COVID-19 大流行对巴西贝伦医疗机构口腔和颌面护理的影响

Gabriel Oliveira Aguiar Santos, Marilia Oliveira Coelho Dutra Leal, Renato Assis Machado, C. Jodas, A. Bachesk, R. G. Teixeira
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摘要

研究目的:本研究旨在评估大流行病对巴西帕拉州贝伦大都会地区牙科专科中心(CEOs)口腔颌面外科手术的影响:采用比较统计方法进行回顾性横断面流行病学调查:从 DATASUS 平台收集了 2019 年至 2020 年选定 CEO 的非急诊外科手术数据,并与巴拉州贝伦的 COVID-19 确诊病例数进行了比较:采用描述性统计和推理分析(包括方差分析和 t 检验)来评估大流行病对外科手术数量的影响:结果:2019 年在 CEO 处接受治疗的患者总数为 30013 人,2020 年降至 15952 人,减少了 46.8%。分析表明,不同首席执行官的手术数量呈现出不同的趋势,大流行与手术数量之间存在显著关联。从2019年到2020年,大多数外科手术都出现了下降。不过,特定手术仍出现大幅增长,如皮肤和粘膜病变切除术、面部神经痛治疗、口腔和阑尾脓肿引流术等:COVID-19大流行严重影响了巴西帕拉州贝伦大都会区牙科专科中心的口腔颌面外科手术率。虽然总体手术率有所下降,但受大流行病和公共卫生措施的影响,特定的非急诊手术率出现了变化。
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Influence of the COVID-19 Pandemic on Oral and Maxillofacial Care in Health Units in Belém, Brazil
Aims: This study aims to assess the influence of the pandemic on oral and maxillofacial surgical procedures in Dental Specialty Centers (CEOs) within the Metropolitan Region of Belém, Pará, Brazil. Study Design: A retrospective cross-sectional epidemiological investigation was conducted using a comparative statistical approach. Place and Duration of Study: Data from 2019 to 2020 on non-urgent surgical procedures in selected CEOs were collected from the DATASUS platform and compared to the number of confirmed COVID-19 cases in Belém, Pará Methodology: Descriptive statistics and inferential analyses, including ANOVA and t-tests, were used to evaluate the impact of the pandemic on the number of surgical procedures conducted. Results: The total number of patients treated at the CEOs in 2019 was 30,013, which decreased to 15,952 in 2020, resulting in a 46.8% reduction. The analysis showed that different CEOs exhibited varying trends in the number of procedures performed, with a significant association between the pandemic and procedure numbers. Most surgical procedures experienced a decline from 2019 to 2020. Still, specific procedures showed substantial increases, such as excision of skin and mucosal lesions, treatment of facial neuralgia, and drainage of abscesses in the mouth and appendages. Conclusion: The COVID-19 pandemic significantly impacted the oral and maxillofacial surgical procedures rate at Dental Specialty Centers in the Metropolitan Region of Belém, Pará, Brazil. While overall procedures decreased, specific non-urgent procedures demonstrated variations, influenced by the evolving pandemic and public health measures.
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