세브란스 병원에 입원한 환자들의 소아치과 협진의뢰 내용 및 진료현황
Dental Consultations and Treatment Pattern of Pediatric Inpatient in Severance Hospital
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
이 연구는 연세대학교 세브란스 병원에 입원한 환자의 소아치과 협진의뢰에 대한 정보를 분석하여 소아치과에 의뢰되는 전신질환환자에 대해 파악하고 협진 및 진료 경향에 변화가 있는지 분석하기 위해 시행되었다. 2017년 한 해 동안 연세대학교 세브란스 병원에 전신질환으로 입원한 소아환자 중 소아치과에 의뢰되어 실제로 진료를 받은 384건(268명)에 대한 자료를 조사하였다. 평균연령은6.6세였으며, 소아혈액종양과와 재활의학과에서 가장 많은 의뢰가 있었다. 협진주소는 기본 구강검진(31%), 치아우식증(20%), 구강통증(10%), 치아동요도(10%), 수술 전 검진(9%) 순으로 많았고, 협진의뢰된 환자의 41%는 치료 없이 구강검사만 시행하였다. 의뢰된 환자의 치과적 진단명은 치아우식증이 가장 많았으며, 이에 대한 보존치료 및 예방치료가 시행되었다. 협진의뢰된 환자의 28%(111건)는보존치료를 받았으며 그 중 22건은 전신마취 하에 진행되었다. 구강건강은 입원환자의 전신질환과 밀접한 연관성이 있으므로 구강질환의 예방 및 치료를 위하여 치과협진이 적극적으로 이루어져야 한다. 이를 위해 협진의뢰 체계 확립과 전신마취를 통한 치과치료의활용이 필요하다.
Abstract
The purpose of this study was to analyze the dental consultation of pediatric inpatients to the department of pediatric dentistry in Yonsei University Severance Hospital, and to investigate the change in patterns. In 2017, 268 pediatric patients (384 cases) admitted to the Severance Hospital were referred to the department of pediatric dentistry. The mean age was 6.6 years, and most of the patients were referred from the Department of Pediatric Hematology Oncology and Rehabilitation Medicine. The chief complaints were as follows: oral examination (31%), dental caries (20%), oral pain (10%), tooth mobility (10%), pre-operative evaluation (9%) and others (20%). 41% of the patients received only oral examination without treatment. Dental caries were the most frequent dental diagnosis of the patients. 28% (111 cases) of patients received operative treatments, 22 cases were treated under general anesthesia. Oral health is closely related to systemic diseases, especially for hospitalized patients. Dental consultations should be encouraged for prevention and early appropriate treatments. For this purpose, it is necessary to establish a referral system and perform dental treatment under general anesthesia.
참고문헌 (29)
- 유상훈, "전신질환으로 입원한 환자의 구강내과 진료실태", Journal of Oral Medicine and Pain, 33(1), pp.15~26 (2008), 대한안면통증∙구강내과학회
- Locker D, "Oral healthrelated quality of life of a population of medically compromised elderly people", Community Dent Health, 19, pp.90~97 (2002)
- Duke RL, "Dental status and quality of life in long-term head and neck cancer survivors", Laryngoscope, 115, pp.678~683 (2005)
- Ingram SS, "The association between oral health and general health and quality of life in older male cancer patients", J Am Geriatr Soc, 53, pp.1504~1509 (2005)
- McMillan AS, "Oral health-related quality of life of stroke survivors on discharge from hospital after rehabilitation", J Oral Rehabil, 32, pp.495~503 (2005)
- Mulligan R, "Oral health-related quality of life among HIV-infected and at-risk women", Community Dent Oral Epidemiol, 36, pp.549~557 (2008)
- Foster H, "Dental disease in children with chronic illness", Arch Dis Child, 90, pp.703~708 (2005)
- Mouradian WE, "Disparities in children’s oral health and access to dental care", JAMA, 284, pp.2625~2631 (2000)
- 주기훈, "연세대학교 세브란스 병원 내 입원한 환자의 소아치과 의뢰 현황", 대한소아치과학회지, 41(2), pp.145~151 (2014), 대한소아치과학회[DOI]
- Terezakis E, "The impact of hospitalization on oral health : a systematic review", J Clin Periodontol, 38, pp.628~636 (2011)
- Barnett ML, "The oral-systemic disease connection: An update for the practicing dentist", J Am Dent Assoc, 137, pp.5S~6S (2006)
- Shenkin JD, "The oral health of special needs children : dentistry’s challenge to provide care", ASDC J Dent Child, 68, pp.201~205 (2001)
- Kanuga S, "A one-year survey of inpatient dental consultations at a children’s hospital", Spec Care Dentist, 32, pp.26~31 (2012)
- 전양현, "전신질환으로 입원한 환자의 구강질환과 전신질환의 상관관계 (I)", Journal of Oral Medicine and Pain, 33(2), pp.111~120 (2008), 대한안면통증∙구강내과학회
- 서미경, "최근 10년간(2006 - 2015) 서울대학교 치과병원 소아치과의 진료 현황에 대한 연구", 대한소아치과학회지, 45(2), pp.215~224 (2018), 대한소아치과학회[DOI]
- Korean Academy of Pediatric Dentistry, "Text book of Pediatric Dentistry", pp.226~227 (2014), Dental Wisdom
- Childers NK, "Oral complications in children with cancer", Oral Surg Oral Med Oral Pathol, 75, pp.41~47 (1993)
- Fayle SA, "Oral complications in pediatric oncology patients", Pediatr Dent, 13, pp.289~295 (1991)
- Weisman SJ, "Septicemia in pediatric oncology patients : the significance of viridans streptococcal infections", J Clin Oncol, 8, pp.453~459 (1990)
- Graber C, "Dental health and viridans streptococcal bacteremia in allogeneic hematopoietic stem cell transplant recipients", Bone Marrow Transplant, 27, pp.537~ (2001)
- Greenberg MS, "The oral flora as a source of septicemia in patients with acute leukemia", Oral Surg Oral Med Oral Pathol, 53, pp.32~36 (1982)
- American Academy of Pediatric Dentistry, "Guideline on dental management of pediatric patients receiving chemotherapy, hematopoietic cell transplantation, and", or radiation, 2016, pp.38, 334~342
- Hölttä P, "Long-term adverse effects on dentition in children with poor-risk neuroblastoma treated with high-dose chemotherapy and autologous stem cell transplantation with or without total body irradiation", Bone Marrow Transplant, 29, pp.121~127 (2002)
- 강정민, "최근 5년간 연세대학교 치과대학병원 소아치과의 환자 분포 및 치료 경향", 대한소아치과학회지, 41(2), pp.134~144 (2014), 대한소아치과학회[DOI]
- Wilson W, "Prevention of infective endocarditis: guidelines from the American heart association: a guideline from the American heart association rheumatic fever, endocarditis, and Kawasaki disease committee, council on cardiovascular disease in the young, and the council on clinical cardiology, council on cardiovascular surgery and anesthesia, and the quality of care and outcomes research interdisciplinary working group", Circulation, 116, pp.1736~1754 (2007)
- Nicopoulos M, "Oral health needs and barriers to dental care in hospitalized children", Spec Care Dentist, 27, pp.206~211 (2007)
- Selivanov V, "Management of foreign body ingestion", Ann Surg, 199, pp.187~191 (1984)
- Susini G, "Accidental ingestion and aspiration of root canal instruments and other dental foreign bodies in a French population", Int Endod J, 40, pp.585~589 (2007)
- Nakagawa T, "Silent cerebral infarction : a potential risk for pneumonia in the elderly", J Intern Med, 247, pp.255~259 (2000)