Zheng Jiaoer, Xu Ji, Zhang Denghui
Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Han, Hangzhou, Zhejiang, China.
PeerJ. 2025 Jan 30;13:e18678. doi: 10.7717/peerj.18678. eCollection 2025.
To analyze the 24-hour on-call experience and factors influencing the treatment decisions of a dental resident for dental emergencies, particularly pulpitis, during on-call hours.
This retrospective study was conducted at a public stomatology hospital from January 1 to December 30, 2023. Each consultation was documented, recording the date and time, patient age and gender, diagnosis, and any emergent interventions. Statistical analyses were conducted using univariate analysis to explore the association between various factors and the incidence of dental interventions for pulpitis, with significance set at < 0.05.
Over 1 year, 81 residents from seven specialties managed 2,717 consultations during 365 instances of 24-h call duty. The busiest months were October ( = 297). Most consultations occurred during extended hours (1,856 consultations) compared to normal hours (8:00-17:00) (861 consultations). The busiest consultation periods were between 20:00 and 22:00. Pulpitis was the most frequently diagnosed condition ( = 988). Univariate analysis showed no significant impact of patient gender ( = 0.896) or age ( = 0.632) on the likelihood of receiving a dental intervention. However, consultations during extended hours were twice as likely (OR = 2.028, 95% CI [1.510-2.723]) to result in no intervention compared to normal hours. Endodontics and pediatric dentistry residents were more likely to perform interventions compared to other specialties, with postgraduate year (PGY) six residents being less likely to perform interventions compared to PGY4 residents.
Residents exhibit lower willingness to perform dental interventions during extended working hours and in higher grade levels, with significant variability across different specialties. Enhanced training and fatigue risk management for residents may help to ensure effective patient care during on-call hours.
分析牙科住院医师在24小时值班期间处理牙科急诊（尤其是牙髓炎）的随叫随到经历以及影响其治疗决策的因素。
本回顾性研究于2023年1月1日至12月31日在一家公立口腔医院进行。每次会诊都有记录，记录日期和时间、患者年龄和性别、诊断以及任何紧急干预措施。采用单因素分析进行统计分析，以探讨各种因素与牙髓炎牙科干预发生率之间的关联，显著性设定为<0.05。
在1年多的时间里，来自7个专业的81名住院医师在365次24小时值班期间处理了2717次会诊。最繁忙的月份是10月（=297）。与正常工作时间（8:00 - 17:00）（861次会诊）相比，大多数会诊发生在延长工作时间（1856次会诊）。最繁忙的会诊时间段是20:00至22:00。牙髓炎是最常诊断出的病症（=988）。单因素分析显示，患者性别（=0.896）或年龄（=0.632）对接受牙科干预的可能性没有显著影响。然而，与正常工作时间相比，延长工作时间的会诊不进行干预的可能性是其两倍（OR = 2.028，95%CI[1.510 - 2.723]）。与其他专业相比，牙髓病学和儿童牙科学住院医师更有可能进行干预，与PGY4住院医师相比，PGY6住院医师进行干预的可能性较小。
住院医师在延长工作时间和高年级时进行牙科干预的意愿较低，不同专业之间存在显著差异。加强对住院医师的培训和疲劳风险管理可能有助于确保值班期间为患者提供有效的护理。
