Nikolovski Jana, Chapman Emily E, Widmer Richard P, Ayer Julian G
Paediatric Dentistry, School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Westmead Centre for Oral Health, Sydney, New South Wales, Australia.
The Heart Centre for Children, The Sydney Children's Hospitals Network, Sydney, New South Wales, Australia.
J Paediatr Child Health. 2023 Jul;59(7):885-889. doi: 10.1111/jpc.16406. Epub 2023 Apr 17.
To identify the types of dental treatment provided under general anaesthesia for children diagnosed with congenital heart disease (CHD), quantify the costs within a publicly funded tertiary paediatric hospital setting and identify factors which affect the cost.
A retrospective analysis of dental records (July 2015 to June 2019) was conducted for children with CHD who had undergone a dental general anaesthetic procedure at The Children's Hospital at Westmead, Australia. Patient and treatment-related information were collected, and a costing analysis was performed on 89 dental general anaesthetic procedures.
Mean age at the time of the general anaesthetic was 8.15 years. About 27% of children with CHD had a history of dental infection. Dental extractions and restorations comprised the majority of treatments provided, with extractions performed in 86% of procedures. The mean number of days in hospital was 1.43 and the mean cost was $4395.14. The cost was significantly greater when children presented with a facial swelling compared to any other reason.
Dental extractions are performed in the majority of general anaesthetics. Not only is there an economic burden to the public health system in providing dental treatment under general anaesthesia for children with CHD, the health impacts also appear to be substantial. A considerable proportion required overnight hospitalisation and days in hospital was strongly related to the cost of the dental general anaesthetic. Systematic referral pathways for accessing dental care are an important consideration for children with CHD.
确定为诊断患有先天性心脏病（CHD）的儿童在全身麻醉下提供的牙科治疗类型，在一家公立三级儿科医院环境中量化成本，并确定影响成本的因素。
对2015年7月至2019年6月期间在澳大利亚韦斯特米德儿童医院接受牙科全身麻醉手术的先天性心脏病儿童的牙科记录进行回顾性分析。收集患者和与治疗相关的信息，并对89例牙科全身麻醉手术进行成本分析。
全身麻醉时的平均年龄为8.15岁。约27%的先天性心脏病儿童有牙科感染史。拔牙和修复占所提供治疗的大部分，86%的手术进行了拔牙。平均住院天数为1.43天，平均成本为4395.14美元。与其他任何原因相比，儿童出现面部肿胀时成本显著更高。
大多数全身麻醉手术都进行了拔牙。为先天性心脏病儿童在全身麻醉下提供牙科治疗不仅给公共卫生系统带来经济负担，对健康的影响似乎也很大。相当一部分儿童需要过夜住院，住院天数与牙科全身麻醉的成本密切相关。对于先天性心脏病儿童来说，系统的牙科护理转诊途径是一个重要的考虑因素。
