Feasibility of establishing tele-dental approach to non-traumatic dental emergencies in medical settings

被引：0
作者：
Abdelrahim, Adham [1 ,2 ]
Shimpi, Neel [1 ]
Hegde, Harshad [1 ]
Kleutsch, Katelyn C. [3 ]
Chyou, Po-Huang [4 ]
Jain, Gaurav [5 ]
Acharya, Amit [1 ,6 ]
机构：
[1] Marshfield Clin Fdn Med Res & Educ, Res Inst, Ctr Oral & Syst Hlth, 1000 North Oak Ave, Marshfield, WI 54449 USA
[2] Univ Wisconsin, Computat & Informat Biol & Med Program, Madison, WI USA
[3] AT Still Univ, Arizona Sch Dent & Oral Hlth, Mesa, AZ 85206 USA
[4] Marshfield Clin Fdn Med Res & Educ, Res Inst, Off Comp & Analyt, Marshfield, WI 54449 USA
[5] Family Hlth Ctr Inc, Medford Dent Ctr, Medford, WI USA
[6] Marshfield Clin Fdn Med Res & Educ, Res Inst, Marshfield, WI 54449 USA
来源：
AMERICAN JOURNAL OF DENTISTRY | 2020年 / 33卷 / 01期
关键词：
DEPARTMENT VISITS; ORAL-HEALTH; TELEDENTISTRY; PHYSICIANS; ACCURACY; ADULTS; TRENDS;
D O I：
暂无
中图分类号：
R78 [口腔科学];
学科分类号：
1003 ;
摘要：
Purpose: Non-traumatic dental condition visits (NTDCs) represent about 1.4% to 2% of all Emergency Department (ED) visits and are limited to palliative care only, while associated with high cost of care. Feasibility of establishing a tele-dental approach to manage NTDCs in ED and Urgent care (UC) settings was undertaken to explore the possibility of utilizing remote tele-dental consults. Methods: Participants with NTDCs in ED/UCs were examined extra and intra-orally: (1) directly by ED provider, (2) remotely by tele-dental examiner (trained dentist) using intra-oral camera and high-definition pan-tilt-zoom (PTZ) camera, (3) directly by treating dentist post ED/UC visit (if applicable) and, (4) secondary assessment by tele-dental reviewer. Comparisons were drawn between differential diagnoses and recommended managements provided by ED/UC providers, tele-dental examiner, treating dentist, and tele-dental reviewer. Results: 13 patients participated in the study. The overall inter-rater agreement between the tele-dental examiner and tele-dental reviewer was high while it was low between tele-dentists and the ED providers. The preliminary testing of tele-dental intervention in the ED/UC setting demonstrated potential feasibility in addressing the NTDC landing in ED/UC. Larger interventional studies in multi-site setting are needed to validate this approach and especially evaluate impact on cost, ED/UC workflow and patient outcomes.
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页码：48 / 52
页数：5
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