Cully Matthew, Cully Jennifer, Nietert Paul J, Titus M Olivia
From the Division of Pediatrics, Medical University of South Carolina, Charleston, SC.
Division of Pediatric Dentistry, Cincinnati Children Hospital Medical Center, Cincinnati, OH.
Pediatr Emerg Care. 2019 Nov;35(11):745-748. doi: 10.1097/PEC.0000000000001479.
The objectives of this study were to (1) survey and report the awareness and confidence of pediatric emergency medicine physicians in the management of dental trauma and (2) determine the prevalence of dental trauma decision-making pathway utilization in the pediatric emergency department.
A survey was distributed through e-mail to the pediatric emergency medicine discussion list via Brown University LISTSERV. The survey study included 10 questions and was multiple-choice. The survey contained questions about physician confidence and their use of a dental trauma decision-making pathway.
A total of 285 individuals responded to the survey. Somewhat confident was the most common response (61%) followed by not confident (20%) and confident (19%) by respondents in treating dental trauma. Forty-one percent of respondents felt comfortable, 39% somewhat comfortable, 19% not comfortable, and 1% not sure in replanting an avulsed tooth. Only 6% of respondents reported that their pediatric emergency department always or sometimes uses a dental trauma decision-making pathway, whereas 78% of pediatric emergency departments do not.
We believe that the adoption of a decision-making pathway will provide timely management, improve emergency physician comfort, and enhance outcomes for pediatric patients presenting with a dental trauma. A future multicenter review will aim to evaluate these goals based on the utilization of our dental trauma decision-making pathway.
本研究的目的是（1）调查并报告儿科急诊医学医生在处理牙外伤方面的认知和信心，以及（2）确定儿科急诊科使用牙外伤决策路径的情况。
通过布朗大学LISTSERV向儿科急诊医学讨论列表发送电子邮件进行调查。该调查研究包括10个问题，均为多项选择题。调查内容包括医生的信心以及他们对牙外伤决策路径的使用情况。
共有285人回复了调查。在处理牙外伤方面，最常见的回答是“有点信心”（61%），其次是“没有信心”（20%）和“有信心”（19%）。在重新植入脱落牙齿方面，41%的受访者表示“感到自在”，39%表示“有点自在”，19%表示“不自在”，1%表示“不确定”。只有6%的受访者报告称他们所在的儿科急诊科总是或有时使用牙外伤决策路径，而78%的儿科急诊科则不使用。
我们认为采用决策路径将为儿科牙外伤患者提供及时的治疗，提高急诊医生的舒适度，并改善治疗效果。未来的多中心评估将旨在根据我们的牙外伤决策路径的使用情况来评估这些目标。
