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What is the impact on families of children having dental treatment under general anaesthetic?
Evidence-Based Dentistry Pub Date : 2019-06-01 , DOI: 10.1038/s41432-019-0025-6
Zoe Marshman 1 , Laura Timms 2
Affiliation  

Data sources PubMed, Medline, CINAHL, Cochrane Library, and Web of Science databases.Study selection Studies involving patients aged between 0-16 years of age having dental general anaesthetic (DGA), where Early Childhood Oral Health Impact Scale (ECOHIS) and Child Oral Health-Related Quality of Life (COHRQoL) pre- and post-operative assessments were made, were considered.Data extraction and synthesis The quality of studies was assessed by two reviewers using the Newcastle-Ottawa Scale for cohort studies. Information on study design and instruments used to record family impact scale (FIS) were extracted. The main outcome was changes in the FIS section presented as mean difference (MD).Results After an initial search of 105 studies in the database, 21 articles were included in the analysis. A positive outcome in the FIS changes was identified in all studies. The combined MD for FIS using ECOHIS and COHRQoL was 1.52 (95% CI 1.15-1.89; P <0.00001; I2 = 87%) and 1.10 (95% CI 0.68-1.52; P <0.00001; I2 = 79%), respectively.Conclusions Dental treatment with general anaesthesia for children had a significant positive impact on parental emotions, activity, and conflict. Following DGA, there was significant improvement in the FIS, with large MD.

中文翻译:

全身麻醉下接受牙科治疗的孩子的家庭受到什么影响?

数据来源PubMed,Medline,CINAHL,Cochrane图书馆和Web of Science数据库。研究选择涉及年龄在0-16岁之间,具有牙本质麻醉剂(DGA)的患者,其中儿童早期口腔健康影响量表(ECOHIS)和儿童考虑了术前和术后的口腔健康相关生活质量(COHRQoL)。数据提取和综合研究质量由两名评价者使用纽卡斯尔-渥太华量表进行队列研究。提取了有关研究设计和用于记录家庭影响量表(FIS)的工具的信息。主要结果是FIS部分的变化,以均值差(MD)表示。结果在数据库中初搜索105项研究后,分析中包括21篇文章。在所有研究中均确定了FIS变化的积极结果。使用ECOHIS和COHRQoL进行FIS的组合MD分别为1.52(95%CI 1.15-1.89; P <0.00001; I2 = 87%)和1.10(95%CI 0.68-1.52; P <0.00001; I2 = 79%)。结论小儿全麻牙科治疗对父母的情绪,活动和冲突有明显的积极影响。继DGA之后,FI显着改善,MD增大。
更新日期:2019-11-18
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