Medical Emergencies in Dental Clinics: A Survey of 2013 Dentists in China

Jing Quan; Wan Kuo; Ma Lin; Zhao Jizhi

doi:10.24920/003708

Your Location：

Home >

Browse articles >

Medical Emergencies in Dental Clinics: A Survey of 2013 Dentists in China

Chinese Medical Sciences Journal Vol. 35, Issue 4, Pages: 342-349(2020)

Original Article | Updated：2024-04-10

- Medical Emergencies in Dental Clinics: A Survey of 2013 Dentists in China
- Affiliations：
  
  Department of Dentistry, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
- Author bio：
  
  * E-mail: wankuo@126.com; Tel: 86-10-69154583.
- Funds：
- DOI：10.24920/003708
  CLC：
- Received：05 January 2020，
  
  Accepted：2020-3-23，
  
  Published Online：31 December 2020，
  
  Published：31 December 2020
- Accepted：
Scan QR Code
Jing Quan, Wan Kuo, Ma Lin, et al. Medical Emergencies in Dental Clinics: A Survey of 2013 Dentists in China[J]. Chinese medical sciences journal, 2020, 35(4): 342-349.
DOI：

Jing Quan, Wan Kuo, Ma Lin, et al. Medical Emergencies in Dental Clinics: A Survey of 2013 Dentists in China[J]. Chinese medical sciences journal, 2020, 35(4): 342-349. DOI： 10.24920/003708.

摘要

目的

调查分析中国牙科诊室医疗急症的特征、发生频率

以及牙科医生经历医疗急症的相关风险因素。

方法

对2015年12月至2018年12月期间参加在中国18个城市举行的中华口腔医学会镇静镇痛学会继续教育课程的2408名牙医进行问卷调研

收集牙医个人及职业信息

过去三年行医中是否遇到医学急症、以及其相关特征信息

分析发生在牙科诊室的医疗急症的特点和牙科医生行医过程遭遇医学急症的相关风险因素。

结果

共有2013位牙医提供了有效问卷

报告了2923次发生在口腔诊室的医学急症事件。85.0%的牙医报告在过去三年遇到过医学急症

35.5%的牙医至少遇到过2次医学急症。其中晕厥（35.9%）和低血糖（30.3%）是最常见的急症类型。医疗急症最常见发生于口腔局部麻醉（49.9%）、门诊口腔手术（25.9%）和根管治疗（11.3%）操作中。医疗急症导致死亡共6例（0.2%）。有84.0%的牙医报告从未接受过除基础生命支持以外的口腔急症急救的课程培训。较长的职业生涯（10~15年）（OR = 0.59

95% CI: 0.41~0.85

P=0.004）、在私立的牙科诊所或医院工作（OR = 1.69

95% CI: 1.20~2.38

P=0.003）等因素与牙医经历医学急症的风险增加相关。

结论

应加强牙医对医学急症的预防、早期发现和及时正确处理的能力培养

以减少严重医疗安全事件发生。本调查结果可作为重新设计口腔急救培训课程之参考。

Abstract

Objective

To investigate the feature and frequency of medical emergencies in dental clinics in China and the associated factors for Chinese dentists experiencing medical emergencies.

Methods

A survey study was conducted among 2408 dentists who attended continuing educational courses held by Society of Sedation and Analgesia of Chinese Stomatological Association in 18 cities from December 2015 to December 2018. Demographic information of the dentists and the characteristics of medical emergencies they encountered were collected and analyzed. The associated demographic features for dentist experiencing medical emergencies were analyzed by logistic regression model.

Results

A total of 2013 dentists provided valid responses and reported 2923 events of medical emergencies in dental clinics. Among them

85.0% reported that they had encountered medical emergencies

and 35.5% had encountered at least twice. Syncope (35.9%) and hypoglycemia (30.3%) were the most common reported medical emergencies. Medical emergencies were most likely to occur during local anesthesia (49.9%)

out-patient oral surgery (25.9%)

and root canal treatment (11.3%). There were 6 patients (0.2%) died in emergencies. 84.0% dentists reported that they had never received training courses about medical emergency management in dentistry other than Basic Life Support. Longer practicing time (10-15 years) (

=0.59

95%

: 0.41-0.85

=0.004)

working in private dental facilities (

=1.69

95%

: 1.20-2.38

=0.003) were associated with an increased risk of experiencing medical emergencies.

Conclusion

More efforts are needed in prevention

early identification

and timely management of medical emergencies in dental clinics in order to prevent fatal outcomes. The results of this survey are useful information for re-designing emergency training courses for Chinese dentists.

关键词

Keywords

references

Smereka J , Aluchna M , Aluchna A , et al . Preparedness and attitudes towards medical emergencies in the dental office among Polish dentists . Int Dent J 2019 ; 69 ( 4 ): 321 - 8 . doi: 10.1111/idj.12473 10.1111/idj.12473 . DOI: 10.1111/idj.12473 http://doi.org/10.1111/idj.12473 https://www.ncbi.nlm.nih.gov/pubmed/30843612 https://www.ncbi.nlm.nih.gov/pubmed/30843612

Jodalli PS , Ankola AV . Evaluation of knowledge, experience and perceptions about medical emergencies amongst dental graduates (Interns) of Belgaum City, India . J Clin Exp Dent 2012 ; 4 ( 1 ): e14 - 8 . doi: 10.4317/jced.50627 10.4317/jced.50627 . DOI: 10.4317/jced.50627 http://doi.org/10.4317/jced.50627 https://www.ncbi.nlm.nih.gov/pubmed/24558518 https://www.ncbi.nlm.nih.gov/pubmed/24558518

Pan J , Chen Y . The introduction and management of common medical emergencies in the dental clinic . Inter J Stomatol 2015 ; 42 ( 1 ): 1 - 6 . doi: 10.7518/gjkq.2015.01.001 10.7518/gjkq.2015.01.001 .

Alhamad M , Alnahwl T , Alshayeb H , et al . Medical emergencies encountered in dental clinics: A study from the Eastern Province of Saudi Arabia . J Family Community Med 2015 ; 22 ( 3 ): 175 - 9 . doi: 10.4103/2230-8229.163038 10.4103/2230-8229.163038 . DOI: 10.4103/2230-8229.163038 http://doi.org/10.4103/2230-8229.163038 https://www.ncbi.nlm.nih.gov/pubmed/26392799 https://www.ncbi.nlm.nih.gov/pubmed/26392799

Müller MP , Hänsel M , Stehr SN , et al . A state-wide survey of medical emergency management in dental practices: incidence of emergencies and training experience . Emerg Med J 2008 ; 25 ( 5 ): 296 - 300 . doi: 10.1136/emj.2007.052936 10.1136/emj.2007.052936 . DOI: 10.1136/emj.2007.052936 http://doi.org/10.1136/emj.2007.052936 https://www.ncbi.nlm.nih.gov/pubmed/18434471 https://www.ncbi.nlm.nih.gov/pubmed/18434471

Yang M , Qin R , Hu K . Retrospective study of medical emergencies in oral surgery . J Pract Stomatol 2011 ; 27 ( 5 ): 672 - 5 . doi: 10.3969/j.issn.1001-3733.2011.05.019 10.3969/j.issn.1001-3733.2011.05.019 .

Albelaihi HF , Alweneen AI , Ettish A , et al . Knowledge, attitude, and perceived confidence in the management of medical emergencies in the dental office: a survey among the dental students and interns . J Int Soc Prev Community Dent 2017 ; 7 ( 6 ): 364 - 9 . doi: 10.4103/jispcd.JISPCD_414_17 10.4103/jispcd.JISPCD_414_17 . DOI: 10.4103/jispcd.JISPCD_414_17 http://doi.org/10.4103/jispcd.JISPCD_414_17 https://www.ncbi.nlm.nih.gov/pubmed/29387622 https://www.ncbi.nlm.nih.gov/pubmed/29387622

Al-Hassan M , AlQahtani S . Preparedness of dental clinics for medical emergencies in Riyadh, Saudi Arabia . Saudi Dent J 2019 ; 31 ( 1 ): 115 - 21 . doi: 10.1016/j.sdentj.2018.11.006 10.1016/j.sdentj.2018.11.006 . DOI: 10.1016/j.sdentj.2018.11.006 http://doi.org/10.1016/j.sdentj.2018.11.006 https://www.ncbi.nlm.nih.gov/pubmed/30705575 https://www.ncbi.nlm.nih.gov/pubmed/30705575

Florian L , Pascal A , Scott TY , et al . Medical emergencies in dental practice . Med Buccale Chir Buccale 2014 ; 20 : 3 - 12 . doi: 10.1051/mbcb/2013104 10.1051/mbcb/2013104 . DOI: 10.1051/mbcb/2013104 http://doi.org/10.1051/mbcb/2013104 https://www.jomos.org/10.1051/mbcb/2013104 https://www.jomos.org/10.1051/mbcb/2013104

Khami MR , Yazdani R , Afzalimoghaddam M , et al . Medical emergency management among Iranian dentists . J Contemp Dent Pract 2014 ; 15 ( 6 ): 693 - 8 . doi: 10.5005/jp-journals-10024-1601 10.5005/jp-journals-10024-1601 . DOI: 10.5005/jp-journals-10024-1601 http://doi.org/10.5005/jp-journals-10024-1601 https://www.ncbi.nlm.nih.gov/pubmed/25825092 https://www.ncbi.nlm.nih.gov/pubmed/25825092

Omar Y , Aljohara A , Nouf S , et al . Medical emergencies in dental practice. Part 1: prevalence and factors associated with their number and occurrence in Riyadh . IOSR J Dent Med Sci 2017 ; 16 ( 12 ):Ver VIII 1-9. doi: 10.9790/853-1612080109 10.9790/853-1612080109 .

Pan J , Liao X , Zhang Z . Dentists should improve the ability to deal with medical emergencies in dental clinic . Hua Xi Kou Qiang Yi Xue Za Zhi 2015 ; 33 ( 4 ): 336 - 8 . Chinese. doi: 10.7518/hxkq.2015.04.002 10.7518/hxkq.2015.04.002 . https://www.ncbi.nlm.nih.gov/pubmed/26552232 https://www.ncbi.nlm.nih.gov/pubmed/26552232

Kim HJ . How to cope with medical emergencies in the Dental Clinic . J Korean Dent Associa 2015 ; 53 ( 8 ): 530 - 7 . Korean.

Arsati F , Montalli VA , Flório FM , et al . Brazilian dentists’ attitudes about medical emergencies during dental treatment . J Dent Educ 2010 ; 74 ( 6 ): 661 - 6 . https://www.ncbi.nlm.nih.gov/pubmed/20516306 https://www.ncbi.nlm.nih.gov/pubmed/20516306

Anders PL , Comeau RL , Hatton M , et al . The nature and frequency of medical emergencies among patients in a dental school setting . J Dent Educ 2010 ; 74 : 392 - 6 . https://www.ncbi.nlm.nih.gov/pubmed/20388811 https://www.ncbi.nlm.nih.gov/pubmed/20388811

Atherton GJ , McCaul JA , Williams SA . Medical emergencies in general dental practice in Great Britain Part 1: Their prevalence over a 10-year period . Br Dent J 1999 ; 186 ( 2 ): 72 - 9 . doi: 10.1038/sj.bdj.4800023 10.1038/sj.bdj.4800023 . DOI: 10.1038/sj.bdj.4800023 http://doi.org/10.1038/sj.bdj.4800023 https://www.ncbi.nlm.nih.gov/pubmed/10079576 https://www.ncbi.nlm.nih.gov/pubmed/10079576

Kanishk G , Betsy T , Kumar S , et al . Awareness and competency assessment of dental postgraduates in managing medical emergencies . Advanced Sci Letters 2017 ; 23 ( 3 ): 1763 - 6 . doi: 10.1166/asl.2017.8545 10.1166/asl.2017.8545 . DOI: 10.1166/asl.2017.8545 http://doi.org/10.1166/asl.2017.8545 http://www.ingentaconnect.com/content/10.1166/asl.2017.8545 http://www.ingentaconnect.com/content/10.1166/asl.2017.8545

Reuter NG , Westgate PM , Ingram M , et al . Death related to dental treatment: a systematic review . Oral Surg Oral Med Oral Pathol Oral Radiol 2017 ; 123 ( 2 ): 194 - 204 . doi: 10.1016/j.oooo.2016.10.015 10.1016/j.oooo.2016.10.015 . DOI: 10.1016/j.oooo.2016.10.015 http://doi.org/10.1016/j.oooo.2016.10.015 https://www.ncbi.nlm.nih.gov/pubmed/27989710 https://www.ncbi.nlm.nih.gov/pubmed/27989710

Views

463

Downloads

CSCD

Alert me when the article has been cited

Submit

Publicity Resources

No data

Related Author

No data

Related Institution

No data

⁰