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An evaluation of paediatric dental general anaesthesia in Yorkshire and the Humber

A Ní Chaollaí1, S Robertson, T A Dyer

  • 1Paediatric Dentistry, Division of Child Dental Health, Leeds Dental Institute, Clarendon Way, Leeds, LS2 9LU. aifric1@ireland.com

British Dental Journal
|November 27, 2010
PubMed

Insights

Paediatric dental general anaesthesia (DGA) services show significant variation in organisation and monitoring. While most meet some standards, few meet all, though waiting times align with national targets.

Area of Science:

  • Dental Public Health
  • Paediatric Dentistry
  • Health Services Research

Background:

  • UK policy changes in 2001 impacted paediatric dental general anaesthesia (DGA) services.
  • Limited data exists on the organization, availability, and utilization of these services.
  • This study addresses the post-policy information gap.

Purpose of the Study:

  • To map the location and organization of paediatric DGA services in Yorkshire and the Humber.
  • To assess the monitoring systems in place for these services.
  • To audit services against established best practice standards.

Main Methods:

  • A comprehensive postal survey was distributed to all identified potential providers of paediatric DGA.
  • Data collection focused on service location, organization, patient numbers, waiting times, and outcome recording.

Main Results:

  • 24 of 31 identified providers offered paediatric DGAs, with 75 of 84 lists regularly treating children.
  • Patient treatment numbers per list varied (3.9-7.5), and maximum waiting times ranged widely (3-84 weeks).
  • Outcome data recording methods were inconsistent, with only just over half utilizing the Hospital Episode Statistics system.

Conclusions:

  • Significant variation exists in the organization of paediatric DGA lists.
  • Most services met some best practice standards, but comprehensive adherence was rare.
  • Waiting times generally remained within national targets despite organizational inconsistencies.
Abstract

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