PDF(Pubmed)
Abstract：
Background: General anesthesia is an approach used to address behavior issues in pediatric dentistry. This indication often relies on the practitioner\'s discretion rather than objective criteria. We developed SCAN-score to assist pediatric dentists in the case of doubt to indicate general anesthesia for uncooperative children. The study aims were to assess the validity of the SCAN-score, which aims to indicate general anesthesia or chairside management for dental care. Methods: A retrospective study was performed on children aged between 2 and 10 years who received dental care. The SCAN-score combined three item scales (age, need of care, behavior) and three additional factors: communication barriers, permanent teeth caries, and local anesthesia contraindications. Mean scores were estimated. An ROC curve was constructed with sensitivities and specificities obtained. Results: The study included 284 children, with 154 treated through chairside methods and 130 treated under general anesthesia. The mean score was 5.6 ± 2.8 in the chairside management group and 12.9 ± 1.9 in the general anesthesia group. The sensitivity of the score (cutoff at 10) was 0.99, and the specificity was 0.94. The estimate of the ROC is 0.994. Conclusions: The SCAN-score appears to be an excellent tool to support the practitioner\'s decision to refer to general anesthesia care.
摘要：
背景：全身麻醉是一种用于解决儿科牙科行为问题的方法。这种指示通常依赖于从业者的自由裁量权，而不是客观标准。我们开发了SCAN评分，以在怀疑的情况下帮助儿科牙医为不合作的儿童指示全身麻醉。这项研究的目的是评估SCAN分数的有效性，旨在指示牙科护理的全身麻醉或椅子旁管理。方法：对接受牙科护理的2至10岁儿童进行了回顾性研究。SCAN评分结合了三个项目量表(年龄，需要照顾,行为)和三个额外的因素：沟通障碍，恒牙龋齿，和局部麻醉禁忌症。估计平均分数。以获得的敏感性和特异性构建ROC曲线。结果:本研究纳入284名儿童,154人通过椅旁方法治疗，130人在全身麻醉下治疗。主席管理组平均得分为5.6±2.8，全身麻醉组为12.9±1.9。评分的敏感性（截止于10）为0.99，特异性为0.94。ROC的估计值为0.994。结论：SCAN评分似乎是支持从业者决定参考全身麻醉护理的绝佳工具。
