Analysis of changes and trends in the use of sedatives in dental sedation using data from the National Health Insurance in Korea.

Autor: Kim H; Department of Dental Anesthesiology, School of Dentistry, Seoul National University, Seoul, Republic of Korea., Ryoo SH; Department of Dental Anesthesiology, School of Dentistry, Seoul National University, Seoul, Republic of Korea., Karm MH; Department of Dental Anesthesiology, School of Dentistry, Seoul National University, Seoul, Republic of Korea., Seo KS; Department of Dental Anesthesiology, School of Dentistry, Seoul National University, Seoul, Republic of Korea., Kim HJ; Department of Dental Anesthesiology, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
Jazyk: angličtina
Zdroj: Journal of dental anesthesia and pain medicine [J Dent Anesth Pain Med] 2022 Feb; Vol. 22 (1), pp. 49-60. Date of Electronic Publication: 2022 Jan 24.
DOI: 10.17245/jdapm.2022.22.1.49
Abstrakt: Background: Although dental sedation helps control anxiety and pain, side effects and serious complications related to sedation are gradually increasing. Due to the introduction of new drugs and sedation methods, insurance rates, legal regulations, drugs, and methods used for dental sedation are inevitably changed. In the Republic of Korea, National Health Insurance is applied to all citizens, and this study investigated changes in the use of sedatives using this big data.
Methods: This study used customized health information data provided by the Healthcare Insurance Review & Assessment Service of Korea. Among patients with a record of use of at least one of eight types of sedatives for dental sedation between January 2007 and September 2019 were selected; the data of their overall insurance claims for dental treatment were then analyzed.
Results: The number of patients who received dental sedation was 786,003, and the number of dental sedation cases was 1,649,688. Inhalational sedation using nitrous oxide (N 2 O) accounted for 86.8% of all sedatives that could be claimed for drugs and treatment. In particular, it was confirmed that the number of requests for sedation using N 2 O sharply increased each year. Midazolam showed an increasing trend, and in the case of chloral hydrate, it gradually decreased.
Conclusion: According to our analysis, the use of N 2 O and midazolam gradually increased, while the use of chloral hydrate gradually decreased.
Competing Interests: CONFLICTS OF INTEREST: The authors have no conflicts of interest to declare.
(Copyright © 2022 Journal of Dental Anesthesia and Pain Medicine.)
Databáze: MEDLINE
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