对二级和三级口腔外科远程术前评估可行性的初步观察

Q3 Dentistry Oral Surgery Pub Date : 2024-01-28 DOI:10.1111/ors.12879
Antonio Gagliardi‐Lugo, Monica Thomas, Rosario Mela, Adel Elrasheed
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引用次数: 0

摘要

由于 SARS-CoV-2 的流行,人们更加需要一种既能提供医疗服务又不会增加患者感染风险的方法。为了调查远程医疗的结果,以及远程医疗后预约的治疗是否成功,并使之成为普遍做法,我们对 2020 年 8 月 4 日至 2020 年 11 月 30 日期间的远程医疗进行了数据收集。收集的数据包括远程医疗后是否预约了治疗,预约后是否成功完成了治疗(一站式治疗),是否需要额外的面对面(F2F)咨询,以及出现这种情况的相关原因。499 次远程医疗后,46.3%(N = 231)的患者需要预约 F2F,43.0%(N = 215)的患者预约了治疗,6.6%(N = 33)的患者出院,4%(N = 20)的患者在尝试联系时没有应答。远程会诊是一种可行、成功且有用的工具,只要有一个特定的、有组织的分诊过程,无论要拔除的牙齿数量或患者的病史如何,远程会诊都能评估和预约适合在局部麻醉下进行一站式治疗的牙槽骨病例。需要全身麻醉、镇静或进一步放射成像的患者无法从远程医疗中获益,因为他们无论如何都需要到口腔科进行术前评估或进一步成像。
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Initial observations into the viability of remote preoperative assessment in secondary and tertiary oral surgery services
The SARS‐CoV‐2 pandemic triggered an increased need in a method of delivering healthcare that simultaneously do not put patients at an increased risk of transmission. A remote consultation service (Telemed) for patients referred for dentoalveolar procedures was trialled.To investigate the outcome of the Telemeds and if treatment booked as a result of the Telemeds was successful, and could be made common practice.Data was collected from Telemeds between 04 August 2020 and 30 November 2020. Data collected included whether treatment was booked as a result of the Telemed, if the treatment was successfully completed at the resulting appointment (one‐stop treatment), if an additional face‐to‐face (F2F) consultation was required and any related reasons as to why this was the case.After 499 Telemeds, 46.3% (N = 231) of patients required a F2F appointment being booked, 43.0% (N = 215) resulted in treatment being booked, 6.6% (N = 33) were discharged and 4% (N = 20) of patients did not answer when contact was attempted. Of the 215 patients who had a Telemed that led to booking of treatment, 110 had attended their follow up appointment and 95.4% (N = 105) successfully had their treatment carried out in one visit.Remote consultations are a feasible, successful and useful tool in assessing and booking dentoalveolar cases suitable for one‐stop treatment under local anaesthesia, as long as there is a specific and organized triage process, regardless of the number of teeth to be extracted or the patient's medical history. Patients requiring general anaesthesia, sedation or further radiographic imaging did not benefit from Telemeds as they needed to attend F2F anyway for pre‐operative assessment or to have their further imaging taken in the department.
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来源期刊
Oral Surgery
Oral Surgery Medicine-Surgery
CiteScore
0.90
自引率
0.00%
发文量
80
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