Issues arising following a referral and subsequent wait for extraction under general anaesthetic: impact on children.
Issues arising following a referral and subsequent wait for extraction under general anaesthetic: impact on children.
复制标题
DOI：
10.1186/1472-6831-15-3
复制
发表时间：
2015-01-17
期刊：
影响因子：
2.9
通讯作者：
Pretty IA
中科院分区：
文献类型：
--
作者：
Goodwin M;Sanders C;Davies G;Walsh T;Pretty IA
未经治疗的幼儿龋齿可能会导致转诊到医院进行全身麻醉 (GA) 拔牙。本研究旨在探讨在随后的 GA 等待期间龋齿对居住在英格兰西北部的儿童的影响。该研究涉及英格兰西北部六家医院的 456 名受访者。在两个月的时间内，每个儿童/家庭都完成了一份调查问卷，并允许查看他们的转介和咨询记录。儿童（6.78 岁：1.50 至 16.42）平均拔除 5 颗牙齿（从一颗到完全拔除所有牙齿）。 67% 的家长表示他们的孩子感到疼痛，26% 的家长表示孩子缺课，38% 的家长表示晚上不眠。从转诊到手术的平均时间为 137 天。结果表明，孩子们在等待期间可能会感到不适，因为平均在手术前 14 天就会感到疼痛。等待时间显着预测了不眠之夜的数量 b = .004，t(340) = 2.276，p = .023。很明显，疼痛、失眠和缺课是等待牙科 GA 期间的一个特征，并且可能会因长时间等待而加剧。这些数据支持不仅需要在初级保健中有效预防龋齿以减少 GA 的等待时间和体验，而且还需要在长时间等待治疗期间有效管理疼痛和感染。
Untreated caries in young children can result in a referral for extraction in hospital under general anaesthetic (GA). This study aims to explore the impact of caries during the ensuing wait for GA on children resident in the North West of England. The study involved 456 respondents referred to six hospitals in the Northwest of England. Over a two-month period each of these children/ families completed a questionnaire and gave permission to access their referral and consultation notes. Children (6.78 years old: 1.50 to 16.42) had on average five teeth extracted (ranging from one to a full clearance, with all teeth removed). Sixty seven per cent of parents reported their child had been in pain, 26% reported schools days being missed and 38% having sleepless nights. The average time from referral to operation was 137 days. Results indicated that children could be in discomfort during their wait, as pain was experienced, on average, 14 days before the operation. Wait time significantly predicated the number of sleepless nights b = .004, t(340) = 2.276, p = .023. It is clear that pain, sleepless nights and missed school are a feature during a wait for dental GA and can be exacerbated by an extended wait. These data support the need for not only effective prevention of caries within primary care to reduce wait times and experience of GA but also effective management of pain and infection during a prolonged wait for treatment.
登录
查看更多内容
影响因子：
3.4
作者：
Splieth, C H;Nourallah, A W;Konig, K G
通讯作者：
Konig, K G
DOI：
10.1111/j.1365-263x.2006.00747.x
发表时间：
2006-07-01
影响因子：
3.8
作者：
Kakaounaki, E.;Tahmassebi, J. F.;Fayle, S. A.
通讯作者：
Fayle, S. A.
DOI：
10.1111/j.1365-263x.2006.00750.x
发表时间：
2006-09-01
影响因子：
3.8
作者：
Amin, M. S.;Harrison, R. L.;Weinstein, P.
通讯作者：
Weinstein, P.
DOI：
10.1111/j.1600-0528.2009.00514.x
发表时间：
2010-02-01
影响因子：
2.3
作者：
Monse, B.;Heinrich-Weltzien, R.;van Palenstein Helderman, W.
通讯作者：
van Palenstein Helderman, W.
影响因子：
2.6
作者：
Milsom, KM;Tickle, M;Blinkhorn, AS
通讯作者：
Blinkhorn, AS