Carmagnola Daniela, Toma Marilisa, Henin Dolaji, Perrotta Mariachiara, Gianolio Laura, Colombo Alessandra, Dellavia Claudia
Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, Via Mangiagalli 31, 20133 Milano, Italy.
Department of Pediatrics, Vittore Buzzi Children's Hospital, Università degli Studi di Milano, Via Lodovico Castelvetro 32, 20154 Milano, Italy.
Healthcare (Basel). 2022 Mar 15;10(3):537. doi: 10.3390/healthcare10030537.
Emergency rooms (ER) are largely used by patients with oral complaints, who choose the ER over private or public dental offices for oral prevention and treatment. During the COVID-19 pandemic, the activity of most dental facilities was limited, and most hospitals and ERs were dedicated to the treatment of COVID-19 patients. The present study analyzed the number of and reason for visits at the emergency room (ER) of Ospedale dei Bambini "Vittore Buzzi", the main pediatric hospital in Milano, Italy, between 2019 and 2020, with a particular focus on oral emergencies. In 2019, 25,435 children turned to the ER, compared to 16,750 in 2020. About 10% of the children were eventually admitted to the hospital in both years. The number of admissions for infectious diseases, other than COVID-19, signed an important decrease in 2020, while trauma/injuries decreased slightly in number but increased in proportion. The number and proportion of ER visits for oral complaints decreased in 2020 compared to 2019. Stomatitis was the most frequent condition, followed by traumatic injuries, which decreased in number and percentage between 2019 and 2020. Oral infections and painful caries accounted for about 15% of the cases in both 2019 and 2020. These data highlight the need to promote territorial services for the prevention and treatment of oral health complaints, including dental emergencies.
急诊室（ER）大量接待有口腔问题的患者，这些患者在进行口腔预防和治疗时选择急诊室而非私立或公立牙科诊所。在新冠疫情期间，大多数牙科机构的业务受限，而大多数医院和急诊室都致力于治疗新冠患者。本研究分析了意大利米兰主要的儿童医院“维托雷·布齐儿童医院”急诊室在2019年至2020年间的就诊人数及原因，特别关注口腔急诊情况。2019年，有25435名儿童前往急诊室，2020年为16750名。两年中约10%的儿童最终住院。2020年，除新冠外的传染病住院人数显著下降，而创伤/损伤数量略有下降但比例上升。与2019年相比，2020年因口腔问题前往急诊室就诊的人数和比例均有所下降。口腔炎是最常见的病症，其次是创伤性损伤，其数量和百分比在2019年至2020年间有所下降。2019年和2020年，口腔感染和疼痛性龋齿约占病例的15%。这些数据凸显了推广口腔健康问题（包括牙科急诊）预防和治疗的区域服务的必要性。
