Figueiredo Rafael, Rattai Jordan, Fournier Kerri, Levin Liran
Alberta Health Services, Edmonton, Alberta, Canada.
School of Dentistry, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Dent Traumatol. 2018 Dec;34(6):421-428. doi: 10.1111/edt.12436. Epub 2018 Oct 3.
BACKGROUND/AIMS: Dental trauma represents a significant cause for concern in emergency department (ED). The aim of this study was to report on the prevalence of ED visits for dental problems associated with trauma (DPAT) in Alberta, Canada. The specific objectives were to provide up-to-date information regarding ED utilization for dental trauma concerning the demographics of users and distribution of ED visits across the Province of Alberta, allowing for an assessment of possible trends over the period of time observed.
Data for ED visits in Alberta between January 1, 2011, and December 31, 2017, were extracted from the National Ambulatory Care Reporting System (NACRS). Data elements pertinent to this analysis include patient demographics, administrative information, and diagnosis. Only the main or primary diagnosis of each ED visit was included in this analysis using the International Statistical Classification of Diseases (ICD-10-CA).
There were 71 118 total ED visits for DPAT in this time period, with an average of 10 159 visits per year across Alberta. Children aged 1-4 years old represented the age-group in both genders with the largest number of ED visits, 22.1% of the total number of visits. The number of ED visits for DPAT by males 21 years or younger (22 384) was higher than the total number of ED visits among females in all age-groups (21 099). The ICD-10-CA code S01.5 referring to open wound of lip and oral cavity was by far the most prevalent diagnosis, representing 57.6% of the total visits during the period investigated.
This population-based report quantifies the rates and frequency of ED utilization for DPAT in the province of Alberta, Canada. The information gathered is important to support injury prevention initiatives using a population-based approach targeting the high-risk groups of the population identified by this study.
背景/目的：牙科创伤是急诊科（ED）需要重点关注的一个重要原因。本研究的目的是报告加拿大艾伯塔省因创伤相关牙科问题（DPAT）前往急诊科就诊的患病率。具体目标是提供有关牙科创伤患者人口统计学特征以及艾伯塔省各地急诊科就诊分布情况的最新急诊科利用信息，以便评估在所观察时间段内的可能趋势。
从国家门诊护理报告系统（NACRS）中提取了2011年1月1日至2017年12月31日期间艾伯塔省急诊科就诊的数据。与本分析相关的数据元素包括患者人口统计学特征、管理信息和诊断。使用国际疾病分类（ICD - 10 - CA），本分析仅纳入每次急诊科就诊的主要或初步诊断。
在此期间，因DPAT前往急诊科就诊的总数为71118次，艾伯塔省每年平均就诊10159次。1 - 4岁的儿童是两个性别中急诊科就诊次数最多的年龄组，占就诊总数的22.1%。21岁及以下男性因DPAT前往急诊科就诊的次数（22384次）高于所有年龄组女性的就诊总数（21099次）。ICD - 10 - CA编码S01.5（指唇和口腔开放性伤口）是迄今为止最常见的诊断，占调查期间就诊总数的57.6%。
这份基于人群的报告量化了加拿大艾伯塔省因DPAT利用急诊科的比率和频率。所收集的信息对于支持采用基于人群的方法开展伤害预防举措非常重要，该方法针对本研究确定的高风险人群。
