牙源性感染：单家医疗机构在 COVID-19 期间的疾病负担。
Odontogenic Infections: Disease Burden During COVID-19 at a Single Institution.
机构信息
Resident, Department of Oral and Maxillofacial Surgery, Medical Student, School of Medicine, University of Washington, Seattle, WA.
Dental Student, School of Dentistry, University of Washington, Seattle, WA.
出版信息
J Oral Maxillofac Surg. 2021 Apr;79(4):830-835. doi: 10.1016/j.joms.2020.10.015. Epub 2020 Oct 16.
PURPOSE
The purpose of this study was to document the effect of coronavirus disease 2019 (COVID-19) on patients presenting to the University of Washington Oral and Maxillofacial Surgery (UW OMS) with an odontogenic infection.
MATERIALS AND METHODS
The investigators designed a retrospective cohort study and enrolled a sample of 889 subjects who presented for an odontogenic infection from March 19 to June 18 in the years 2017, 2018, 2019, and 2020. The primary predictor variable was OMS consultation for an odontogenic infection during a non-COVID-19 (2017, 2018, and 2019) year (control) or during the COVID-19 pandemic in 2020 (experimental). The primary outcome variable was treatment rendered. Appropriate univariate and bivariate statistics were computed, and the level of significance was set at .05 for all tests.
RESULTS
There was no significant difference in the incidence of OMS consults in the 2 cohorts (P > .05). The number of patients presenting to the UW emergency department (ED) for an odontogenic infection decreased from an average of 246 in non-COVID years to 151 in 2020. Patients in the experimental cohort were more likely (55 vs 30.0%; P = .04) to present primarily to UW than a dentist and were less likely to undergo an incision and drainage (70.0 vs 88.8%; P = .04), aerosol-generating procedure (70.0 vs 88.8%; P = .04), and incision and drainage in the ED (15.0 vs 41.3%; P = .03).
CONCLUSIONS
The investigators did not find evidence of increased hospital or ED burden by odontogenic infections during the COVID-19 pandemic.
目的
本研究旨在记录 2019 年冠状病毒病（COVID-19）对到华盛顿大学口腔颌面外科（UW OMS）就诊的患有牙源性感染的患者的影响。
材料和方法
研究人员设计了一项回顾性队列研究，纳入了 889 名 2017 年、2018 年、2019 年和 2020 年 3 月 19 日至 6 月 18 日期间因牙源性感染就诊的患者样本。主要预测变量是在非 COVID-19 年份（2017 年、2018 年和 2019 年）或 2020 年 COVID-19 大流行期间进行 OM 咨询以治疗牙源性感染（对照）。主要结局变量是提供的治疗。计算了适当的单变量和双变量统计数据，所有检验的显著性水平均为.05。
结果
两个队列中 OM 就诊的发生率没有显著差异（P>.05）。因牙源性感染到 UW 急诊部就诊的患者人数从非 COVID 年的平均 246 人减少到 2020 年的 151 人。实验队列中的患者更有可能（55 比 30.0%；P=.04）首先到 UW 就诊，而不是看牙医，并且不太可能接受切开引流（70.0 比 88.8%；P=.04）、产生气溶胶的程序（70.0 比 88.8%；P=.04）和在 ED 进行切开引流（15.0 比 41.3%；P=.03）。
结论
研究人员没有发现 COVID-19 大流行期间牙源性感染导致医院或 ED 负担增加的证据。
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