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约克郡和亨伯地区儿科牙科全身麻醉评估。

An evaluation of paediatric dental general anaesthesia in Yorkshire and the Humber.

机构信息

Paediatric Dentistry, Division of Child Dental Health, Leeds Dental Institute, Clarendon Way, Leeds, LS2 9LU.

出版信息

Br Dent J. 2010 Dec 18;209(12):E20. doi: 10.1038/sj.bdj.2010.1081. Epub 2010 Nov 26.

DOI:10.1038/sj.bdj.2010.1081
PMID:21109769
Abstract

BACKGROUND

Following major change in UK policy regarding dental general anaesthesia (DGA) in 2001, there appears to be little information available about paediatric DGA services, their organisation, availability and utilisation.

AIMS

To establish the location, organisation and monitoring systems of paediatric DGA services in Yorkshire and the Humber Strategic Health Authority and to audit these services against existing standards of best practice.

DESIGN

A postal survey of all potential paediatric DGA providers in Yorkshire and the Humber.

RESULTS

Thirty-one possible DGA service providers were identified, 24 of which provided paediatric DGAs. Of 84 DGA lists identified, 75 regularly treated children, and nine were run on an ad hoc basis. The lists were held in 20 centres. The number of patients treated per list varied depending on treatment provided, ranging from 3.9 to 7.5 patients per list. Maximum waiting times varied from three to 84 weeks. Outcome data recording methods varied. Just over half of respondents used the Hospital Episode Statistics system; the remainder used other systems, or none.

CONCLUSIONS

There was much variation in how DGA lists were organised. Most lists met some of the accepted standards, but very few met all. Waiting times were largely in accordance with national targets.

摘要

背景

2001 年英国对牙科全身麻醉(DGA)政策进行了重大调整后,有关儿科 DGA 服务的信息似乎很少。本研究旨在确定约克郡和亨伯战略卫生局的儿科 DGA 服务的位置、组织和监测系统,并根据现有的最佳实践标准对这些服务进行审核。

方法

对约克郡和亨伯的所有潜在儿科 DGA 提供者进行了邮寄调查。

结果

确定了 31 名可能的 DGA 服务提供者,其中 24 名提供儿科 DGA。在确定的 84 个 DGA 名单中,有 75 个定期治疗儿童,9 个是临时提供的。名单在 20 个中心保存。根据提供的治疗,每个名单上治疗的患者数量不同,范围从每个名单 3.9 到 7.5 名患者不等。最长的等待时间从 3 周到 84 周不等。结果数据记录方法各不相同。超过一半的受访者使用了医院住院统计系统;其余的则使用其他系统,或没有使用任何系统。

结论

DGA 名单的组织方式存在很大差异。大多数名单符合部分公认的标准,但很少有全部符合的。等候时间在很大程度上符合国家目标。

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