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COVID-19の口腔内救急サービスへの影響
Impact of COVID-19 on oral emergency services.
PMID: 32617968 DOI: 10.1111/idj.12603.
抄録
目的:
2019年のコロナウイルス疾患アウトブレイク(COVID-19)が口腔内救急室のサービスに与えた影響をレトロスペクティブに検討する。
OBJECTIVE: To retrospectively review the impact of the outbreak of coronavirus disease 2019 (COVID-19) on services in the oral emergency room.
材料と方法:
2020年のCOVID-19発生時の北京大学病院口内科救急部における疫学的特徴と患者の診断・治療内容を、2019年と比較して統計的に分析したところ、中国・北京では、2019年に比べて歯内療法・検査受診が少なかった(P=0.022)。
MATERIALS AND METHODS: A statistical analysis of epidemiological characteristics and the patients' diagnoses and treatments in the Emergency Department of Peking University Hospital of Stomatology during the outbreak of COVID-19 in 2020 compared with those in 2019 in Beijing, China.
結果:
2020年の総受診数は2019年に比べて少なく(P=0.001)、小児、青年、高齢者の患者の割合は2019年に比べて低かった(P<0.001)。急性歯痛・感染症の患者の割合は2020年の方が2019年よりも高く、顎顔面外傷・非救急の患者の割合は2020年の方が2019年よりも低かった(P<0.001)。急性歯髄炎に対する薬物治療は2020年の方が2019年よりも多く、歯内療法や検査受診は2020年の方が2019年よりも少なかった(P=0.022)。
RESULTS: There were fewer total visits in 2020 than in 2019 (P = 0.001), and the proportions of patients who were children, adolescents and elderly people were lower in 2020 than in 2019 (P < 0.001). The proportions of patients with acute toothache and infections were higher in 2020 than in 2019, and the proportions of patients with maxillofacial trauma and non-emergencies were lower in 2020 than in 2019 (P < 0.001). Drug treatment for acute pulpitis was used more often in 2020 than in 2019, and endodontic treatment and examination consultations were less common in 2020 than in 2019 (P = 0.022).
結論:
COVID-19の発生は,救急外来における患者集団と病型・口腔サービスの構造に影響を与えた.COVID-19発生時には口腔救急室の受診数と小児、青年、高齢者の割合が減少し、一方で外傷を除く救急症例の割合と保存的治療の割合が増加していた。
CONCLUSIONS: The outbreak of COVID-19 affected the patient population and structure of disease types and oral services in the emergency room. The number of visits to the oral emergency room and the proportions of the patients who were children, adolescents and elderly people were reduced, meanwhile the percentage of emergency cases, except trauma, and conservative treatments increased during the outbreak of COVID-19.
© 2020 FDI World Dental Federation.