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Original Research

Open Access

Characteristics and Associated Comorbidities of Pediatric Dental Patients Treated under General Anesthesia

  • Alexandra Delfiner1
  • Aaron Myers2,*,
  • Christie Lumsden2
  • Steve Chussid2
  • Richard Yoon2

1 private practice,New York, NY

2t Columbia University Medical Center, New York, NY.

DOI: 10.17796/1053-4628-41.6.12 Vol.41,Issue 6,November 2017 pp.482-485

Published: 01 November 2017

*Corresponding Author(s): Aaron Myers E-mail: agm2112@columbia.edu

Abstract

To describe characteristics and identify common comorbidities of children receiving dental treatment under general anesthesia at Children’s Hospital of New York-Presbyterian. Study design: Electronic medical records of all children that received dental treatment under general anesthesia through the Division of Pediatric Dentistry from 2012-2014 were reviewed. Data describing patient characteristics (age, sex, race/ ethnicity, insurance carrier, and American Society of Anesthesiologists physical status classification system), medical history, and justification for treatment were collected. Descriptive statistics, including frequencies, percentages and t-tests, were calculated. Results: A total of 298 electronic medical records were reviewed, of which 50 records were excluded due to missing information. Of the 248 electronic medical records included, the average age was 5-years-old and 58% were male. The most common reason for dental treatment under general anesthesia was extent and severity of dental disease (53%), followed by significant medical history (47%) and behavior/pre-cooperative age (39%). Those who were ASA III or IV were older (6.6-years) (p<.001). Common medical comorbidities appear evenly distributed: autism (12%), cardiac anomalies (14%), developmental delay (14%), genetic syndromes/chromosomal disorders (13%), and neurological disorders (12%). Younger age groups (1 to 2 years and 3 to 5 years) had a high percentage of hospitalizations due to the extent and severity of the dental disease (83%) and behavior (77%) (p<0.001). Conclusions: No single comorbidity was seen more often than others in this patient population. The range of medical conditions in this population may be a reflection of the range of pediatric specialty services at Children’s Hospital of NewYork-Presbyterian.

Keywords

dental, general anesthesia, comorbidity

Cite and Share

Alexandra Delfiner,Aaron Myers,Christie Lumsden,Steve Chussid,Richard Yoon. Characteristics and Associated Comorbidities of Pediatric Dental Patients Treated under General Anesthesia. Journal of Clinical Pediatric Dentistry. 2017. 41(6);482-485.

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