Analysis of Hospital-Based Dental Procedures Under General Anesthesia in Uncooperative Patients: a Retrospective Study
| Autor: | Turjanski, Sarah, Musić, Larisa, Špiljak, Bruno, Bučević Sojčić, Petra, Karlović, Zoran, Zajc, Ivan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: |
Dental Care
Anesthesia General Vulnerable Populations Medical Day Care General Anesthesia Special Healthcare Needs Dental Treatment stomatološka skrb opća anestezija ranjive skupine dnevna bolnica njega zuba opća anestezija medicinski dnevni boravak posebne zdravstvene potrebe zubarski tretman general anesthesia special healthcare needs dental treatment General Dentistry |
| Zdroj: | Acta stomatologica Croatica : International journal of oral sciences and dental medicine Volume 57 Issue 1 |
| ISSN: | 1846-0410 0001-7019 |
| Popis: | General anesthesia is a well-documented therapeutic option for the provision of dental treatment, particularly in patients with special healthcare needs and uncooperative pediatric patients. Objectives: This retrospective study aimed to analyze the characteristics of dental general anesthesia (DGA) procedures for uncooperative patients of all ages in a tertiary healthcare facility, Clinical Hospital Dubrava, in Zagreb, Croatia. Material and methods: The hospital records for the patients treated for various dental reasons under GA were obtained at the Clinical Hospital Dubrava in Zagreb, Croatia. Results: Between 2014 and 2019, a total of 810 DGA procedures were performed including 697 patients. The median age was 18 years. Almost half of the patients referred to undergo DGA procedures were from the City of Zagreb and Zagreb County, 27.8% (N=225) and 21.0% (N=170), respectively. More than 90% of patients undergoing DGA procedures were referred with 1 to 3 medical conditions. 47.9% of patients had 1 to 3 dental conditions, of which caries was the most common condition (95.7%). The mean waiting time (±SD) was 113.06 (±62.62) days. 90 patients (14.8%) were referred for dental procedures under GA more than once, accounting for 203 procedures (25.1%). Conclusions: DGA remains a single dental treatment option for specific individuals. There is an institutional and, also, an organizational need to address the long waiting times and high repeated DGA rates. Ciljevi: Opća anestezija provjerena je terapijska metoda u stomatološkom liječenju, osobito ako je pacijent osoba s poteškoćama u razvoju ili nekooperativni pedijatrijski pacijent. Materijal i metode: Cilj ove retrospektivne studije je analizirati karakteristike stomatoloških postupaka u općoj anesteziji (DOA) koji se provode u slučaju nekooperativnih pacijenata svih dobnih skupina u tercijarnoj zdravstvenoj ustanovi, Kliničkoj bolnici Dubrava u Zagrebu. Rezultati: Od 2014. do 2019. godine primijenjeno je ukupno 810 zahvata u općoj anesteziji na ukupno 697 pacijenata. Prosječna dob bila je 18 godina. Gotovo polovina pacijenata bila je iz Grada Zagreba i Zagrebačke županije – 27,8 % (N =225), odnosno 21,0 % (N = 170). Više od 90 % pacijenata podvrgnutih tim zahvatima upućeno je s jednom do tri medicinske dijagnoze, njih 47,9 % imalo je jednu do tri dentalne dijagnoze, a najčešći je bio karijes (95,7 %). Prosječno čekanje na zahvat (±SD) iznosilo je 113,06 (± 62,62) dana. Više puta je na dentalne zahvate u općoj anesteziji upućeno 90 pacijenata (14,8 %), odnosno obavljena su 203 zahvata (25,1 %). Zaključci: Postupak u općoj anesteziji ostaje jedina opcija stomatološkog liječenja za određene pojedince. Postoji institucionalna i organizacijska potreba da se riješe problemi zbog dugog čekanja i visokih stopa ponovljenih postupaka u općoj anesteziji (DOA). |
| Databáze: | OpenAIRE |
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