Impact of the COVID-19 pandemic on urgent dental care delivery in a Swiss university center for dental medicine.
Impact of the COVID-19 pandemic on urgent dental care delivery in a Swiss university center for dental medicine.
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DOI：
10.1007/s00784-021-03872-1
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发表时间：
2021-10
影响因子：
3.4
通讯作者：
Bornstein MM
中科院分区：
文献类型：
--
作者：
Eggmann F;Haschemi AA;Doukoudis D;Filippi A;Verna C;Walter C;Weiger R;Zitzmann NU;Bornstein MM
这项研究旨在评估瑞士一家主要牙科机构在为缓解新冠肺炎疫情而发布的封锁期间，与封锁前后几周相比，是否面临不同的需求(病人数量、治疗需求、牙齿护理特征)。对瑞士巴塞尔一所大学牙科医学中心在6周封闭期、封闭期前和封闭期后接受紧急护理的患者的数据进行了回顾性评估。统计分析包括等比例检验和Logistic回归模型。显著性水平设定为α=0.0 5。这项研究包括2020年2月2日至6月5日期间的3109次牙科急诊。在封锁期间，每天的案件量增加了。在封锁期间，脓肿、正畸急症和手术随访更常见，而牙槽骨损伤的数量下降(≤0.048)。与接下来的几周相比，紧急牙科护理服务在封闭期前更频繁地涉及口腔内X光照片(p<；0.001)。在所有治疗中，气雾剂产生程序从56.1%(封锁前)下降到封锁期间的21.3%(p<；0.001)，而远程医疗随访变得更加频繁(p<；0.001)。在封锁后期间，患有合并症的患者寻求紧急牙科护理的频率较低(p=0.004)。封锁在患者的诊断、治疗需求和所提供的紧急护理的特点方面对牙科急救服务产生了重大影响。在新冠肺炎大流行期间及以后，必须监测和保障获得基本牙科护理的机会，因为延迟护理会带来严重后遗症的风险，并且合并疾病的人可能会改变他们的牙科就医行为。
This study aimed to assess whether the emergency service of a major Swiss dental institution faced different demands (patient volume, treatment needs, dental care characteristics) during a lockdown, issued to mitigate the COVID-19 pandemic, compared with the weeks before and after. Data of patients receiving urgent care at a university center for dental medicine (Basel, Switzerland) during the 6-week lockdown, pre-lockdown, and post-lockdown periods were retrospectively evaluated. Statistical analysis involved tests for equal proportions and logistic regression models. The level of significance was set at α=0.05. The study comprised 3109 dental emergency visits in the period from February 2 to June 5, 2020. Daily caseloads increased during lockdown. Abscesses, orthodontic emergencies, and surgical follow-ups were more common during lockdown, whereas the number of dento-alveolar injuries declined (≤0.048). Urgent dental care provision involved intraoral radiographs more frequently in the pre-lockdown period compared with the following weeks (p<0.001). Among all treatments, aerosol-generating procedures dropped from 56.1% (pre-lockdown) to 21.3% during lockdown (p<0.001), while teledentistry follow-ups became more frequent (p<0.001). Patients with comorbidities sought urgent dental care less frequently during the post-lockdown period (p=0.004). The lockdown significantly impacted the dental emergency service in terms of patients’ diagnoses, treatment needs, and the characteristics of the urgent care that was delivered. Access to essential dental care must be monitored and safeguarded throughout the COVID-19 pandemic and beyond as deferred care entails risks for serious sequelae and persons with comorbidities may change their dental care-seeking behavior.
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影响因子：
6.7
作者：
Marouf N;Cai W;Said KN;Daas H;Diab H;Chinta VR;Hssain AA;Nicolau B;Sanz M;Tamimi F
通讯作者：
Tamimi F
DOI：
10.1016/j.jhin.2020.10.003
发表时间：
2020-12
期刊：
The Journal of hospital infection
影响因子：
--
作者：
Ortega KL;Rech BO;El Haje GLC;Gallo CB;Pérez-Sayáns M;Braz-Silva PH
通讯作者：
Braz-Silva PH
武汉市COVID-19疫情期间牙髓急症的特点
影响因子：
4.2
作者：
Yu, Jingjing;Zhang, Tian;Shen, Ya
通讯作者：
Shen, Ya
影响因子：
3.4
作者：
Yang, Yang;Zhou, Yin;Tan, Jianguo
通讯作者：
Tan, Jianguo
影响因子：
4.4
作者：
Ren, Yanfang;Feng, Changyong;Eliav, Eli
通讯作者：
Eliav, Eli