儿童非工作时间与工作时间的牙科损伤：时间会影响结果吗？

After-Hours Versus Office-Hours Dental Injuries in Children: Does Timing Influence Outcome?

作者信息

Vukovic Ana, Vukovic Rade, Markovic Dejan, Soldatovic Ivan, Mandinic Zoran, Beloica Milos, Stojan George

机构信息

Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia

Mother and Child Health Care Institute of Serbia "Dr Vukan Cupic," Belgrade, Serbia.

出版信息

Clin Pediatr (Phila). 2016 Jan;55(1):29-35. doi: 10.1177/0009922815584214. Epub 2015 Apr 29.

DOI:10.1177/0009922815584214

PMID:25926667

Abstract

AIM

The aim of this study was to analyze the outcomes and factors associated with after-hours dental trauma.

METHODS

Study sample consisted of 1762 permanent teeth injuries in children, gender and age matched with office-hours injuries. Epidemiological and clinical data were collected from 4 university dental trauma centers.

RESULTS

During median follow-up time of 4.3 years, complications have occurred in 14.5% of injured teeth. Age, type, and degree of tissue injury and after-hours time of injury were significantly associated with complications. Unfavorable outcomes were 34% more likely in the after-hours group compared with office-hours. Urgent treatment was significantly delayed in after-hours group with a delay of more than 3 hours in 90.5% versus 38.9% in the office-hours group. Multivariate regression model showed that after-hours time of injury was significant predictor of complications.

CONCLUSION

Delayed urgent treatment was one of the main factors associated with unfavorable outcome of after-hours injuries.

摘要

目的

本研究旨在分析非工作时间牙齿外伤的治疗结果及相关因素。

方法

研究样本包括1762例儿童恒牙损伤病例，其性别和年龄与工作时间损伤病例相匹配。流行病学和临床数据收集自4所大学的牙齿外伤治疗中心。

结果

在中位随访时间4.3年期间，14.5%的受伤牙齿出现了并发症。年龄、组织损伤类型和程度以及非工作时间受伤与并发症显著相关。与工作时间组相比，非工作时间组出现不良治疗结果的可能性要高34%。非工作时间组的紧急治疗显著延迟，90.5%的病例延迟超过3小时，而工作时间组这一比例为38.9%。多变量回归模型显示，非工作时间受伤是并发症的显著预测因素。