Multidisciplinary Maxillofacial, Oral Surgery, Orthodontics, Paediatric Dentistry and Special Care Dentistry, Dental Core Trainee, East Surrey Hospital, Canada Avenue, Redhill, RH1 5RH, UK.
Dental Officer, East Surrey Hospital, Canada Avenue, Redhill, RH1 5RH, UK.
Br Dent J. 2020 May;228(9):687-692. doi: 10.1038/s41415-020-1446-5.
Introduction The oral health of adult inpatients has been found to deteriorate during hospital admissions, which can impact on eating and drinking, risk of hospital-acquired infections and overall recovery, thus extending the length of admission.Aim The aim of this paper was to evaluate the reasons for inpatient referrals to the dental and maxillofacial department and the treatment outcomes through analysis of referrals over a five-year period collected prospectively.Method Data were collected from inpatient referrals to the dental and maxillofacial department at East Surrey Hospital over five years from January 2014 to December 2018. Information about reason for referral and treatment outcomes was reflected on.Results In total, 851 referrals were received from hospital staff over five years. The most common reason for referral was related to acute dental pain and potential analgesic overdose (16%), followed by suspected dental abscess or facial swelling (12%) and dental assessment for cardiac inpatients (11%). The most common treatment outcomes included consultation and advice only (16%) or dental extraction (16%). A large proportion of outcomes related to management of oral pain due to dry mouth (9%), oral ulceration (6%), broken dentures (8%) or fillings (5%).Conclusion The data collected show there is a clear need and benefit for hospitals to commission dental services for inpatients.
简介 研究发现，住院期间成年住院患者的口腔健康状况会恶化，这可能会影响进食和饮水、增加医院获得性感染的风险以及整体康复情况，从而延长住院时间。 目的 本文旨在通过分析五年间前瞻性收集的转诊数据，评估住院患者转至口腔颌面外科的原因以及治疗效果。 方法 本研究收集了 2014 年 1 月至 2018 年 12 月期间东萨里医院口腔颌面外科的住院患者转诊数据。反映了转诊原因和治疗效果的相关信息。 结果 五年间共收到 851 份来自医院工作人员的转诊申请。最常见的转诊原因是急性牙痛和潜在的止痛药过量（16%），其次是疑似牙周脓肿或面部肿胀（12%）以及心内科住院患者的口腔评估（11%）。最常见的治疗结果包括仅咨询和建议（16%）或拔牙（16%）。很大一部分结果与口干引起的口腔疼痛、口腔溃疡、义齿损坏或填充物脱落等口腔问题的管理有关（9%、6%、8%和 5%）。 结论 收集的数据表明，医院为住院患者提供牙科服务有明确的需求和益处。
