Emergency department visits for dental care of nontraumatic origin

Emergency department visits for dental care of nontraumatic origin
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DOI:
10.1111/j.1600-0528.2009.00476.x
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发表时间:
2009-08-01
影响因子:
2.3
通讯作者:
Locker, David
Locker, David
中科院分区:
医学3区
文献类型:
--
作者:
Quinonez, Carlos;Gibson, Debbie;Locker, David

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目的:探讨在加拿大最大的省,安大略.方法:加拿大卫生信息研究所的国家门诊护理报告系统,其中包含人口统计,诊断,程序和行政信息,从医院为基础的门诊护理设置在整个安大略的牙科问题的非创伤性起源的急诊科(艾德)访问的性质。2003/2004至2005/2006财政年度的数据包括急诊数据,这些急诊的主要问题用国际疾病分类第10版编码K 00-K14,代表口腔、唾液腺和颌骨疾病。许多不同的因素,以描述病人和访问characteristics.Results:在此期间,共有141 365艾德访问牙齿问题的非创伤性起源在安大略,估计代表116 357人。大约一半的访问(54%)是由20至44岁的人进行的,并与根尖周脓肿和牙痛有关(56%)。绝大多数(78%)被分流为非紧急,和大多数(93%)出院home.Conclusion:艾德访问牙齿问题的非创伤性起源是不微不足道的。在研究期间,这些访问大于糖尿病和高血压疾病。政策的努力是必要的,以提供替代选择,寻求紧急牙科护理在安大略。
Objectives:To explore the nature of emergency department (ED) visits for dental problems of nontraumatic origin in Canada's largest province, Ontario.Methods:The Canadian Institute for Health Information's National Ambulatory Care Reporting System was used, which contains demographic, diagnostic, procedural and administrative information from hospital-based ambulatory care settings across Ontario. Data of fiscal years 2003/04 to 2005/06 were included for emergency visits that had a main problem coded with an International Classification of Diseases - 10th edition code in the range K00-K14, representing diseases of the oral cavity, salivary glands and jaws. Volumes are presented by a number of different factors in order to describe patient and visit characteristics.Results:During this period, there were a total of 141 365 ED visits for dental problems of nontraumatic origin in Ontario, representing an estimated 116 357 persons. Approximately half of all visits (54%) were made by those 20 to 44 years old, and associated with periapical abscesses and toothaches (56%). The great majority (78%) were triaged as nonurgent, and most (93%) were discharged home.Conclusion:ED visits for dental problems of nontraumatic origin are not insignificant. Over the study period, these visits were greater than for diabetes and hypertensive diseases. Policy efforts are needed to provide alternative options for seeking emergency dental care in Ontario.