概括
没有治疗的牙疾病每年会使美国损失数十亿美元. 这项研究分析了牙疾病的急诊室访问,发现减轻疼痛的阿片类药物处方减少.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 未经治疗的牙病导致美国每年生产力损失超过450亿美元.
- 口腔健康问题可能导致严重的疼痛,感染,并需要紧急护理,特别是对于缺乏常规牙科治疗的人来说.
- 本报告侧重于急诊室 (ED) 对牙科疾病的使用情况.
研究的目的:
- 分析2020年至2022年期间牙疾病紧急诊所访问的趋势.
- 为了确定与这些访问相关的人口和支付特征.
- 检查紧急情况下对牙科疾病的疼痛管理策略的变化.
主要方法:
- 利用了2020-2022年国家医院门诊医疗调查 (NHAMCS) 的数据.
- 分析了与牙疾病相关的主要原因或诊断的急救诊所.
- 雇员SAS-callable SUDAAN用于估计计算和0.05级的显著性测试.
主要成果:
- 从2020年到2022年,牙疾病每年平均引起1,944,000次ED访问.
- 25-34岁的成年人代表了访问EDs的最大的人口群 (29.2%) 牙科问题. 这些访问中,非西班牙裔白人占多数 (52.7%).
- 医疗补助是大多数访问的主要预期支付来源 (55.4%),阿片类药物处方明显减少 (从38.1%降至16.5%) 缓解疼痛,与非阿片类止痛药使用相应增加 (从20.0%降至38.4%).
结论:
- 紧急诊所是治疗牙科疾病的重要场所,突出了获得常规牙科服务的差距.
- 在使用ED治疗牙问题方面存在人口差异,年轻人和特定的种族/民族群体受到不成比例的影响.
- 有一个积极的趋势是减少阿片类药物的使用和增加非阿片类止痛药的使用,用于紧急情况下的牙疼痛管理.
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