Dental Emergencies Management in COVID-19 Pandemic Peak: A Cohort Study
| Autor: | Julian Leprince, V Sagué, Séverine Henrard, V Michaux, A E Petit, J Beauquis |
|---|---|
| Přispěvatelé: | UCL - SSS/LDRI - Louvain Drug Research Institute, UCL - (SLuc) Service de dentisterie conservatrice et d'endodontie, UCL - (SLuc) Département de pharmacie, UCL - (SLuc) Service de prothèse dentaire, UCL - SSS/IRSS - Institut de recherche santé et société |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Telemedicine
Dental emergency Context (language use) pain measurement pain relief Cohort Studies 03 medical and health sciences 0302 clinical medicine Pandemic Medicine Humans 030212 general & internal medicine Medical prescription General Dentistry Pandemics Referral and Consultation Emergency management business.industry SARS-CoV-2 dental emergency treatment COVID-19 030206 dentistry medicine.disease Triage cross-contamination Telephone Communicable Disease Control Research Reports: Clinical dental care Medical emergency telemedicine medicine.symptom Emergencies business Cohort study |
| Zdroj: | Journal of dental research, Vol. 100, no. 4, p. 352-360 (2021) Journal of Dental Research |
| Popis: | Due to the global coronavirus disease 2019 pandemic, the high risk of cross-contamination and the overload of hospital facilities have resulted in a real urgency for restricting dental emergency patient flow. In this context, the objectives of the current work were to 1) measure the ability of a triage-based management strategy to limit patient admission and 2) evaluate the success rate of both on-site and remote emergency management regarding symptom relief and pain control over a 1-mo period. We included all patients contacting the dental medicine department for an emergency consultation during the lockdown, between April 1 and April 30, 2020 ( N = 570). Following a telephone consultation and based on preestablished admission guidelines, a decision was made at baseline (T0) to either admit the patient for treatment or perform remote management by providing advice and/or drug prescription. Patients were then followed up systematically at 1 wk and 1 mo. Management failure was defined as the need for emergency admission for patients managed remotely since T0 and for new emergency admission for those admitted at T0. The global follow-up rate of patients with a complete data set was 91.4% ( N = 521). Of included patients, 49.3% could be managed without admission for emergency reasons for 1 mo. The proportion of successful management was 71.8% and 90.2% at 1 mo for remote and on-site management, respectively. To conclude, the proposed triage-based emergency management strategy with systematic follow-up was a good compromise between limiting patient admission and ensuring effective symptom relief and pain control. The strategy can be useful in situations where regulation of the emergency patient flow is required. |
| Databáze: | OpenAIRE |
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