Chi Donald L, Masterson Erin E, Wong Jacqueline J
Intellect Dev Disabil. 2014 Jun;52(3):193-204. doi: 10.1352/1934-9556-52.3.193.
The authors hypothesized that individuals with intellectual and developmental disabilities (IDDs) are more likely to have an emergency department (ED) admission for nontraumatic dental conditions (NTDCs). The authors analyzed 2009 U.S. National Emergency Department Sample data and ran logistic regression models for children ages 3-17 years and adults age 18 years or older. The prevalence of NTDC-related ED admissions was 0.8% for children and 2.0% for adults. Children with IDDs were at increased odds of NTDC-related ED admission, but this difference was not statistically significant (odds ratio [OR] = 1.06; 95% confidence interval [CI] = 0.91, 1.23). Adults with IDDs had significantly lower odds of an ED admission for NTDCs (OR = 0.49; 95% CI = 0.44, 0.54). Children with IDDs are not at increased odds of NTDC-related ED admissions, whereas adults with IDDs are at significantly reduced odds.
作者们推测，患有智力和发育障碍（IDD）的个体因非创伤性牙齿疾病（NTDC）而急诊入院的可能性更高。作者分析了2009年美国国家急诊科样本数据，并针对3至17岁儿童和18岁及以上成年人进行了逻辑回归模型分析。与NTDC相关的急诊入院率在儿童中为0.8%，在成年人中为2.0%。患有IDD的儿童因NTDC相关急诊入院的几率有所增加，但这种差异无统计学意义（比值比[OR]=1.06；95%置信区间[CI]=0.91，1.23）。患有IDD的成年人因NTDC急诊入院的几率显著降低（OR=0.49；95%CI=0.44，0.54）。患有IDD的儿童因NTDC相关急诊入院的几率并未增加，而患有IDD的成年人因NTDC相关急诊入院的几率则显著降低。
