Wagle Elke, Allred Elizabeth N, Needleman Howard L
Thousand Oaks Children's Dental group, Thousand Oaks, Calif., USA.
Children's Hospital, Harvard School of Public Health, Harvard Medical School, Harvard University, Boston, Mass., USA; Department of Neurology, Harvard Medical School, Harvard University, Boston, Mass., USA.
Pediatr Dent. 2014 May-Jun;36(3):216-21.
The purpose of this study was to compare the time interval between a child sustaining a dental injury and the rendering of treatment in a hospital setting and a private pediatric dental practice.
Data were collected from the patient records of children treated for dental trauma at a children's hospital emergency department, a children's hospital dental clinic, and a private pediatric dental practice. Data included demographics and the time, date, type of injury, and its treatment.
Injuries were more severe, treatment was more complex, and the time interval between injury and treatment was longer for those children treated in the hospital setting versus private practice, regardless of distance traveled. Children treated at their dental home experienced fewer treatment delays. Insurance status, medical complexity, and associated injuries were not related to treatment delays.
Children who seek emergency care for traumatic dental injuries in a hospital setting experience greater delays in treatment compared to those seeking care in a private practice setting. These findings might not be generalizable to other hospital settings or private practices due to the inherently unique characteristics of the sites used in this study.
本研究旨在比较儿童牙齿受伤至在医院环境和私立儿科牙科诊所接受治疗之间的时间间隔。
从一家儿童医院急诊科、一家儿童医院牙科诊所和一家私立儿科牙科诊所接受牙齿创伤治疗的儿童患者记录中收集数据。数据包括人口统计学信息以及受伤时间、日期、损伤类型及其治疗情况。
无论出行距离如何，在医院环境中接受治疗的儿童与在私立诊所接受治疗的儿童相比，损伤更严重，治疗更复杂，受伤与治疗之间的时间间隔更长。在其牙科诊所接受治疗的儿童治疗延迟较少。保险状况、医疗复杂性和相关损伤与治疗延迟无关。
与在私立诊所寻求治疗的儿童相比，在医院环境中因牙齿创伤寻求急诊护理的儿童治疗延迟时间更长。由于本研究中所使用场所的固有独特特征，这些发现可能不适用于其他医院环境或私立诊所。
