新冠疫情期间儿童急诊科的口腔疾病就诊情况
Oral Complaint Visits to the Pediatric Emergency Department During the COVID-19 Pandemic.
作者信息
Fleagle Jenelle, Xiao Wendi, Cottam Michael, Lorch Margarita
机构信息
Department of Dentistry, Nemours Children's Health System, Wilmington, USA.
Department of Biomedical Research, Nemours Children's Health System, Wilmington, USA.
出版信息
Cureus. 2022 Aug 29;14(8):e28559. doi: 10.7759/cureus.28559. eCollection 2022 Aug.
OBJECTIVE
We aimed to describe differences in orofacial complaints presenting to a pediatric emergency department (PED) during the COVID-19 pandemic as compared to those presenting prior to the pandemic.
STUDY DESIGN
A retrospective review was conducted in the PED from March 16, 2020, to August 16, 2020, and compared with the prior year.
RESULTS
Despite a 41% reduction in total PED visits, oral visits as a percentage of PED volume increased (3% vs 2%) P < 0.01) during the pandemic. More children with dental complaints required intervention during the pandemic (48% vs 30%, P < 0.001) including extractions and splinting (15% vs 1%, P < 0.001). Compared with pre-pandemic, proportion of tooth infections increased (68% vs 40%, P < 0.001), while oral ulcers decreased (19% vs 47%, P < 0.001).
CONCLUSION
Pediatric emergency department presentation decreased during the pandemic, but patients requiring interventions increased. This may reflect hesitation in seeking treatment, outpatient facility closures, and increased acuity at the time of PED presentation due to delays in seeking care.
目的
我们旨在描述2019年冠状病毒病（COVID-19）大流行期间与大流行之前相比，儿科急诊科（PED）出现的口面部疾病的差异。
研究设计
对2020年3月16日至2020年8月16日期间该儿科急诊科进行回顾性分析，并与上一年进行比较。
结果
尽管儿科急诊科就诊总数减少了41%，但在大流行期间，口腔就诊占儿科急诊科就诊量的百分比有所增加（3%对2%，P<0.01）。在大流行期间，更多有牙齿问题的儿童需要干预（48%对30%，P<0.001），包括拔牙和夹板固定（15%对1%，P<0.001）。与大流行前相比，牙齿感染的比例增加（68%对40%，P<0.001），而口腔溃疡减少（19%对47%，P<0.001）。
结论
在大流行期间，儿科急诊科就诊人数减少，但需要干预的患者增加。这可能反映出患者在寻求治疗时的犹豫、门诊机构关闭以及由于延迟就诊导致在儿科急诊科就诊时病情加重。
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