Prabhu Neeta T, Nunn June H, Evans D J, Girdler N M
Paediatric Dentistry, Westmead Hospital, Sydney, Australia.
Spec Care Dentist. 2008 Jul-Aug;28(4):145-58. doi: 10.1111/j.1754-4505.2008.00034.x.
The aim of this study was to develop a screening tool to assess the suitability of people with disabilities for oral care in different settings. The objectives were to investigate retrospectively the uptake of general anesthetic (GA) services and use this information to develop a composite tool. One hundred cases referred for GA were reviewed to generate data for a Delphi Panel. Patients with disabilities were the subject of a tool, devised by the Delphi Panel, to appropriately allocate patients to the most suitable care, including the patients' medical, behavioral, and social status as well as planned dental treatment complexity. A total of 124 patients, between the ages of 4 and 75 years, in seven centers were treated under sedation or GA, according to the tool. Agreement on behavior assessment between dentists and anesthesiologists was poor. The tool has the potential to identify which people with disabilities can be effectively allocated for treatment under sedation or GA.
本研究的目的是开发一种筛查工具，以评估不同环境下残疾人接受口腔护理的适宜性。目标是回顾性调查全身麻醉（GA）服务的使用情况，并利用这些信息开发一种综合工具。对100例接受GA治疗的病例进行了回顾，以生成供德尔菲小组使用的数据。残疾人是德尔菲小组设计的一种工具的研究对象，该工具旨在将患者合理分配到最合适的护理中，包括患者的医疗、行为和社会状况以及计划的牙科治疗复杂性。根据该工具，七个中心共有124名年龄在4至75岁之间的患者在镇静或GA下接受了治疗。牙医和麻醉师之间在行为评估方面的一致性较差。该工具有可能识别出哪些残疾人可以有效地分配到镇静或GA下进行治疗。
