PMID- 19796515
OWN - NLM
STAT- MEDLINE
DCOM- 20100126
LR  - 20151119
IS  - 1355-7610 (Print)
IS  - 1355-7610 (Linking)
VI  - 16
IP  - 4
DP  - 2009 Oct
TI  - An audit of dental general anaesthetic referral from a general dental practice in 
      South Wales.
PG  - 143-7
LID - 10.1308/135576109789389441 [doi]
AB  - AIMS: The aim of this audit was to quantify the number of patients that received 
      a dental general anaesthetic (DGA) between 1999 and 2007 following referral from 
      a general dental practice. It also aimed to establish the deprivation status of 
      those referred and to investigate further dental treatment pathways of these 
      patients. METHODS: Data were collected from all patient records held by the 
      practice. The information collected included: postcode, gender, age at the close 
      of the study, age at time of DGA, reason for DGA, number of teeth extracted, and 
      details of further ongoing care. In the absence of individual level socioeconomic 
      data, a deprivation score (derived from the Welsh Index of Multiple Deprivation 
      [WIMD]) was appended to each record in order to provide a measure of deprivation 
      based on the postcode of the patient. RESULTS: Two hundred and eighty-seven 
      patients were referred for DGA during the nine-year period. Their mean age was 
      9.4 years (95% confidence interval [CI] = 8.4, 10.4) and 30.7% were children aged 
      five years or younger. The most common reason for DGA was dental caries. The mean 
      number of teeth extracted was 4.5 (95% CI = 4.1, 4.9). Patients living in 
      deprived areas were more likely to be referred for DGA. Of the 87 who did not 
      subsequently attend for continuing care, 72 were from deprived areas compared 
      with 15 from more affluent areas (P=0.003). CONCLUSIONS: In proportion to the 
      number of patients registered at a practice, the number of referrals for DGAs was 
      relatively low. Patients categorised as deprived (based on their residential 
      postcode) received more referrals for DGAs than those from more affluent areas. 
      Patients from deprived locations were significantly more likely not to attend for 
      continuing care after their DGA than those from more affluent areas.
FAU - Richards, Wayne
AU  - Richards W
AD  - Faculty of Health Sport and Science, University of Glamorgan, Pontypridd, Wales, 
      UK. wrichard@glam.ac.uk
FAU - Razzaq, Kamran
AU  - Razzaq K
FAU - Higgs, Gary
AU  - Higgs G
LA  - eng
PT  - Journal Article
PL  - England
TA  - Prim Dent Care
JT  - Primary dental care : journal of the Faculty of General Dental Practitioners (UK)
JID - 9617339
MH  - Adolescent
MH  - Anesthesia, Dental/*statistics & numerical data
MH  - Anesthesia, General/*statistics & numerical data
MH  - Chi-Square Distribution
MH  - Child
MH  - Child, Preschool
MH  - Data Collection/methods
MH  - Dental Audit
MH  - Female
MH  - General Practice, Dental/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Poverty Areas
MH  - Practice Patterns, Dentists'/*statistics & numerical data
MH  - Referral and Consultation/*statistics & numerical data
MH  - Tooth Extraction/*statistics & numerical data
MH  - Wales
EDAT- 2009/10/03 06:00
MHDA- 2010/01/27 06:00
CRDT- 2009/10/03 06:00
PHST- 2009/10/03 06:00 [entrez]
PHST- 2009/10/03 06:00 [pubmed]
PHST- 2010/01/27 06:00 [medline]
AID - 10.1308/135576109789389441 [doi]
PST - ppublish
SO  - Prim Dent Care. 2009 Oct;16(4):143-7. doi: 10.1308/135576109789389441.