老年牙科中的远程医疗:对住院老年患者进行虚拟检查和现场检查的一致性比较分析。

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Special Care in Dentistry Pub Date : 2024-11-01 Epub Date: 2024-07-10 DOI:10.1111/scd.13036
Monira Samaan Kallás, Bruno Guardieiro, Expedita Angela Henrique, Deise Garrido Silva, Danilo Aoike Takashi, Leonardo Marchini
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引用次数: 0

摘要

目的:本研究旨在评估住院老年人亲自临床检查和虚拟口腔检查之间的一致性:方法:在虚拟检查过程中,由一名检查人员进行现场临床检查,记录系统健康史和口腔健康指数,临床记录床旁口腔检查(BOE),并拍摄照片进行后续分析。经过 90 天的冲洗期后,由同一检查员和第二名检查员重复进行虚拟检查。描述性分析和卡帕检验用于比较比例和评估结果之间的一致性:结果:检查员之间在 BOE 的所有领域都有很高的一致性(80%-86%),只有牙龈(78%)例外。检查者内部的 Kappa 在唾液、粘膜、牙龈和牙齿/肛门领域得分中等,在舌头领域得分较高(0.839)。检查员之间在嘴唇和牙龈、唾液、粘膜和牙齿/窦领域的一致性为中等。唇(0.395)和牙龈(0.498)领域的检查者间 Kappa 分数较低;唾液(0.703)、粘膜(0.769)和牙齿/臼齿(0.714)领域的检查者间 Kappa 分数中等;舌领域的检查者间 Kappa 分数较高(0.872):本研究观察到,住院老年患者的临床口腔检查和虚拟口腔检查之间存在中等程度的一致性。这些发现令人鼓舞,值得进一步研究如何利用远程口腔检查来提高这一弱势群体的口腔健康水平。
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Telehealth in geriatric dentistry: A comparative analysis of concordance between virtual and in-person examinations for hospitalized older patients.

Aims: This study aims to assess the concordance between in-person clinical and virtual oral examinations among hospitalized older adults.

Methods: A single examiner performed an in-person clinical examination, recorded systemic health history and oral health indices, clinically documented the Bedside Oral Exam (BOE), and captured photographs for subsequent analysis during a virtual examination. Following a 90-day washout period, a virtual examination was repeated by the same examiner and by a second examiner. Descriptive analysis and a Kappa test were used to compare proportions and evaluate the agreement between results.

Results: Intra-examiners presented high percentage of agreement in all domains of BOE (80%-86%), with an exception for gingiva (78%). Kappa's intra-examiners presented moderate scores in saliva, mucous membrane, gingiva and teeth/dentures domains and a strong score in the tongue domain (0.839). Inter examiners presented moderate agreement in lips and gingiva, saliva, mucous membrane, and teeth/dentures domains. Inter examiners Kappa scores were weak for lips (0.395) and gingiva (0.498) domains; moderate for saliva (0.703), mucous membrane (0.769) and teeth/dentures (0.714) domains and strong for the tongue domain (0.872).

Conclusion: In this study, a moderate level of agreement was observed between clinical and virtual oral examinations among older hospitalized patients. These findings are encouraging and warrant further investigation about how teledentistry can be used to enhance oral health access to this vulnerable population.

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来源期刊
Special Care in Dentistry
Special Care in Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.40
自引率
14.30%
发文量
120
期刊介绍: Special Care in Dentistry is the official journal of the Special Care Dentistry Association, the American Association of Hospital Dentists, the Academy of Dentistry for Persons with Disabilities, and the American Society for Geriatric Dentistry. It is the only journal published in North America devoted to improving oral health in people with special needs.
期刊最新文献
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