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西澳大利亚州儿童因口腔健康相关疾病住院情况:5至8年随访

Hospitalization of Western Australian children for oral health related conditions: a 5-8 year follow-up.

作者信息

Kruger E, Dyson K, Tennant M

机构信息

The Centre for Rural and Remote Oral Health, The University of Western Australia.

出版信息

Aust Dent J. 2006 Sep;51(3):231-6. doi: 10.1111/j.1834-7819.2006.tb00434.x.

DOI:10.1111/j.1834-7819.2006.tb00434.x
PMID:17037889
Abstract

BACKGROUND

This study investigated in-patient oral health care provision for children under 18 years of age in Western Australia.

METHODS

Hospitalizations of children for oral health conditions over a four-year period were analysed using data obtained from the Western Australian Hospital Morbidity Data System (HMDS). This study followed a previously published study examining similar data for 1995.

RESULTS

Between 1999-2000 and 2002-2003, a total of 26 497 episodes of care were attributed to oral health conditions among children aged 0-17 years. The cost of this care exceeded $40 million. Embedded and impacted teeth accounted for 33.2 per cent of oral health episodes, dental caries 28.3 per cent, pulp and periapical tissue conditions 7.1 per cent and dentofacial anomalies 6.1 per cent. With the exception of the infant age group (0-1 years), non-Aboriginal children had higher admission rates than Aboriginal children. In the 13-17 year age group a non-Aboriginal child was 31 times more likely to be admitted to hospital for an oral condition than an Aboriginal child.

CONCLUSIONS

This study confirms the impact of oral health related conditions among children in Western Australia. It is also clear that there are differences between age and population groups in terms of access to in-patient dental services and exposure to risk factors for specific oral conditions.

摘要

背景

本研究调查了西澳大利亚州为18岁以下儿童提供的住院口腔保健服务情况。

方法

利用从西澳大利亚州医院发病率数据系统(HMDS)获取的数据,分析了四年期间儿童因口腔健康问题的住院情况。本研究沿用了之前一项针对1995年类似数据的已发表研究。

结果

在1999 - 2000年至2002 - 2003年期间,0至17岁儿童因口腔健康问题导致的护理事件共有26497起。此项护理费用超过4000万美元。阻生牙和埋伏牙占口腔健康护理事件的33.2%,龋齿占28.3%,牙髓和根尖周组织疾病占7.1%,牙面异常占6.1%。除婴儿年龄组(0至1岁)外,非原住民儿童的住院率高于原住民儿童。在13至17岁年龄组中,非原住民儿童因口腔疾病住院的可能性是原住民儿童的31倍。

结论

本研究证实了西澳大利亚州儿童口腔健康相关疾病的影响。同样明显的是,在获得住院牙科服务以及接触特定口腔疾病风险因素方面,不同年龄组和人群之间存在差异。

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