Friedman Molly Ehrlich, Quiñonez Carlos, Barrett Edward J, Boutis Kathy, Casas Michael J
J Can Dent Assoc. 2018 May;84:i5.
To determine the number and diagnoses of caries-related complaints presenting at Canada's largest children's hospital emergency department (ED) and the costs associated with treatment over 5 years.
We carried out a retrospective review of the health records of all children who presented to The Hospital for Sick Children, Toronto, with caries-related emergency complaints from 1 January 2008 to 31 December 2012. A caries-related complaint was defined as a chief complaint of pain or swelling resulting from the sequelae of dental decay (reversible pulpitis, irreversible pulpitis, abscess or cellulitis), as recorded in the chart by the treating physician or dentist. Visit information included chief complaint, final diagnosis, treatment rendered and patient disposition at discharge. Decision Support Services, a hospital department that analyzes resource use and associated costs, calculated the institutional costs for the episodes of emergency care.
There were 1081 visits over the 5-year period, with a 19% increase in visits over that time. The most common presenting complaint was pain (50.8%) and the most common diagnosis abscess (35.6%). A dentist was consulted for 60.0% of the children and dental treatment in the ED was provided for 25.9%. The mean cost of treatment per patient was Can$575.17 (95% confidence interval $501.91-$648.43).
Over the 5-year study period, dental visits to this tertiary care pediatric hospital increased. The most common complaint was pain, and the diagnosis for about a third of these cases was abscess. Dental consultation was often included in the management of these patients and the resultant cost of these visits was about Can$600/patient.
确定加拿大最大儿童医院急诊科出现的与龋齿相关的就诊数量及诊断情况，以及5年期间的治疗相关费用。
我们对2008年1月1日至2012年12月31日期间因与龋齿相关的紧急情况就诊于多伦多病童医院的所有儿童的健康记录进行了回顾性研究。与龋齿相关的就诊被定义为治疗医生或牙医在病历中记录的因龋齿后遗症（可复性牙髓炎、不可复性牙髓炎、脓肿或蜂窝织炎）导致的疼痛或肿胀的主要诉求。就诊信息包括主要诉求、最终诊断、所提供的治疗以及出院时的患者处置情况。医院的决策支持服务部门分析资源使用及相关成本，计算了急诊护理事件的机构成本。
在这5年期间共有1081次就诊，就诊次数在此期间增加了19%。最常见的就诊诉求是疼痛（50.8%），最常见的诊断是脓肿（35.6%）。60.0%的儿童咨询了牙医，25.9%的儿童在急诊科接受了牙科治疗。每位患者的平均治疗费用为575.17加元（95%置信区间为501.91 - 648.43加元）。
在为期5年的研究期间，这家三级护理儿科医院的牙科就诊量有所增加。最常见的诉求是疼痛，约三分之一病例的诊断为脓肿。这些患者的管理中经常包括牙科咨询，这些就诊的最终费用约为每位患者600加元。
