背景:这项研究旨在确定性质,频率,以及阿卜杜勒阿齐兹国王大学牙科医院发生的医疗紧急情况的特征。
方法:回顾性回顾了2008年1月至2022年12月在阿卜杜勒阿齐兹国王大学牙科医院记录的医疗紧急情况的事件报告。医疗紧急事件的年度/总发生率按每100,000名患者计算。评估了患者/事件的以下特征:年龄,性别,运算符,procedure,location,治疗时机,局部麻醉的管理,既往病史,症状,诊断,结果,和性格。使用多变量逻辑回归模型来研究这些特征与两种结果的关联:晕厥和转移到急诊室(ER)。
结果:急诊事件发生率为17.4/100,000患者。晕厥和低血糖是最常见的紧急情况。大多数事件都恢复了,只有13%的人需要转移到急诊室。未进行手术,美国麻醉医师协会(ASA)2,3级与晕厥有关。接受了一般的牙科手术,ASA2,3级以及低血糖和晕厥以外的诊断与转移到ER有关。
结论:医疗紧急情况的发生率较低。牙科从业者需要保持意识的影响因素,比如既往病史和焦虑,但医疗紧急情况也可能发生在健康个体身上。牙科诊所的准备工作,人员培训,和事件的适当记录是牙科机构完善的医疗急救协议的重要组成部分。
BACKGROUND: This
study aimed to determine the nature, frequency, and characteristics of medical emergencies occurring at the King Abdulaziz University Dental Hospital.
METHODS: The incident reports of medical emergencies recorded at the King Abdulaziz University Dental Hospital from January 2008 to December 2022 were retrospectively reviewed. The annual/overall incidence of medical emergency events was calculated per 100,000 patients. The following characteristics of the patients/events were evaluated: age, gender, operator, procedure, location, timing of treatment, administration of local anesthesia, past medical history, symptoms, diagnosis, outcome, and disposition. Multivariable logistic regression models were used to investigate the associations of these characteristics with two outcomes: syncope and transfer to the emergency room (ER).
RESULTS: The incidence of emergency events was 17.4 per 100,000 patients. Syncope and hypoglycemia were the most common emergencies. Most incidents recovered, with only 13% requiring transfer to the ER. Undergoing no procedure and American Society of Anesthesiologists (ASA) class 2,3 were associated with syncope. Undergoing a general dental procedure, ASA class 2,3, and a diagnosis other than hypoglycemia and syncope were associated with transfer to the ER.
CONCLUSIONS: The incidence of medical emergencies was low. Dental practitioners need to remain aware of the contributing factors, such as past medical history and anxiety, but medical emergencies can occur in healthy individuals as well. Preparation of the dental office, training of the personnel, and proper recording of the events are essential components of a well-established medical emergency protocol in dental institutions.