Management of odonto-stomatological emergencies during the COVID-19 alarm state in dental clinics in the Autonomous Community of Madrid (CAM), Spain: An observational study

Ramírez, José Manuel León; Varela-Montes, Luis; Gómez-Costa, Diego; Giovannini, Giada; Romero-Maroto, Martín; Diego, Rafael Gómez de

doi:10.4317/medoral.24075

Cited by 8 publications

(7 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The outbreak of the new coronavirus disease (COVID-19), initially identified in December 2019 in the People's Republic of China ( 1 ), quickly spread to several countries around the world, with Spain being one of the most affected. On 31 January 2020, the first confirmed case of severe acute respiratory syndrome due to coronavirus-2 (SARS-CoV-2) was notified in Spain ( 2 ). From then on, an unprecedented epidemiological situation emerged that led the government to enact drastic health measures to reduce community transmission.…”

Section: Introductionmentioning

confidence: 99%

Impact of the coronavirus pandemic on maxillofacial trauma: A retrospective study in southern Spain

Infante-Cossio¹,

Fernandez-Mayoralas-Gomez²,

Gonzalez-Perez³

et al. 2022

Med Oral

View full text Add to dashboard Cite

Background The coronavirus pandemic has impacted health systems worldwide, with Spain being one of the most affected countries. However, little is known about the extent to which the effects of staying home, social distancing, and quarantine measures have influenced the epidemiology of patients with maxillofacial trauma. The aim of this study was to analyze the impact of the coronavirus pandemic on the incidence, demographic patterns, and characteristics of maxillofacial fractures in the largest hospital in southern Spain. Material and Methods Data from patients who underwent surgery for maxillofacial fractures during the first year of the pandemic between 16 March 2020 and 14 March 2021 (pandemic group) were retrospectively compared with a control group during the equivalent period of the previous year (pre-pandemic group). The incidence was compared by weeks and by lockdown periods of the population. Demographic information, aetioloy, fracture characteristics, treatment performed, and days of preoperative stay were evaluated. Descriptive and bivariate statistics were calculated ( p <0.05). Results During the first year of the pandemic, there was a 35.2% reduction in maxillofacial fractures (n=59) compared to the pre-pandemic year (n=91, p =0.040). A significant drop was detected during the total home lockdown period of the population ( p =0.028). In the pandemic group, there was a reduction in fractures due to interpersonal aggressions, an increase in panfacial fractures, a significant increase in other non-facial injuries associated with polytrauma ( p =0.037), a higher number of open reduction procedures with internal fixation, and a significantly longer mean preoperative stay ( p =0.016). Conclusions The first pandemic year was associated with a decline in the frequency of maxillofacial trauma and a change in the pattern and characteristics of fractures. Inter-annual epidemiological knowledge of maxillofacial fractures may be useful for more efficient planning of resource allocation and surgical practice strategy during future coronavirus outbreaks and population lockdowns. Key words: SARS-CoV-2, coronavirus infection, pandemic, maxillofacial trauma, Spain.

show abstract

Section: Introductionmentioning

confidence: 99%

Impact of the coronavirus pandemic on maxillofacial trauma: A retrospective study in southern Spain

Infante-Cossio¹,

Fernandez-Mayoralas-Gomez²,

Gonzalez-Perez³

et al. 2022

Med Oral

View full text Add to dashboard Cite

show abstract

“…Hence, the suspension of non-urgent surgical treatments (such as extractions of asymptomatic teeth) may have led to a decrease in the prescribing of antibiotics associated with these types of procedures, and of Watch-type antibiotics in particular [ 15 , 16 , 17 ]. Patients’ fear of visiting dental clinics due to the risk of becoming infected with COVID-19, the smaller number of emergencies, and the increase in self-medication could also account for this initial decrease [ 18 , 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Antibiotic Prescribing by Dentists in Galicia, Spain: A Quasi-Experimental Approach

et al. 2022

View full text Add to dashboard Cite

Background: Antibiotic resistance is one of the most pressing public health problems. Health authorities, patients, and health professionals, including dentists, are all involved in its development. COVID-19 pandemic restrictions on dental care may have had repercussions on antibiotic prescribing by dentists. The aim of this study was to assess the impact of the COVID-19 pandemic on antibiotic prescribing by dentists, and to review antibiotic consumption according to the WHO Access, Watch, Reserve classification. We conducted a natural, before-and-after, quasi-experimental study, using antibiotic prescription data covering the period from January 2017 to May 2021. A segmented regression analysis with interrupted time series data was used to analyse the differences between the numbers of defined daily doses (DDD) of antibiotics prescribed monthly. The outcomes showed an immediate significant decrease in overall antibiotic prescribing by primary-care dentists during lockdown, followed by a non-significant upward trend for the next year. This same pattern was, likewise, observed for Access and Watch antibiotics. COVID-19 pandemic restrictions on dental care influenced the prescription of antibiotics. During confinement, an initial decrease was observed, this trend changed when in person consultations were recovered. It might be beneficial to analyse the prescription of antibiotics using the WHO AWaRe classification, in order to monitor their appropriate use.

show abstract

“…Como resultado da busca e leitura dos artigos na íntegra, foram encontrados estudos que traziam somente um dos termos para referenciar todas as situações de urgência ou de emergência odontológica. Alguns desses estudos fizeram uso apenas do termo "emergência odontológica" 32,33,27,15,35,36,18,19,61,37,21,42,43,44,55,57,47,24,31,56,50,59 , enquanto outros, em menor número, traziam o termo "urgência odontológica" na referência de toda e qualquer situação 54,48,52…”

Section: Materiais E Métodosunclassified

Utilização das terminologias urgência e emergência em odontologia no contexto da pandemia da COVID-19: Uma revisão de escopo

Schiochet

Neves²,

Galvan³

et al. 2022

Rev. Atenção Saúde

View full text Add to dashboard Cite

Introdução: Após o surto da COVID-19, a área odontológica conhecida pelo contato próximo profissional-paciente, logo foi identificada como um cenário de alto potencial de contaminação pelo Sars-CoV-2. Com isso, decisões governamentais foram tomadas com vistas à paralisação dos serviços de rotina de saúde bucal em diversos países. No entanto, as necessidades odontológicas de atendimento de urgência e emergência puderam ser mantidas. Assim, a interpretação dos conceitos do que poderia ou não ser realizado no atendimento odontológico, gerou dúvidas entre os profissionais da saúde bucal no contexto da pandemia do COVID-19. Objetivo: Relacionar o modo de utilização dos termos urgência e emergência odontológica no contexto da pandemia da COVID-19. Materiais e Métodos: Foi realizada uma revisão de escopo seguindo a metodologia do Joanna Briggs Institute (JBI). Foram considerados artigos publicados em português, inglês e espanhol, nas plataformas MEDLINE/PubMed, SCOPUS (Elsevier), Web of Science e EMBASE (Elsevier). Resultados: Foram localizados 959 estudos e incluídos 48 destes. Os resultados encontrados demonstram que muitas definições se repetem pelos autores nas utilizações dos termos urgência odontológica e emergência odontológica. Conclusão: O conceito e aplicação das terminologias urgência odontológica e emergência odontológica ainda não se encontram totalmente consolidados por acadêmicos e profissionais da saúde bucal, sendo muitas vezes utilizadas como sinônimos. Tal fato dificulta a sua interpretação e padronização em estudos científicos, além de desencadear possíveis prejuízos aos serviços que adotam classificação de casos segundo escala de gravidade, preconizadas por diversos órgãos de saúde, em especial o Ministério da Saúde do Brasil.

show abstract

Management of odonto-stomatological emergencies during the COVID-19 alarm state in dental clinics in the Autonomous Community of Madrid (CAM), Spain: An observational study

Cited by 8 publications

References 8 publications

Impact of the coronavirus pandemic on maxillofacial trauma: A retrospective study in southern Spain

Impact of the coronavirus pandemic on maxillofacial trauma: A retrospective study in southern Spain

Impact of the COVID-19 Pandemic on Antibiotic Prescribing by Dentists in Galicia, Spain: A Quasi-Experimental Approach

Utilização das terminologias urgência e emergência em odontologia no contexto da pandemia da COVID-19: Uma revisão de escopo

Contact Info

Product

Resources

About