Addo M E, Parekh S, Moles D R, Roberts G J
Clinical Effectiveness Unit, The Royal College of Surgeons of England, London, UK.
Br Dent J. 2007 May 26;202(10):E27. doi: 10.1038/bdj.2007.328. Epub 2007 Apr 13.
To investigate awareness and practices of dental trauma first aid (DTFA) in hospital emergency settings and in primary and secondary schools in London.
A cross-sectional study using self-administered questionnaires and semi-structured interviews.
Primary and secondary schools and casualty/emergency and walk-in casualty centres in London in 2005.
A randomly selected sample of 125 schools and a total of 31 walk-in casualty centres, providing services for five randomly selected London boroughs. A person responsible for emergency care of children represented each of these study sites.
Response rates of 81.6% and 87% were achieved for schools and casualty/emergency centres respectively. The school respondents who had previously received advice on DTFA were three times more likely to be willing to replant an avulsed tooth compared to those who had not. A third of casualty personnel showed gaps in knowledge in DTFA. Results from schools showed an unwillingness to start emergency action mainly due to perceived inadequacy in knowledge/skills and also for legal reasons.
There is the need for further studies focused on the barriers resulting in unwillingness to provide DTFA among school personnel and clarification regarding issues of responsibility and acceptable levels of competence of professionals other than dentists.
调查伦敦医院急诊环境以及中小学中牙外伤急救（DTFA）的知晓情况与实践情况。
一项采用自填式问卷和半结构式访谈的横断面研究。
2005年伦敦的中小学以及伤亡/急诊和即看即治中心。
从125所学校中随机抽取样本，并选取总共31个即看即治中心，为随机抽取的伦敦五个行政区提供服务。每个研究地点均由一名负责儿童急救护理的人员代表。
学校和伤亡/急诊中心的回复率分别为81.6%和87%。与未接受过牙外伤急救建议的学校受访者相比，曾接受过相关建议的受访者重新植入脱落牙齿的意愿高出两倍。三分之一的伤亡急救人员在牙外伤急救知识方面存在欠缺。学校方面的结果显示，主要由于感觉知识/技能不足以及法律原因，他们不愿开展急救行动。
有必要开展进一步研究，重点关注导致学校人员不愿提供牙外伤急救的障碍，并厘清除牙医以外其他专业人员的责任问题和可接受的能力水平问题。
