Direct and indirect time spent on care of dental trauma: a 2-year prospective study of children and adolescents.
Direct and indirect time spent on care of dental trauma: a 2-year prospective study of children and adolescents.
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用于护理牙外伤的直接和间接时间：一项针对儿童和青少年的为期 2 年的前瞻性研究。
DOI：
10.1034/j.1600-9657.2000.016001016.x
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
B. Koucheki
中科院分区：
文献类型：
--
作者：
U. Glendor;Arne Halling;L. Bodin;Lars Andersson;Å. Nygren;G. Karlsson;B. Koucheki
目的是计算专业护理人员（直接时间）和作为支持和帮助的患者和同伴（间接时间）用于治疗和以其他方式照顾患有乳牙和恒牙创伤的儿童和青少年所花费的总时间。这项研究是基于192名儿童和青少年的随机样本，这些儿童和青少年向一家保险公司报告了牙齿创伤，并在创伤发生后的2年内通过电话随访。平均而言，直接就诊时间占所有恒牙外伤就诊总时间的16%，占乳牙外伤就诊总时间的11%。最广泛的间接时间类型是运输时间，占恒牙损伤总时间的30%，占乳牙损伤总时间的36%。对牙齿和人口统计学损伤变量对时间变量的影响进行多元回归分析，结果表明，恒牙和乳牙损伤的复杂创伤与时间延长有关，无论是直接的还是间接的。我们估计，患者和同伴在复杂恒牙损伤病例中花费的总时间平均相对增加为117%(95%可信区间[CI]， 52-211)，同伴为112% （95% CI, 42-217）。对于交通时间，一个强有力的预测因素是能否到达居住地附近的牙科诊所。在乳牙损伤的情况下，缺乏通道可能使患者的平均运输时间延长180% (95% CI, 80-335)，使其同伴的平均运输时间延长163% （95% CI, 67-317）。
The aim was to account for the total time spent by professional care-givers (direct time) and by patients and companions engaged as support and help (indirect time) to treat and otherwise attend to children and adolescents with dental trauma to primary and permanent teeth. The study was based on a random sample of 192 children and adolescents with dental traumas reported to an insurance company and prospectively followed up by telephone interviews over a period of 2 years after the trauma episode. On average, direct time represented 16% of total time for all visits for dental trauma to permanent teeth and 11% for trauma to primary teeth. The most extensive type of indirect time was transport time, which took up 30% of the total time spent on injuries to permanent teeth and 36% for injuries to primary teeth. Multiple regression analysis of the impact of dental and demographic injury variables on the time variables showed that complicated trauma was associated with extended time, direct as well as indirect, for permanent and primary teeth injuries. Our estimate of the average relative increase in total time spent by patients and companions in cases of complicated injury to permanent teeth was 117% (95% confidence interval [CI], 52-211) for patients and 112% (95% CI, 42-217) for companions. For transport time a strong predictor was access to a dental clinic near the place of residence. Lack of access could extend the average transport time by 180% (95% CI, 80-335) for patients and 163% (95% CI, 67-317) for their companions in cases of injuries to primary teeth.