Department of Anesthesiology and Division of Intensive Care, Nara Medical University, Nara, Japan.
Anesth Prog. 2022 Apr 1;69(1):3-9. doi: 10.2344/anpr-68-03-02.
Factors related to perioperative dental injury have likely changed as a variety of airway devices and preventive measures have been introduced. This retrospective chart review used data from an institutional registry to evaluate the incidence, timing, and contributing factors of patient self-reported dental injury and to assess the impact of dental injury on patient satisfaction.
Multivariate logistic analysis was performed on the records of 14,820 patients using the incidence of dental injury as the dependent variable and covariates in the anesthesia registry and a postoperative questionnaire as independent variables to investigate factors significantly associated perioperative dental injury. In addition, satisfaction with the anesthesia service was compared between patients with and without injury using a matched-pair population.
A total of 101 dental injuries were identified. Of those, 25% were associated with intubation and extubation in the operating room, while most other injuries occurred postoperatively. Duration of anesthesia (odds ratio [OR], 1.02; 95% confidence interval [CI], 1.00-1.03) and emergency surgery (OR, 1.92; 95% CI, 1.11-3.30) were independently associated with perioperative dental injury. Dental injury did not significantly decrease a patient's satisfaction with the anesthesia service (P = .441).
Most perioperative dental injuries are unrelated to anesthesia procedures. However, the duration of anesthesia and emergency surgery were significantly associated with perioperative dental injury, while decreased patient satisfaction was not.
由于各种气道设备和预防措施的引入，围手术期牙齿损伤的相关因素可能已经发生了变化。本回顾性图表研究使用机构登记处的数据，评估了患者自述牙齿损伤的发生率、时间和相关因素，并评估了牙齿损伤对患者满意度的影响。
使用多变量逻辑分析对 14820 名患者的记录进行分析，以牙齿损伤的发生率为因变量，以麻醉登记处和术后问卷调查中的协变量为自变量，研究与围手术期牙齿损伤显著相关的因素。此外，还通过匹配对人群比较了有损伤和无损伤患者对麻醉服务的满意度。
共发现 101 例牙齿损伤。其中，25%与手术室的插管和拔管有关，而大多数其他损伤发生在术后。麻醉持续时间（比值比 [OR]，1.02；95%置信区间 [CI]，1.00-1.03）和急诊手术（OR，1.92；95% CI，1.11-3.30）与围手术期牙齿损伤独立相关。牙齿损伤并未显著降低患者对麻醉服务的满意度（P=0.441）。
大多数围手术期牙齿损伤与麻醉程序无关。然而，麻醉时间和急诊手术与围手术期牙齿损伤显著相关，而患者满意度降低则不相关。
