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Postoperative complications of pediatric dental general anesthesia procedure provided in Jeddah hospitals, Saudi Arabia.

Farsi N, Ba'akdah R, Boker A, Almushayt A - BMC Oral Health (2009)

Bottom Line: A great significant complaints reduction was reported by the third post-operative day.Age, gender, admission type of the patients and GA duration were the factors that showed a significant relationship with post-operative complaints.Post-operative morbidity was common, but mostly of mild severity and limited to the first day.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Preventive Dental Sciences, Pediatric Dentistry Division, Faculty of Dentistry, Jeddah, Saudi Arabia. NFarsi@kau.edu.sa

ABSTRACT

Background: Review of post-operative morbidity reports for pediatric dental care under general anesthesia (GA) show great variations. Until now, no morbidity data has been available to estimate the safety of pediatric patients under GA for dental rehabilitation in Saudi Arabia. The purposes of this study were to (1) investigate post-operative complications associated with dental care under GA and (2) correlate morbidity reports with patient's characteristics, dental procedures, and hospital protocol.

Methods: Study sample included 90 children attending GA for dental treatment at major governmental hospitals in Jeddah. Data were collected from every patient on three occasions, intra-operatively at the operating room, and post-operatively via phone calls in the first and third days after operation.

Results: Results showed that 99% of the children had one or more complaints in the first day in contrast to only 33% in the third day. Inability to eat (86%), sleepiness (71%), and pain (48%) were the most common complaints in the first day, followed by bleeding (40%), drowsiness (39%), sore throat (34%), vomiting (26%), psychological changes (24%), fever (21%), cough (12%), and nausea (8%). A great significant complaints reduction was reported by the third post-operative day. Age, gender, admission type of the patients and GA duration were the factors that showed a significant relationship with post-operative complaints.

Conclusion: Post-operative morbidity was common, but mostly of mild severity and limited to the first day. Hospital staff efforts should be directed to control commonly reported postoperative complaints.

No MeSH data available.


Related in: MedlinePlus

Frequency distribution of complaints severity for pediatric dentistry GA participants at first and third day post-operatively.
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Figure 1: Frequency distribution of complaints severity for pediatric dentistry GA participants at first and third day post-operatively.

Mentions: Figure 1 presents the frequency of complaint severity scores at day one and day three after GA procedure. At day one, most of the reported complaints were of mild or moderate severity. A severe score reported at day one was for dental pain, sore throat, and fever complaints only. The majority of day three complaints severity was limited to the mild category and none of the complaints was reported as severe except for one patient with dental pain. The statistical analysis for the severity difference from day one to day three showed a significant reduction in complaints severity.


Postoperative complications of pediatric dental general anesthesia procedure provided in Jeddah hospitals, Saudi Arabia.

Farsi N, Ba'akdah R, Boker A, Almushayt A - BMC Oral Health (2009)

Frequency distribution of complaints severity for pediatric dentistry GA participants at first and third day post-operatively.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2667174&req=5

Figure 1: Frequency distribution of complaints severity for pediatric dentistry GA participants at first and third day post-operatively.
Mentions: Figure 1 presents the frequency of complaint severity scores at day one and day three after GA procedure. At day one, most of the reported complaints were of mild or moderate severity. A severe score reported at day one was for dental pain, sore throat, and fever complaints only. The majority of day three complaints severity was limited to the mild category and none of the complaints was reported as severe except for one patient with dental pain. The statistical analysis for the severity difference from day one to day three showed a significant reduction in complaints severity.

Bottom Line: A great significant complaints reduction was reported by the third post-operative day.Age, gender, admission type of the patients and GA duration were the factors that showed a significant relationship with post-operative complaints.Post-operative morbidity was common, but mostly of mild severity and limited to the first day.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Preventive Dental Sciences, Pediatric Dentistry Division, Faculty of Dentistry, Jeddah, Saudi Arabia. NFarsi@kau.edu.sa

ABSTRACT

Background: Review of post-operative morbidity reports for pediatric dental care under general anesthesia (GA) show great variations. Until now, no morbidity data has been available to estimate the safety of pediatric patients under GA for dental rehabilitation in Saudi Arabia. The purposes of this study were to (1) investigate post-operative complications associated with dental care under GA and (2) correlate morbidity reports with patient's characteristics, dental procedures, and hospital protocol.

Methods: Study sample included 90 children attending GA for dental treatment at major governmental hospitals in Jeddah. Data were collected from every patient on three occasions, intra-operatively at the operating room, and post-operatively via phone calls in the first and third days after operation.

Results: Results showed that 99% of the children had one or more complaints in the first day in contrast to only 33% in the third day. Inability to eat (86%), sleepiness (71%), and pain (48%) were the most common complaints in the first day, followed by bleeding (40%), drowsiness (39%), sore throat (34%), vomiting (26%), psychological changes (24%), fever (21%), cough (12%), and nausea (8%). A great significant complaints reduction was reported by the third post-operative day. Age, gender, admission type of the patients and GA duration were the factors that showed a significant relationship with post-operative complaints.

Conclusion: Post-operative morbidity was common, but mostly of mild severity and limited to the first day. Hospital staff efforts should be directed to control commonly reported postoperative complaints.

No MeSH data available.


Related in: MedlinePlus