Characteristics of Endodontic Emergencies during Coronavirus Disease 2019 Outbreak in Wuhan

Characteristics of Endodontic Emergencies during Coronavirus Disease 2019 Outbreak in Wuhan
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武汉市COVID-19疫情期间牙髓急症的特点

DOI:
10.1016/j.joen.2020.04.001
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发表时间:
2020-06-01
影响因子:
4.2
通讯作者:
Shen, Ya
Shen, Ya
中科院分区:
医学2区
文献类型:
--
作者:
Yu, Jingjing;Zhang, Tian;Shen, Ya

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导读:2019年底,中国武汉检测到一种名为严重急性呼吸综合征冠状病毒2的新型冠状病毒爆发。很大一部分患有这种疾病的病人出现干咳、不适和高烧的症状。在此期间,几名需要评估和治疗牙髓急症的患者被送往中国武汉武汉大学口腔医学院和医院。我们研究了这些患者的特征。研究方法:共有96名患者,平均年龄为42.24 6 18.32岁,在2020年2月22日至3月2日的高峰期因牙髓急症前往武汉大学口腔医学院和医院的普通和急诊科就诊。收集患者信息,并按访视日期、性别、年龄和全身疾病史进行组织。测量并获取每位患者的体温,向每位患者发放2019冠状病毒病(COVID-19)流行病学调查问卷,确定对违规牙齿的牙髓诊断,并使用口头数字评级量表(VNRS)记录疼痛水平。结果:在此期间的总患者访问,50.26%的访问是根管治疗。没有患者出现发热(>37.2 ℃)。1名有确诊COVID-19病史的患者在康复后入院。3名入院患者曾接触过确诊或疑似COVID-19患者。12例患者(12.5%),平均年龄为62.426 ± 13.77岁,有全身性疾病史。45-64岁年龄组发生率最高(30.21%),与6 ~ 19岁年龄组和20 ~ 34岁年龄组相比,VNRS评分显著增高(P
Introduction: In late 2019, an outbreak of a new coronavirus named severe acute respiratory syndrome coronavirus 2 was detected in Wuhan, China. A great percentage of patients with this disease developed symptoms of dry cough, malaise, and a high fever. During this time, several patients requiring assessment and treatment of endodontic emergencies were directed to the School and Hospital of Stomatology at Wuhan University, Wuhan, China. We examined the characteristics of these patients. Methods: A total of 96 patients with a mean age of 42.24 6 18.32 years visited the general and emergency department of the School and Hospital of Stomatology at Wuhan University because of endodontic emergencies during the peak period of February 22 to March 2, 2020. Patient information was collected and organized by date of visit, sex, age, and systemic disease history. Body temperature was measured and acquired for each patient, a coronavirus disease 2019 (COVID-19) epidemiologic investigation questionnaire was given to each patient, an endodontic diagnosis was determined for the offending tooth, and a verbal numerical rating scale (VNRS) was used to record pain levels. Results: Of the total patient visits during this period, 50.26% of visits were for endodontic treatment. No patients had a fever (>37.2 degrees C). One patient with a confirmed COVID-19 history was admitted after recovery. Three admitted patients had been exposed to confirmed or suspected COVID-19 patients. Twelve admitted patients (12.5%) with a mean age of 62.426 13.77 years had a history of systemic diseases. The most common age group for endodontic emergencies was 45-64 years (30.21%), and patients of this group showed a significantly higher mean VNRS score compared with that of the 6- to 19-year age group and the 20- to 34-year age group (P