Jamieson William J, Vargas Kaaren
Department of Pediatric Dentistry, College of Dentistry, University of Iowa, Iowa City, Iowa, USA.
Pediatr Dent. 2007 May-Jun;29(3):253-7.
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.
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.
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.
Recall rates after general anesthesia for dental treatment at a university hospital are very low, and new or recurrent caries experience is high.
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。
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。
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。
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。