Booth J, Fowler A J, Pearse R, Dias P, Wan Y I, Witton R, Abbott T E F
Dental Public Health and Primary Care, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Peninsula Dental School, University of Plymouth, Drake Circus, Plymouth, UK.
JDR Clin Trans Res. 2024 Oct;9(4):387-397. doi: 10.1177/23800844231216356. Epub 2024 Jan 3.
The number of surgical extractions performed in hospitals in England remains unclear. This study reports the volume of surgical extractions conducted in hospitals and change in activity during the COVID-19 pandemic.
We conducted a nationwide observational cohort study using Hospital Episode Statistics (HES) in England for patients undergoing surgical removal of a tooth (defined using OPSC-4 code F09) between April 1, 2015, and December 31, 2020. Procedures were stratified by age, gender, and urgency (elective or nonelective), reported using descriptive statistics, number, and percentage. We conducted post hoc modeling to predict surgical activity to December 2023. In addition, we contrasted this with aggregate national data on simple dental extraction procedures and drainage of dental abscesses in hospital as well as dental activity in general practice.
We identified a total of 569,938 episodes for the surgical removal of a tooth (females 57%). Of these, 493,056/569,938 (87%) were for adults and 76,882/569,938 (13%) children ≤18 years. Surgical extractions were most frequent in adult females. Elective cases accounted for 96% ( = 548,805/569,938) of procedures. The median number of procedures carried out per quarter was 27,256, dropping to 12,003 during the COVID-19 pandemic, representing a 56% reduction in activity. This amounted to around 61,058 cancelled procedures. Modeling predicts that this activity has not returned to prepandemic levels.
The number of surgical extractions taking place in hospitals during the pandemic fell by 56%. The true impact of this reduction is unknown, but delayed treatment increases the risk of complications, including life-threatening infections.
The result of this study provides an evidence-based overview of the trends relating to surgical extractions of teeth in England taking place in hospitals. This information can be used to inform service and workforce planning to meet the needs of patients requiring surgical extractions. The data also provide an insight into the oral health needs of the population in England.
英格兰医院进行的外科拔牙手术数量尚不清楚。本研究报告了医院进行的外科拔牙手术量以及新冠疫情期间手术量的变化。
我们利用英格兰的医院事件统计数据（HES）进行了一项全国性观察性队列研究，研究对象为2015年4月1日至2020年12月31日期间接受牙齿外科拔除术（使用OPSC - 4编码F09定义）的患者。手术按年龄、性别和紧急程度（择期或非择期）分层，采用描述性统计、数量和百分比进行报告。我们进行了事后建模以预测到2023年12月的外科手术量。此外，我们将此与全国关于医院简单拔牙手术和牙脓肿引流的汇总数据以及全科医疗中的牙科手术量进行了对比。
我们共识别出569,938例牙齿外科拔除术病例（女性占57%）。其中，493,056/569,938（87%）为成人病例，76,882/569,938（13%）为18岁及以下儿童病例。外科拔牙手术在成年女性中最为常见。择期病例占手术的96%（=548,805/569,938）。每季度进行的手术中位数为27,256例，在新冠疫情期间降至12,003例，手术量减少了56%。这相当于约61,058例手术被取消。建模预测该手术量尚未恢复到疫情前水平。
疫情期间医院进行的外科拔牙手术数量下降了56%。这种下降的真正影响尚不清楚，但治疗延迟会增加并发症风险，包括危及生命的感染。
本研究结果为英格兰医院进行的牙齿外科拔除术相关趋势提供了基于证据的概述。这些信息可用于为服务和劳动力规划提供参考，以满足需要外科拔牙手术的患者的需求。这些数据还提供了对英格兰人群口腔健康需求的洞察。
