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接受牙科治疗全身麻醉患者的召回率和龋齿经历。

Recall rates and caries experience of patients undergoing general anesthesia for dental treatment.

作者信息

Jamieson William J, Vargas Kaaren

机构信息

Department of Pediatric Dentistry, College of Dentistry, University of Iowa, Iowa City, Iowa, USA.

出版信息

Pediatr Dent. 2007 May-Jun;29(3):253-7.

Abstract

PURPOSE

The purpose of this study was to evaluate the recall rate and caries experience of children seen under general anesthesia (GA) at The University of Iowa Hospitals and Clinics.

METHODS

After a retrospective chart review, information from 217ASA (American Society of Anesthesiologists) 1 patients undergoing GA between 1998 and 2002 was gleaned regarding: (1) date of GA; (2) age at time of GA; (3) follow-up (recall) visits; (4) referral status; (5) new caries experience; and (6) treatment of new/recurrent lesions. A 19-question survey was also mailed to parents/legal guardians for satisfaction.

RESULTS

Survey data were not reported in this study due to the poor (25%) return rate after several attempts: 41% of the patients were referrals; 54% returned for a 2 week postoperative visit, but only 13% returned for a 6-month recall, with subsequent recoils being even lower; 72% were insured by Medicaid; and 25% had recurrent or new lesions at follow-up appointments.

CONCLUSION

Recall rates after general anesthesia for dental treatment at a university hospital are very low, and new or recurrent caries experience is high.

摘要

目的

本研究旨在评估爱荷华大学医院及诊所接受全身麻醉(GA)治疗的儿童的召回率和龋齿患病情况。

方法

通过回顾性病历审查,收集了1998年至2002年间217例美国麻醉医师协会(ASA)1级接受全身麻醉患者的信息,包括:(1)全身麻醉日期;(2)全身麻醉时的年龄;(3)随访(召回)就诊情况;(4)转诊状态;(5)新发龋齿患病情况;(6)新发/复发性病变的治疗情况。还向家长/法定监护人邮寄了一份包含19个问题的调查问卷以了解满意度。

结果

由于多次尝试后回收率较低(25%),本研究未报告调查数据:41%的患者为转诊患者;54%的患者术后2周复诊,但只有13%的患者6个月召回复诊,后续召回率更低;72%的患者由医疗补助计划承保;25%的患者在随访预约时有复发性或新发病变。

结论

大学医院牙科治疗全身麻醉后的召回率非常低,新发或复发性龋齿患病率很高。

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