儿科学牙科患者评估和召回的审计在牙医学院Sungai Buloh

A. Shukri, M. Hassan, A. Venkiteswaran
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引用次数: 0

摘要

目的:评估UiTM牙科学院儿科牙科患者的召回预约和x线片使用是否符合现行指南。材料和方法:回顾性研究使用在澳门牙医学院注册的患者牙科记录。样本包括350个随机选择的儿童患者的治疗记录,这些患者在数据收集时的年龄为2016年出生至16岁。收集的数据包括人口统计细节、治疗病例的医生、龋齿风险评估、拍摄的x光片和患者复查预约所需的时间。结果:评估了350条记录的初始样本量。患者首次就诊时的平均年龄为6.3岁。大多数病例(58%)未报告龋病风险评估。基线x线片占44.6%。对于召回出勤率的评估,仅分析具有CRA数据的样本(n=145)。3个月复查预约率为70%,6个月复查预约率为6.2%,1年复查预约率为6.7%。卡方检验显示,在1年的评估中,操作员类别之间的差异有统计学意义(p=0.013),其中学生和专家的评估高于牙科医生。结论:本研究显示,NICE和AAPD指南所建议的召回方案的依从性较差。需要做进一步的研究来评估患者和临床医生对召回方案的认识,并确定导致召回出席率低的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Audit of Paediatric Dental Patient Assessment and Recall in Faculty of Dentistry UiTM Sungai Buloh
Objective: To assess if the recall appointments and the use of radiographs for paediatric dental patients at Faculty of Dentistry, UiTM comply with current guidelines. Materials and Method: A retrospective study was conducted using patients’ dental records that were registered at the Faculty of Dentistry UiTM. The sample consisted of 350 randomly chosen treatment records of paediatric patients aged between birth and 16 years of age at the time of data collection which was in the year 2016. Data collection included demographic details, whom the cases were treated by, caries risk assessment, radiographs taken and time taken for the patient’s review appointments. Results: An initial sample size of 350 records were assessed. The mean age of patients seen when they were first seen is 6.3 years old. Caries Risk Assessment was not reported in majority of the cases (58%,). Baseline radiographs were taken in 44.6% of the cases. For the assessment of recall attendance, only samples with data on CRA was analysed (n=145). The review appointments at 3 months interval was 70% whereas at 6 months was 6.2% and one year recall was 6.7%. A chi-square test showed significant difference (p=0.013) between the category of operators for the 1-year review whereby review was higher among students and specialists as compared to dental officers. Conclusion: This study shows poor adherence to the recommended recall protocol as suggested by NICE and AAPD guidelines. Further studies need to be done to assess the patients’ and clinicians awareness regarding the recall protocol and determine the problems causing poor recall attendance.
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