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Survey of dental treatment under inpatients general anesthesia for disabled hospitalized in Severance Hospital

대한장애인치과학회지 2020년 16권 1호 p.8 ~ 15
김치훈, 김익환, 김성오, 강정민,
소속 상세정보
김치훈 ( Kim Chi-Hoon ) - Yonsei University College of Dentistry Department of Pediatric Dentistry
김익환 ( Kim Ik-Hwan ) - Yonsei University College of Dentistry Department of Pediatric Dentistry
김성오 ( Kim Seong-Oh ) - Yonsei University College of Dentistry Department of Pediatric Dentistry
강정민 ( Kang Chung-Min ) - Yonsei University College of Dentistry Department of Pediatric Dentistry

Abstract


This study aimed to analyze the clinical characteristics of patients with disabilities who were hospitalized in Severance Hospital and underwent dental treatment under general anesthesia at a Department of Pediatric Dentistry at Yonsei University Dental Hospital.
A total of 81 cases of general anesthesia from January 2017 to May 2020 were collected for this study. The demographic and clinical factors (sex, age, body weight, American Society of Anesthesiologist [ASA] classification, department of hospitalization and related medical condition, type of treatment, duration of anesthesia and treatment, duration of hospitalization after treatment) of the patients were evaluated. A multivariate linear regression analysis was performed to identify significant factors that could affect the duration of hospitalization after treatment.
Most patients were males (58.0%) and belonged to ASA class II (63.0%) with mean (standard deviation) age and body weight of 7.4 (6.3) years and 19.0 (12.5) kg, respectively. The department in which most patients were admitted was Pediatric Neurology (44.5%), followed by Pediatric neurosurgery (13.7%), and Pediatric Hematology and Oncology (13.7%). The most frequently observed medical conditions for hospitalization were epilepsy (29.7%), followed by cerebral palsy (12.4%), Moyamoya disease (9.9%), and acute lymphoblastic leukemia (4.9%). The most preferred treatment type was crown restoration (4.4 cases per patient). The duration of hospitalization after treatment was predicted to increase if the patient belonged to ASA class III and the patient’s age and body weight increased.

키워드

General anesthesia; Inpatient; Disabled patient; Dental treatment; Hospitalization

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