方山牙科手术并发症分类量表
The Fonthill Dental Surgery Complication Classification Scale.
作者信息
Fritz Peter C, Longo Amanda B
机构信息
Dr. Peter C. Fritz Periodontal Wellness & Implant Surgery Fonthill ON Canada.
Department of Kinesiology, Faculty of Applied Health Sciences Brock University St. Catharines ON Canada.
出版信息
Clin Exp Dent Res. 2019 Aug 11;5(6):725-730. doi: 10.1002/cre2.235. eCollection 2019 Dec.
OBJECTIVES
A lack of consensus on how to classify post-operative complications in dentistry limits the ability for comparison of outcomes among treatments and their primary providers. Therefore, the Fonthill Dental Surgery Complication Classification Scale has been proposed as a uniform reporting tool to allow for the standardized quality assessment of dental treatment. This instrument classifies negative outcomes arising after dental treatment and is based on the clinician and the clinician time required to resolve the complication in seven classes of increasing severity.
MATERIALS AND METHODS
The scale was evaluated in a cohort of 2,382 consecutive patients, of which 9% experienced a complication, the majority of which were Class I or Class II-resolved without intervention by the dental surgeon.
RESULTS
Four scenarios where interpretation of the scale was required are presented with an explanation of their complication class.
CONCLUSIONS
This classification system will ultimately prove reliable in measuring clinician success rate and aiding in the decision-making process for patients, clinicians, and financial providers.
目的
在如何对牙科术后并发症进行分类方面缺乏共识，这限制了不同治疗方法及其主要实施者之间比较治疗结果的能力。因此，已提出丰蒂尔牙科手术并发症分类量表作为一种统一的报告工具，以便对牙科治疗进行标准化的质量评估。该工具对牙科治疗后出现的负面结果进行分类，基于临床医生以及解决并发症所需的临床医生时间，分为七个严重程度递增的类别。
材料与方法
在一组连续的2382例患者中对该量表进行了评估，其中9%的患者出现了并发症，大多数为I类或II类——无需牙科外科医生干预即可解决。
结果
给出了四种需要对该量表进行解释的情况，并对其并发症类别进行了解释。
结论
这种分类系统最终将被证明在衡量临床医生成功率以及辅助患者、临床医生和金融机构进行决策过程方面是可靠的。
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