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Variables Affecting General Anesthesia Time for Pediatric Dental Cases

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Purpose: The purpose of this study was to identify variables affecting procedural times for dental treatments performed in the operating room (OR) under general anesthesia. Methods: A total of 2,264 OR cases at Boston Children's Hospital were included in the study. A series of patient, provider, and operational variables were studied, including: patient age, gender, American Society of Anesthesiologists (ASA) class, need for intraoperative radiographs, intubation type, provider type, referring provider type, referral date, waiting time between referral and OR, and symmetry of caries pattern. Analysis of variance, z test, t test, Pearson correlations, and regression modeling were used. Results: Provider inexperience, need for obtaining radiographs, older age, higher ASA class, and oral intubation significantly increased surgical case times. Using the current OR case estimation resulted in an overestimation of 14.6 hours per month. Application of our regression model improved the accuracy of case time estimation by 7.9 hours per month. Conclusions: Overestimation of pediatric dental operating room cases exists, and identification of variables associated with these inaccuracies can aid providers in recapturing underutilized operating room times.
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Keywords: GENERAL ANESTHESIA; INFANT; PEDIATRIC DENTISTRY; PRESCHOOL CHILDREN; SEDATION

Document Type: Research Article

Affiliations: 1: Department of Dentistry, Jersey Shore University Medical Center, Neptune, N.J., USA. [email protected] 2: Google, Inc., Mountain View, Calif., USA 3: Department of Dentistry, Stony Brook University, Stony Brook, N.Y., USA 4: Department of Restorative Dentistry and Biomaterial Science, Harvard School of Dental Medicine, Boston, Mass., USA 5: Boston Children's Hospital, Boston, Mass., USA 6: Lutheran Medical Center, Phoenix, Ariz., USA 7: Department of Dentistry, Boston Children's Hospital, USA; Developmental Biology (Pediatric Dentistry), Harvard School of Dental Medicine, Boston, Mass., USA

Publication date: November 1, 2015

More about this publication?
  • Pediatric Dentistry is the official publication of the American Academy of Pediatric Dentistry, the American Board of Pediatric Dentistry and the College of Diplomates of the American Board of Pediatric Dentistry. It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry. The journal promotes the practice, education and research specifically related to the specialty of pediatric dentistry. This peer-reviewed journal features scientific articles, case reports and abstracts of current pediatric dental research.
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