Post-DIscharge Complications of Dental Treatment in General Anesthesia Performed in a Day-Care Service
| Autor: | Bernard Janković, Vlaho Brailo, Marin Lozić, Željko Verzak, Dragana Gabrić, Danica Vidović Juras, Vasilije Stambolija |
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| Rok vydání: | 2021 |
| Předmět: |
Younger age
business.industry Post discharge General Anesthesia RK1-715 Day care Day-care Dental care Postoperative Complications Dental Care Medical Day Care Dental treatment MeSH terms: Postoperative Complications Increased risk Dentistry Anesthesia poslijeoperativne komplikacije stomatološka skrb dnevna bolnica opća anestezija jednodnevna stomatološko liječenje Medicine In patient Original Scientific Papers business General Dentistry |
| Zdroj: | Acta stomatologica Croatica : International journal of oral sciences and dental medicine Volume 55 Issue 2 Acta Stomatologica Croatica, Vol 55, Iss 2, Pp 168-176 (2021) Acta Stomatologica Croatica |
| ISSN: | 1846-0410 0001-7019 |
| DOI: | 10.15644/asc55/2/6 |
| Popis: | Objective: To review the frequency and management of post-discharge complications in patients who underwent dental treatment in general anesthesia (GA) in a day-care surgery setting and identify the factors that increase the risk for these complications. Material and methods: Anonymous questionnaire was sent to parents/caregivers of patients who underwent full mouth restoration in GA at our institution between 1 st January 2017 and 31 st July 2019. Demographic and clinical data of patients as well as the data about the occurrence and management of complications were collected. Results: Sixty-six parents/caregivers (30.5%) responded to the questionnaire. Most frequent complications were drowsiness and pain in 40(60.6%) patients. Complications were managed by parents or caregivers with conservative measures at home in 57(91.9%) cases. Phone consultation with dentist was required in 5(8.1%) cases. One patient (1.6%) was readmitted. Younger age and diagnosis were associated with increased risk for drowsiness. Conclusion: Post discharge complications of dental treatment in GA in a day-care service are common and they can be managed by parent/caregiver with conservative measures at home. The rate of readmission is low. Dental treatment in GA in a day-care service is a safe procedure that can be performed with acceptable risk in carefully selected patients. Svrha rada: Ispitati učestalost i liječenje komplikacija nakon otpusta pacijenata koji su bili podvrgnuti stomatološkom liječenju u općoj anesteziji (OA) u sustavu jednodnevne kirurgije i identificirati čimbenike koji povećavaju rizik od navedenih komplikacija.Ispitanici i postupci: Anonimni upitnik poslan je roditeljima/skrbnicima pacijenata koji su bili podvrgnuti stomatološkoj sanaciji u OA u našoj ustanovi između 1. siječnja 2017. i 31. srpnja 2019. Prikupljeni su demografski i klinički podatci o pacijentima te podatci o pojavi komplikacija i njihovu liječenju. Rezultati: Na upitnik je odgovorilo 66 roditelja/skrbnika (30,5 %). Najčešće komplikacije bile su ošamućenost i bol koje su se pojavile kod 40 pacijenata (60,6 %). Liječene su konzervativnim mjerama kod kuće u 57 slučajeva (91,9 %). Telefonska konzultacija sa stomatologom bila je potrebna u pet slučajeva (8,1 %). Jedan pacijent (1,6 %) bio je ponovo primljen u bolnicu. Mlađa dob i dijagnoza bile su povezane s povećanim rizikom od ošamućenosti. Zaključak: Komplikacije stomatološkog liječenja u općoj anesteziji poslije otpusta iz jednodnevne kirurgije su česte, no roditelji/skrbnici mogu ih u većini slučajeva liječiti konzervativnim mjerama kod kuće. Postotak ponovnih prijama u bolnicu je nizak. Stomatološko liječenje u OA u sustavu jednodnevne kirurgije siguran je zahvat koji se može obaviti uz prihvatljiv rizik ako se pacijenti pomno odaberu. |
| Databáze: | OpenAIRE |
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