Dental Surgical Activity in Hospitals during COVID-19: A Nationwide Observational Cohort Study.

IF 2.2 Q2 DENTISTRY, ORAL SURGERY & MEDICINE JDR Clinical & Translational Research Pub Date : 2024-10-01 Epub Date: 2024-01-03 DOI:10.1177/23800844231216356

J Booth, A J Fowler, R Pearse, P Dias, Y I Wan, R Witton, T E F Abbott

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Abstract

Introduction: The number of surgical extractions performed in hospitals in England remains unclear. This study reports the volume of surgical extractions conducted in hospitals and change in activity during the COVID-19 pandemic.

Methods: We conducted a nationwide observational cohort study using Hospital Episode Statistics (HES) in England for patients undergoing surgical removal of a tooth (defined using OPSC-4 code F09) between April 1, 2015, and December 31, 2020. Procedures were stratified by age, gender, and urgency (elective or nonelective), reported using descriptive statistics, number, and percentage. We conducted post hoc modeling to predict surgical activity to December 2023. In addition, we contrasted this with aggregate national data on simple dental extraction procedures and drainage of dental abscesses in hospital as well as dental activity in general practice.

Results: We identified a total of 569,938 episodes for the surgical removal of a tooth (females 57%). Of these, 493,056/569,938 (87%) were for adults and 76,882/569,938 (13%) children ≤18 years. Surgical extractions were most frequent in adult females. Elective cases accounted for 96% (n = 548,805/569,938) of procedures. The median number of procedures carried out per quarter was 27,256, dropping to 12,003 during the COVID-19 pandemic, representing a 56% reduction in activity. This amounted to around 61,058 cancelled procedures. Modeling predicts that this activity has not returned to prepandemic levels.

Conclusions: The number of surgical extractions taking place in hospitals during the pandemic fell by 56%. The true impact of this reduction is unknown, but delayed treatment increases the risk of complications, including life-threatening infections.

Knowledge transfer statement: The result of this study provides an evidence-based overview of the trends relating to surgical extractions of teeth in England taking place in hospitals. This information can be used to inform service and workforce planning to meet the needs of patients requiring surgical extractions. The data also provide an insight into the oral health needs of the population in England.

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COVID-19 期间医院的牙科手术活动：全国观察性队列研究。

介绍：英国医院进行的外科拔牙手术数量仍不清楚。本研究报告了在 COVID-19 大流行期间医院开展的手术拔牙数量及其变化情况：我们利用英格兰医院病例统计（HES）对 2015 年 4 月 1 日至 2020 年 12 月 31 日期间接受外科拔牙（使用 OPSC-4 代码 F09 定义）的患者进行了一项全国性的观察性队列研究。手术按年龄、性别和紧急程度（选择性或非选择性）进行分层，使用描述性统计、数量和百分比进行报告。我们进行了事后建模，以预测到 2023 年 12 月的手术活动。此外，我们还将其与全国简单拔牙手术、医院牙科脓肿引流以及全科牙科活动的总体数据进行了对比：我们共发现了 569,938 例手术拔牙病例（女性占 57%）。其中，493,056/569,938 例（87%）为成人，76,882/569,938 例（13%）为 18 岁以下儿童。手术拔牙在成年女性中最为常见。选择性手术占 96%（n = 548 805/569 938）。每季度进行的手术中位数为 27,256 例，在 COVID-19 大流行期间降至 12,003 例，活动减少了 56%。这相当于取消了约 61 058 例手术。根据模型预测，这一活动尚未恢复到大流行前的水平：结论：在流感大流行期间，医院进行的手术摘除数量减少了 56%。这一下降的真正影响尚不清楚，但延迟治疗会增加并发症的风险，包括危及生命的感染：这项研究的结果提供了一个以证据为基础的英格兰医院外科拔牙趋势概览。这些信息可用来指导服务和劳动力规划，以满足需要手术拔牙的患者的需求。这些数据还能让我们深入了解英格兰人口的口腔健康需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JDR Clinical & Translational Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

6.20

自引率

6.70%

发文量

期刊介绍： JDR Clinical & Translational Research seeks to publish the highest quality research articles on clinical and translational research including all of the dental specialties and implantology. Examples include behavioral sciences, cariology, oral & pharyngeal cancer, disease diagnostics, evidence based health care delivery, human genetics, health services research, periodontal diseases, oral medicine, radiology, and pathology. The JDR Clinical & Translational Research expands on its research content by including high-impact health care and global oral health policy statements and systematic reviews of clinical concepts affecting clinical practice. Unique to the JDR Clinical & Translational Research are advances in clinical and translational medicine articles created to focus on research with an immediate potential to affect clinical therapy outcomes.