Abstract：
UNASSIGNED: The number of surgical extractions performed in hospitals in England remains unclear. This study reports the volume of surgical extractions conducted in hospitals and change in activity during the COVID-19 pandemic.
UNASSIGNED: We conducted a nationwide observational cohort study using Hospital Episode Statistics (HES) in England for patients undergoing surgical removal of a tooth (defined using OPSC-4 code F09) between April 1, 2015, and December 31, 2020. Procedures were stratified by age, gender, and urgency (elective or nonelective), reported using descriptive statistics, number, and percentage. We conducted post hoc modeling to predict surgical activity to December 2023. In addition, we contrasted this with aggregate national data on simple dental extraction procedures and drainage of dental abscesses in hospital as well as dental activity in general practice.
UNASSIGNED: We identified a total of 569,938 episodes for the surgical removal of a tooth (females 57%). Of these, 493,056/569,938 (87%) were for adults and 76,882/569,938 (13%) children ≤18 years. Surgical extractions were most frequent in adult females. Elective cases accounted for 96% (n = 548,805/569,938) of procedures. The median number of procedures carried out per quarter was 27,256, dropping to 12,003 during the COVID-19 pandemic, representing a 56% reduction in activity. This amounted to around 61,058 cancelled procedures. Modeling predicts that this activity has not returned to prepandemic levels.
UNASSIGNED: The number of surgical extractions taking place in hospitals during the pandemic fell by 56%. The true impact of this reduction is unknown, but delayed treatment increases the risk of complications, including life-threatening infections.
UNASSIGNED: The result of this study provides an evidence-based overview of the trends relating to surgical extractions of teeth in England taking place in hospitals. This information can be used to inform service and workforce planning to meet the needs of patients requiring surgical extractions. The data also provide an insight into the oral health needs of the population in England.
UNASSIGNED: We conducted a nationwide observational cohort study using Hospital Episode Statistics (HES) in England for patients undergoing surgical removal of a tooth (defined using OPSC-4 code F09) between April 1, 2015, and December 31, 2020. Procedures were stratified by age, gender, and urgency (elective or nonelective), reported using descriptive statistics, number, and percentage. We conducted post hoc modeling to predict surgical activity to December 2023. In addition, we contrasted this with aggregate national data on simple dental extraction procedures and drainage of dental abscesses in hospital as well as dental activity in general practice.
UNASSIGNED: We identified a total of 569,938 episodes for the surgical removal of a tooth (females 57%). Of these, 493,056/569,938 (87%) were for adults and 76,882/569,938 (13%) children ≤18 years. Surgical extractions were most frequent in adult females. Elective cases accounted for 96% (n = 548,805/569,938) of procedures. The median number of procedures carried out per quarter was 27,256, dropping to 12,003 during the COVID-19 pandemic, representing a 56% reduction in activity. This amounted to around 61,058 cancelled procedures. Modeling predicts that this activity has not returned to prepandemic levels.
UNASSIGNED: The number of surgical extractions taking place in hospitals during the pandemic fell by 56%. The true impact of this reduction is unknown, but delayed treatment increases the risk of complications, including life-threatening infections.
UNASSIGNED: The result of this study provides an evidence-based overview of the trends relating to surgical extractions of teeth in England taking place in hospitals. This information can be used to inform service and workforce planning to meet the needs of patients requiring surgical extractions. The data also provide an insight into the oral health needs of the population in England.
摘要：
■在英格兰的医院中进行手术摘除术的数量尚不清楚。这项研究报告了在COVID-19大流行期间在医院进行的手术摘除术的数量和活动的变化。
我们在2015年4月1日至2020年12月31日期间，使用英格兰医院事件统计（HES）对接受手术拔除牙齿（使用OPSC-4代码F09定义）的患者进行了一项全国性观察性队列研究。程序按年龄分层，性别,和紧迫性（选修或非选修），使用描述性统计数据报告，number,和百分比。我们进行了事后建模，以预测到2023年12月的手术活动。此外,我们将其与有关简单的拔牙程序，医院中的牙脓肿引流以及一般实践中的牙科活动的国家汇总数据进行了对比。
■我们确定了手术切除牙齿的总共569,938次发作（女性占57％）。其中,493,056/569,938（87％）为成人，76,882/569,938（13％）为≤18岁的儿童。手术拔除在成年女性中最常见。择期病例占手术的96%(n=548,805/569,938)。在COVID-19大流行期间，每季度进行的手术数量中位数为27,256例，降至12,003例，代表活动减少56%。这相当于约61058个取消的程序。建模预测该活动尚未恢复到流行前水平。
■在大流行期间，医院进行的外科手术数量下降了56%。这种减少的真正影响是未知的，但是延迟治疗会增加并发症的风险，包括危及生命的感染.
■这项研究的结果提供了一个基于证据的概述，概述了英格兰在医院进行的手术拔牙的趋势。此信息可用于告知服务和劳动力计划，以满足需要手术摘除的患者的需求。这些数据还提供了对英格兰人口口腔健康需求的见解。
我们在2015年4月1日至2020年12月31日期间，使用英格兰医院事件统计（HES）对接受手术拔除牙齿（使用OPSC-4代码F09定义）的患者进行了一项全国性观察性队列研究。程序按年龄分层，性别,和紧迫性（选修或非选修），使用描述性统计数据报告，number,和百分比。我们进行了事后建模，以预测到2023年12月的手术活动。此外,我们将其与有关简单的拔牙程序，医院中的牙脓肿引流以及一般实践中的牙科活动的国家汇总数据进行了对比。
■我们确定了手术切除牙齿的总共569,938次发作（女性占57％）。其中,493,056/569,938（87％）为成人，76,882/569,938（13％）为≤18岁的儿童。手术拔除在成年女性中最常见。择期病例占手术的96%(n=548,805/569,938)。在COVID-19大流行期间，每季度进行的手术数量中位数为27,256例，降至12,003例，代表活动减少56%。这相当于约61058个取消的程序。建模预测该活动尚未恢复到流行前水平。
■在大流行期间，医院进行的外科手术数量下降了56%。这种减少的真正影响是未知的，但是延迟治疗会增加并发症的风险，包括危及生命的感染.
■这项研究的结果提供了一个基于证据的概述，概述了英格兰在医院进行的手术拔牙的趋势。此信息可用于告知服务和劳动力计划，以满足需要手术摘除的患者的需求。这些数据还提供了对英格兰人口口腔健康需求的见解。
