- Health Services Research
Background:
- Follow-up appointments are crucial for optimal outcomes in facial trauma patients.
- Understanding factors influencing appointment adherence is essential for improving patient care and resource allocation.
Purpose of the Study:
- To determine the rate of missed follow-up appointments after facial trauma.
- To identify sociodemographic, trauma-related, and management factors associated with missed appointments.
Main Methods:
- Retrospective case-control study analyzing 375 facial trauma patients at a safety-net hospital.
- Comparison of appointment-specific, sociodemographic, trauma, and management data between missed (cases) and attended (controls) appointments.
- Statistical analysis using univariate testing and multivariable logistic regression.
Main Results:
- The overall missed appointment rate was 30.9%.
- Missed appointments were significantly associated with initial clinic visits, afternoon appointments, lack of private health insurance, and midface fractures.
- Factors negatively associated with missed appointments included mandible fractures, surgical management, and presence of nonremovable hardware.
Conclusions:
- Nearly one-third of facial trauma patients miss follow-up appointments.
- Afternoon appointments, lack of private insurance, and midface fractures are independent risk factors for missed appointments.
- Targeted interventions for high-risk groups may improve follow-up adherence and patient outcomes.
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