Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Consultations to Department of Dentistry for Child and Adolescent Inpatients with Dental Trauma

치과적 외상이 있는 소아청소년 입원환자의 치과 협진 의뢰

  • Jo, Chanwoo (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Wonju College of Medicine, Yonsei University) ;
  • Kim, Jihun (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Wonju College of Medicine, Yonsei University)
  • 조찬우 (연세대학교 원주의과대학 원주세브란스기독병원 소아치과) ;
  • 김지훈 (연세대학교 원주의과대학 원주세브란스기독병원 소아치과)
  • Received : 2017.03.22
  • Accepted : 2017.06.13
  • Published : 2017.11.30
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Abstract

The purpose of this research is analyzing present condition, and pursuing developmental direction of consultation to department of dentistry for medical inpatient with dental trauma. This research conducted a retrospective analysis of consultation to department of dentistry for medical inpatient at Wonju Severance Christian Hospital from March 2011 to February 2017. This research analyzed chief complaint and dental diagnosis, referring department, time of consultation after dental trauma, relation between hospitalization period and time of consultation after dental trauma, relation between dental trauma and admission in the medical department due to trauma, cause and age of dental trauma occurrence, treatment of dental trauma, and revisiting rate of inpatient with dental trauma after discharge. Among all the chief complaint and dental diagnosis, dental trauma was the highest. Among all the referring departments, departments of surgery were the highest. In relation to being delayed of consultation term after dental trauma, it turned out that there's pretty high mutual relation between the hospitalization period and the consultation term after dental trauma, and the hospitalization period had the quantitative influence on the consultation term. Statistically, dental trauma and admission in the medical department due to trauma had significant relations. In case of those patients due to car accidents, they had dental trauma without exception. Statistically, patient's group with dental trauma in hospital room was younger than patient's group with dental trauma in non-hospital room. Statistically, dental trauma and treatment in hospitalization had no significant relations, and dental trauma and revisiting department of dentistry after discharge had no significant relations. For the child and adolescent inpatients hospitalized for car accidents, there is high possibility of accompanying dental trauma, and dental consultations can be delayed. For the young child inpatients, the possibility of dental trauma occurrence in hospital room is high. Moreover, treatments during hospitalization and revisiting department of pediatric dentistry after discharge are not performed well for inpatients with dental trauma. Regarding these results, it can be an alternative that improving of consultation system, dedicated workforce placement and having dental facilities and equipment in the hospital ward, education to medical doctor and dentist, communication between medical doctor and dentist. This research can be used as a study material of medical and dental departments, and it's expected to be committed to developing of consultations to department of dentistry for child and adolescent inpatients with dental trauma.

본 연구의 목적은 치과적 외상이 있는 소아청소년 입원환자의 치과 협진 의뢰에 대한 본원의 현황을 분석하고 발전 방향을 모색하는 것이다. 이에 2011년 3월부터 2017년 2월까지 6년간 원주세브란스기독병원 의과에 입원한 소아청소년 환자의 치과 협진 의뢰에 대한 후향적 분석을 하였다. 조사 항목으로 협진 의뢰 주소와 치과적 진단명, 협진 의뢰과, 치과적 외상 후 협진 의뢰 시기, 입원 기간과 치과적 외상 후 협진 의뢰 시기의 관계, 외상으로 의과에 입원하는 것과 치과적 외상 발생의 관계, 치과적 외상의 원인과 발생 나이, 치과적 외상에 대한 치료, 치과적 외상 환자의 퇴원 후 치과 외래 재내원 등이 있었다. 협진 의뢰 주소와 치과적 진단명에서 치과적 외상이 차지하는 비율이 가장 높았고, 협진 의뢰과는 외과 계열의 진료과가 가장 높은 비율을 보였다. 입원 기간과 치과적 외상 후 협진 의뢰 시기는 양의 상관 관계를 보였다. 외상을 이유로 의과에 입원하는 것과 치과적 외상 발생은 통계적으로 유의하게 연관이 있었고, 교통 사고로 인해 의과에 입원한 환자의 경우 100% 치과적 외상이 동반되었다. 입원실에서 발생한 치과적 외상 환자의 나이는 유의하게 적었다. 치과적 외상과 입원 중 치료, 치과적 외상과 퇴원 후 치과 외래 재내원은 각각 통계적으로 유의한 연관이 없었다. 교통 사고에 의해 의과에 입원한 소아청소년 환자에 대해서 치과적 외상이 동반될 가능성이 크고, 치과 협진 의뢰 시기가 지연될 수 있다. 어린 소아 환자의 경우 입원실에서 치과적 외상의 발생 가능성이 크다. 또한, 치과적 외상 환자의 입원 중 치료와 퇴원 후 치과 외래 재내원이 잘 이루어지지 않고 있다. 이와 같은 결과들에 대해 협진 의뢰 체계의 개선, 입원 병동 내 전담 인력 배치와 치과 시설 및 장비 구비, 의과 주치의에 대한 교육, 주치의 간의 원활한 의사소통 등이 대안이 될 수 있다. 본 연구는 의과와 치과의 교육 및 연구 자료로 활용되어 치과적 외상이 있는 소아청소년 입원환자의 치과 협진 의뢰에 관한 발전에 기여할 것으로 기대된다.

Keywords

References

  1. Redding SW, Rose LF : The consultation: a means of communication between dentists and physicians. Gen Dent, 27:54-57, 1979.
  2. Lockhart PB, Sonis ST : Utilization of inpatient dental consultation services. Spec Care Dentist, 1:18-21, 1981. https://doi.org/10.1111/j.1754-4505.1981.tb01215.x
  3. Kim CY, Son MS : A Judicial Precedent Analysis on Medical Malpractice in Internal Medicine. Korean J Med Law, 7:21-48, 2000.
  4. Valenza JA : Coordination of patient care and consultation between the dentist and physician. Gen Dent, 42:79-82, 1994.
  5. Brown RS, Farquharson AA, Pallasch TM : Medical consultations for medically complex dental patients. J Calif Dent Assoc, 35:343-349, 2007.
  6. Mouradian WE, Wehr E, Crall JJ : Disparities in children' s oral health and access to dental care. JAMA, 284:2625-2631, 2000. https://doi.org/10.1001/jama.284.20.2625
  7. Majorana A, Bardellini E, Pasini S, et al. : Root resorption in dental trauma: 45 cases followed for 5 years. Dent Traumatol , 19:262-265, 2003. https://doi.org/10.1034/j.1600-9657.2003.00205.x
  8. Trope M : Luxation injuries and external root resorptionetiology, treatment, and prognosis. CDA, 28:860-866, 2000.
  9. Traebert J, de Lacerda JT, Bortoluzzi MC, et al. : Impact of traumatic dental injuries on the quality of life of schoolchildren. Dent Traumatol, 28:423-428, 2012. https://doi.org/10.1111/j.1600-9657.2012.01114.x
  10. Choi SL, Min SK, Choi MK : Retrospective study on prognosis of the medically compromised patients in department of oral and maxillofacial surgery. J Korean Assoc Maxillofac Plast Reconstr Surg, 25:439-447, 2003.
  11. Joo KH, Lee JH, Song JS, Lee HS : Inpatient dental consultations to pediatric dentistry in the Yonsei University Severance Hospital. J Korean Acad Pediatr Dent, 41:145-151, 2014. https://doi.org/10.5933/JKAPD.2014.41.2.145
  12. Kanuga S, Sheller B, Williams BJ, Mancl L : A one-year survey of inpatient dental consultations at a children's hospital. Spec Care Dentist, 32:26-31, 2012. https://doi.org/10.1111/j.1754-4505.2011.00227.x
  13. Acs G, Needleman HL : Patterns of use of inpatient pediatric dental consultation services. Spec Care Dentist, 5:208-209, 1985. https://doi.org/10.1111/j.1754-4505.1985.tb00573.x
  14. Down KE, Boot DA, Gorman DF : Maxillofacial and associated injuries in severely traumatized patients: implications of a regional survey. Int J Oral Maxillofac Surg, 24:409-412, 1995. https://doi.org/10.1016/S0901-5027(05)80469-2
  15. Gassner R, Bosch R, Tuli T, Emshoff R : Prevalence of dental trauma in 6000 patients with facial injuries: implications for prevention. Oral Surg Oral Med Oral Pathol Oral Radiol Endod , 87:27-33, 1999. https://doi.org/10.1016/S1079-2104(99)70290-8
  16. Jang CS, Lee CY, Yang BE, et al. : A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg, 37: 439-447, 2011. https://doi.org/10.5125/jkaoms.2011.37.6.439
  17. Wilson S, Smith GA, Preisch J, Casamassimo PS : Epidemiology of dental trauma treated in an urban pediatric emergency department. Pediatr Emerg Care, 13:12-15, 1997. https://doi.org/10.1097/00006565-199702000-00004
  18. Kim YJ, Kim SM, Choi NK : A Retrospective Study of the Pattern and Treatment of Traumatic Dental Injury to Primary and Permanent Teeth. J Korean Acad Pediatr Dent, 41:314-321, 2014. https://doi.org/10.5933/JKAPD.2014.41.4.314
  19. Choi SC, Park JH, Pae A, Kim JR : Retrospective study on traumatic dental injuries in preschool children at Kyung Hee Dental Hospital, Seoul, South Korea. Dent Traumatol, 26:70-75, 2010. https://doi.org/10.1111/j.1600-9657.2009.00840.x
  20. Lee DK, Min SK, Kim JG, et al. : A clinical study on the dental emergency patients visiting Wonkwang Univ-hospital emergency room. J Korean Assoc Maxillofac Plast Reconstr Surg, 24:31-39, 2002.
  21. Moon WK, Jung YS, Yoo JH, et al. : The characteristics on the dental emergency patients of wonju christian hospital for last 10 years. J Korean Assoc Oral Maxillofac Surg, 30: 34-42, 2004.
  22. Lim SM : An actual utilization and development plan study of interdisciplinary medical care at the National Rehabilitation Center. J Korean Institute Orient Med Diagn, 18:25-31, 2014.
  23. Kim WH, Choi HJ, Kang HG, et al. : Effect of emergency auto-consultation system (EACS) on length of stay of specialty consultation patients in the emergency department. J Korean Soc Emerg Med, 20:155-162, 2009.
  24. Hendrich A, Nyhuis A, Kippenbrock T, Soja ME : Hospital falls: development of a predictive model for clinical practice. Appl Nurs Res, 8:129-139, 1995. https://doi.org/10.1016/S0897-1897(95)80592-3
  25. Shin HJ, Kim YN, Bang KS, et al. : A pediatric fall-risk assessment tool for hospitalized children. Child Health Nurs Res, 20:215-224, 2014. https://doi.org/10.4094/chnr.2014.20.3.215
  26. Hsu U, Hui BK, Pourat N : Recall compliance and incidence of dental caries among underserved children. J Calif Dent Assoc, 43:77-81, 2015.
  27. Won JH, Hur W, Ahn SK, Lee SH : A statistical study of dermatoses in the Kangwondo. Korean J Dermatol, 30:175-185, 1992.
  28. Seo M, Huh S, Chai JY, Yu JR : An epidemiological survey on Cryptosporidium parvum infection of inhabitants in Chorwon-gun, Kangwon-do. Korean J Parasitol, 39:201-203, 2001. https://doi.org/10.3347/kjp.2001.39.2.201
  29. Chung SH : The Pattern and Characteristics of Population Movement in Kangwon Province. Korea J Popul Stud, 31:133-155, 2008.