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Pediatric Admissions After Dental Care Under General Anesthesia: A Retrospective Study at a Tertiary Care Center

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Purpose: The purpose of this study was to identify factors associated with planned and unplanned pediatric hospital admissions following dental treatment under general anesthesia (DGA) in a tertiary care center.

Methods: Dental and medical records of 100 subjects one to 20 years of age, with a known history of admission after DGA, were reviewed retrospectively for patient-, procedure-, and anesthesia-related factors as well as adverse events following DGA.

Results: During the review period (December 3, 2011 to June 30, 2015), 10,371 subjects underwent DGA, of which 100 subjects (less than one percent) required admission. A significant association was found between postoperative (PO) recovery time and unplanned admissions following DGA (P<0.001). Adverse post-operative events significantly associated with unplanned admissions included emesis (P=0.01) and hypoxia (P<0.001).

Conclusions: Patients who were classified as having American Anesthesiology Association (ASA) III status were more frequently admitted following DGA. Adverse events such as emesis and hypoxia were significantly associated with patients with an unplanned admission.
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Keywords: DENTAL CARE; GENERAL ANESTHESIA; HOSPITAL ADMISSIONS

Document Type: Research Article

Affiliations: 1: Pediatric dentist in private practice, Falls Church, Va., USA 2: Assistant professor, Department of Pediatric Dentistry, Children's Hospital Colorado, and in the Department of Pediatric Dentistry, University of Colorado School of Dental Medicine, in Aurora, Colo., USA;, Email: [email protected] 3: Graduate research assistant, at the Colorado Biostatistics Consortium, in Aurora, Colo., USA 4: Research instructor, at the Colorado Biostatistics Consortium, in Aurora, Colo., USA

Publication date: 01 May 2017

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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