Yousuf Tahoora, Subhan Khan Muhammad, Ghafoor Robia
Operative Dentistry & Endodontics, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.
Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan.
BDJ Open. 2024 Nov 9;10(1):85. doi: 10.1038/s41405-024-00267-8.
Majority of patients with Dento-Facial Traumatic Injuries (DFTI) seek initial care at an Emergency Department (ED). The timely management of DFTI is of utmost importance in determining long-term prognosis of the tooth and the patient's overall quality of life. Thus, knowledge and awareness of ED residents & physicians regarding the management of DFTI is crucial for better patient outcomes. Numerous studies have investigated the knowledge of ED specialists regarding initial management of dental trauma, however, scientific evidence in this domain is scarce in our region.
The aim of this study was to evaluate the knowledge and awareness of ED residents and physicians regarding diagnosis and management of DFTI using a web-based survey on REDCap.
An observational cross-sectional study was conducted among the ED residents and physicians of private and public hospitals in Karachi, Pakistan. Data was collected through a web-based questionnaire, sent via email to the participants. The survey comprised of questions assessing their knowledge regarding the diagnosis and management of various dental and maxillofacial injuries. Responses from the participants were graded as low, moderate or high knowledge levels according to a pre-determined criteria. Pearson's chi-square test was applied to determine the association between knowledge scores.
The total response rate was 47.6%. Out of 116 participants, 49 (42%) responses were received from physicians and 67 (58%) from residents. The overall knowledge level of participants was low (46.6%) and there was no significant difference in the knowledge level between residents and physicians (p = 0.157). Participants who had received formal training in dental trauma (p = 0.038) and those with more years of clinical experience (p = 0.004) had higher knowledge scores, that were statistically significant.
The knowledge and awareness of ED residents and physicians in dental trauma management was generally low. Specialized training courses are required to provide timely and adequate management of traumatic dental injuries in order to improve patient-related outcomes.
大多数牙面部创伤患者最初在急诊科就诊。牙面部创伤的及时处理对于确定牙齿的长期预后和患者的整体生活质量至关重要。因此，急诊科住院医师和医生对牙面部创伤处理的知识和认识对于改善患者预后至关重要。许多研究调查了急诊科专家对牙外伤初始处理的知识，然而，我们地区在这一领域的科学证据很少。
本研究的目的是通过在REDCap上进行基于网络的调查，评估急诊科住院医师和医生对牙面部创伤诊断和处理的知识和认识。
在巴基斯坦卡拉奇的私立和公立医院的急诊科住院医师和医生中进行了一项观察性横断面研究。通过基于网络的问卷收集数据，通过电子邮件发送给参与者。该调查包括评估他们对各种牙颌面损伤诊断和处理知识的问题。根据预先确定的标准，将参与者的回答分为低、中、高知识水平。应用Pearson卡方检验确定知识得分之间的关联。
总回复率为47.6%。在116名参与者中，49名（42%）来自医生，67名（58%）来自住院医师。参与者的总体知识水平较低（46.6%），住院医师和医生之间的知识水平没有显著差异（p = 0.157）。接受过牙外伤正规培训的参与者（p = 0.038）和临床经验更丰富的参与者（p = 0.004）的知识得分更高，具有统计学意义。
急诊科住院医师和医生在牙外伤处理方面的知识和认识普遍较低。需要专门的培训课程，以便及时、充分地处理牙外伤，从而改善与患者相关的结果。
