在学校环境中识别牙的高风险儿童:一个简单的预测模型
Danushi Wickramasinghe1, Udaya Usgodaarachchi2
1Family Health Bureau, Sri Lanka.
The Ceylon medical journal
|February 29, 2024
概括
一个新的牙损伤风险预测工具可以识别牙护理的高风险儿童. 这种经过验证的模型使用关键预测因素,如刷牙习惯和饮食,以有效地针对预防计划.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 流行病学 流行病学
- 儿科牙科 儿科牙科
背景情况:
- 永久牙未经治疗的牙是一个全球性的健康问题.
- 对于儿童的早期干预,需要一个简单的,经过验证的虫风险预测工具.
- 有针对性的预防计划可以减少牙的负担.
研究的目的:
- 为斯里兰卡5-6岁儿童开发和验证虫风险预测模型.
- 确定幼儿发展永久性牙损伤的关键风险因素.
- 创建一个实用的工具来识别需要预防性牙科护理的儿童.
主要方法:
- 为了模型开发和验证,进行了两项病例控制研究.
- 通过牙科记录和家长问卷收集的数据.
- 后勤回归确定了风险预测因素;ROC曲线确定了切断点.
主要成果:
- 确定了四个重要的风险预测因素:后部腐烂的牙,不经常刷牙,不使用化牙膏,以及大量摄入可发酵碳水化合物零食.
- 开发了一个10分的空风险评分.
- 外部验证结果显示,在2.5.5的切断值下,灵敏度为31%,特异性为87%.
结论:
- 开发的虫风险预测模型可以有效地识别高风险儿童.
- 这种工具在牙腐烂率高的地区特别有用.
- 这种低成本的工具支持针对儿童牙健康的有针对性的预防策略.
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