J Korean Dent Soc Anesthesiol.  2012 Jun;12(2):93-97. 10.17245/jkdsa.2012.12.2.93.

Analysis of Telephone Follow-up Data of Out-patient Anesthesia for Dental Treatment of Disability Patients

• Kim MS
• Seo KS
• Lee JM
• Kim HJ
• Han JH
• Han HJ
• Lee EH
• Shin S
• Shin TJ
• Kim HJ
• Chang J

• KMID: 2345047
• DOI: http://doi.org/10.17245/jkdsa.2012.12.2.93

Abstract

BACKGROUND
Some disabled patients show insufficient cooperation during dental treatment, and general anesthesia in an outpatient setting can be successfully administered. To minimize post-anesthetic complications is an essential issue, and strict discharge protocols are required for the safety of the patients. Post-anesthetic follow-ups using telephone calls can be applied to improve the quality of the outpatient care system. The authors evaluated the post-operative condition of patients after dental treatment under general anesthesia.
METHODS
Total 143 patients and their caregivers included in this study. The patients received general anesthesia for dental treatment in Seoul National University Dental Hospital, Clinic for Persons with Disabilities from July, 2011 to April, 2012. Telephone calls were given to the patients or their caregivers to collect information about the patients' systemic condition and anesthesia-related complications.
RESULTS
Among 131 patients with responses of telephone calls, 87 patients (66.4%) reported no discomfort, while 44 patients (33.6%) presented post-anesthetic complications. A total of 20 patients reported mild fever, 10 patients had vomiting, and 7 patients had sore throat. Other complications included nausea, fatigue, nasal bleeding, skin sore, and body rash. Among the patients with the history of epilepsy, 63.6% showed post-anesthetic discomfort or complication (P = 0.027, χ² test).
CONCLUSIONS
One third of dental patients who received general anesthesia due to insufficientcooperation complained discomfort after discharged from outpatient anesthetic care.

Keyword

Telephone Follow-up; Outpatient Anesthesia; Disabled Patients; Dental Treatment

MeSH Terms

Ambulatory Care
Anesthesia*
Anesthesia, General
Caregivers
Disabled Persons
Epilepsy
Epistaxis
Exanthema
Fatigue
Fever
Follow-Up Studies*
Humans
Nausea
Outpatients*
Pharyngitis
Seoul
Skin
Telephone*
Vomiting