코로나 바이러스 감염증-19가 한국 소아청소년의 치과 이용에 미치는 영향
Impact of Coronavirus Disease 2019 on Dental Service Utilization of Korean Children and Adolescents
2
조회
0
다운로드
9
인용
0
참고문헌
키워드
초록
이 연구의 목적은 코로나 바이러스 감염증-2019 팬데믹 이후 소아청소년의 치과 이용 실태를 조사하고 성인과 비교하여 파악하는것이다. 건강보험심사평가원에서 제공하는 2017년 1월부터 2020년 12월까지 20세 미만의 소아청소년 및 20세 이상의 성인의 주상병과 치료코드별 치과 내원 횟수 자료를 사용했다. 연도별 인구수 변화가 내원 횟수에 미치는 영향을 줄이기 위해 인구수 1000명당 치과 내원 횟수를 이용해 분석하였다. 치수 및 근단주위조직의 질환 주상병으로 인한 치과 내원 횟수가 팬데믹 이후 모든 연령에서 감소했고, 치수치료에 해당하는 치료 코드로 인한 치과 내원 횟수는 0 - 4세군을 제외하고 감소했다. 수복치료에 해당하는 치료코드로 인한 치과 내원 횟수는 팬데믹 이후 0 - 19세군에서 감소했다. 2020년 신규확진자 수와 치료 코드의 치과 내원 횟수 변화율을 월별로 비교했을 때, 우리나라 대유행이 있던 2월과 8월 이후 치수치료 및 수복치료는 점차 감소했다. 치은염 및 치주질환 주상병으로 인한 치과 내원 횟수는 팬데믹 이후 모든 연령군에서 증가했다. 소아청소년의 수복치료로 인한 내원 횟수 감소율은 성인보다 컸다. 팬데믹 이후 Multi-visit 치수치료로 인한 치과 내원 횟수 감소율은 1-visit 치수치료보다 컸다. 이 연구를 통해 코로나 바이러스 감염증-2019 전파 이후 소아청소년들의 치과 내원 횟수를 파악하고 성인과 비교해볼 수 있다.
Abstract
This study aimed to investigate the frequency of dental visits after coronavirus disease 2019 (COVID-19) in children and adolescents in comparison to that of adults. The data on the number of dental visits on the basis of different classification and treatment codes for all the age groups were provided by the Health Insurance Review and Assessment Service from January 2017 to December 2020. To reduce the impact of the population change, dental visits per 1000 people was used. After the start of the pandemic, dental visits per 1000 people decreased in all age groups when analyzed for the diseases of pulp and periapical tissues classification code and dental visits per 1000 people decreased over 5 years age groups when analyzed for the pulp treatment code. Regarding the restorative treatment code, visits in the 0 - 19 years age group decreased after the pandemic. Based on the comparison of the number of confirmed COVID-19 cases to that of monthly dental visits by treatment codes, the change rate of pulp and restorative treatments gradually decreased after the waves of the pandemic in February and August 2020 in Korea. Furthermore, dental visits per 1000 people for gingivitis and periodontal disease classification code increased after the pandemic in all age groups. The rate of decrease in dental visits per 1000 people for restorative treatments in children and adolescents was higher than that in adults. The rate of decrease in the number of dental visits for multi-visit pulp treatments showed a rapid decrease as compared to that of 1-visit pulp treatments after the pandemic. This study identified changes in the number of dental visits of children and adolescents after COVID-19 transmission in comparison to that observed in adults.
참고문헌 (34)
- Singh S, "How an outbreak became a pandemic : a chronological analysis of crucial junctures and international obligations in the early months of the COVID-19 pandemic", Lancet, 398, pp.2109~2124 (2021)
- Li Y, "Saliva is a non-negligible factor in the spread of COVID-19", Mol Oral Microbiol, 35, pp.141~145 (2020)
- An N, "Droplets and aerosols in dental clinics and prevention and control measures of infection", Zhonghua Kou Qiang Yi Xue Za Zhi, 55, pp.223~228 (2020)
- SabinoSilva R, "Coronavirus COVID-19 impacts to dentistry and potential salivary diagnosis", Clin Oral investig, 24, pp.1619~1621 (2020)
- "ADA Calls Upon Dentists to Postpone Elective Procedures"[URL]
- "Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019(COVID-19) Pandemic"[URL]
- Dar Odeh N, "COVID-19 : present and future challenges for dental practice", Int J Environ Res Public Health, 17, pp.3151~ (2020)
- Assaker R, "Presenting symptoms of COVID-19 in children : a meta-analysis of published studies", BR J Anaesth, 125, pp.e330~e332 (2020)
- Memish ZA, "Middle East respiratory syndrome", Lancet, 395, pp.1063~1077 (2020)
- "Investigation of MERS damage at local dental clinics"[URL]
- Üstün N, "Influence of COVID-19pandemic on paediatric dental attendance", Clin Oral Investig, 25, pp.6185~6191 (2021)
- Chisini LA, "COVID-19 pandemic impact on paediatric dentistry treatments in the Brazilian Public Health System", Int J Paediatr Dent, 31, pp.31~34 (2021)
- Schwendicke F, "Impact of SARS-CoV2(Covid-19)on dental practices : Economic analysis", J Dent, 99, pp.103387~ (2020)
- 이가영, "코로나바이러스감염증-19가 치과의료기관의 경제적 손실에 미친 영향 요인 : 다수준 분석의 적용", 대한치과의사협회지, 58(10), pp.627~638 (2020), 대한치과의사협회[DOI]
- 손동현, "빅데이터를 이용한 소아청소년에서의 코로나 바이러스 감염증-19와 치과 방문의 연관성 분석", 대한소아치과학회지, 48(3), pp.324~332 (2021), 대한소아치과학회
- "WHO director-general's statement on IHR emergency committee on novel coronavirus (2019-nCoV)"[URL]
- "WHO director-general's opening remarks at the media briefing on COVID-19-11March 2020"[URL]
- Korean Society of Infectious Diseases, "Report on the Epidemiological Features of Coronavirus Disease 2019 (COVID-19) Outbreak in the Republic of Korea from January 19 to March 2, 2020", Journal of Korean Medical Science, 35(10), pp.1~11 (2020), 대한의학회[DOI]
- "One year under COVID-19, the medical service experience decrease and the public trust in the medical system increased"[URL]
- Checchi V, "COVID-19dentistry-related aspects : a literature overview", Int Dent J, 71, pp.21~26 (2021)
- Wen YF, "Differential psychological factors associated with unnecessary dental avoidance and attendance behavior during the early COVID-19 epidemic", Front Psychol, 12, pp.2007~ (2021)
- Carlos JP, "Longitudinal studies of the natural history of caries-II : A life-table study of caries incidence in the permanent teeth", Arch Oral Biol, 10, pp.739~751 (1965)
- Luzzi V, "Paediatric oral health during and after the COVID-19 pandemic", Int J Paediatr Dent, 31, pp.20~26 (2021)
- Lim S, "Collateral damage of the COVID-19 Pandemic on nutritional quality and physical activity : Perspective from South Korea", Obesity, 28, pp.1788~1790 (2020)
- Pujia R, "The effects of COVID-19on the eating habits of children and adolescents in Italy : A pilot survey study", Nutrients, 13, pp.2641~ (2021)
- Sun J, "Knowledge of and attitudes toward COVID-19 among parents of child dental patients during the outbreak", Braz Oral Res, 34 (2020)
- 김지훈, "Characteristics of patients who visit the dental emergency room in a dental college hospital", Journal of Dental Anesthesia and Pain Medicine, 19(1), pp.21~27 (2019), 대한치과마취과학회[DOI]
- Bae JH, "Clinical characteristics of dental emergencies and prevalence of dental trauma at a university hospital emergency center in Korea", Dent Traumatol, 27, pp.374~378 (2011)
- Wu K, "Changes in the characteristics of dental emergencies under the influence of SARS-CoV-2 pandemic : a retrospective study", BMC Oral Health, 21, pp.1~8 (2021)
- 손동현, "국내에서 발생한 치과적 외상에 대한 코로나 바이러스 감염증-19의 영향", 대한소아치과학회지, 49(1), pp.76~84 (2022), 대한소아치과학회
- "Investigation of impact of COVID-19 on pediatrics and otorhinolaryngology by data"[URL]
- "Severe closing rate of pediatrics and otorhinolaryngology during COVID-19 period"[URL]
- Yu J, "Characteristics of endodontic emergencies during coronavirus disease 2019 outbreak in Wuhan", J Endod, 46, pp.730~735 (2020)
- Samaranayake L, "The efficacy of rubber dam isolation in reducing atmospheric bacterial contamination", ASDC J Dent Child, 56, pp.442~444 (1989)