| 1323 The development of a screening tool to asess disabled people's suitability for oral care in primary or secondary care settings | ||
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N. PRABHU1, J. NUNN2, K. WILSON1, G. ENEVER3, D. EVANS4, N. STEEN1, and N. GIRDLER2, 1University of Newcastle upon Tyne, England, United Kingdom, 2University of Newcastle upon Tyne, United Kingdom, 3Royal Victoria Infirmary, United Kingdom, 4Newcastle and North Tyneside Health Authority, England, United Kingdom Objectives: i) Investigate retrospectively the uptake of general anaesthetic services in a group of impaired people and the factors influencing this decision making ii) Use this information to develop a composite index for the screening of patients who need oral care and who are deemed to need general anaesthesia as an adjunct iii) To apply the index prospectively to a different group of patients in need of comprehensive oral care, to test the validity of the index. The index will assess: medical and physical status, their likely co-operation for treatment, accessibility for care and communication. Methods: Data for 120 special needs patients were collected by questionnaire for patients and their carers to evaluate patient/ carer satisfaction, clinical flow chart and questionnaire for clinicians completed on the patients initial assessment and after completion of treatment, respectively. Questionnaire for dental service managers to make comparisons between costs incurred during general anaesthesia and sedation. Results: The management strategy identified using the flow chart was deemed to be correct for 98 /120 patients - a success rate of 82% (95% CI: 73%, 89%). 110/120 parents were satisfied with the care provided - a satisfaction level of 92% (95% CI: 85%, 96%). 18/ 120 parents were dissatisfied with long waiting lists, level of dissatisfaction=15% (95% CI: 9%, 23%). Agreement between parents behaviour rating assessment and that made by the clinician was poor, the kappa score being –0.01. Conclusions: The use of clinical flow charts shows promising results in the allocation of patients to appropriate dental care settings. Parents may have higher expectations of their child's behaviour in a dental setting. The major reasons for referral to the hospital were either lack of adequate sedation facilities or inadequate experience in behaviour management of these individuals. There is a need to address these issues in order to optimise care for special needs patients. | ||
| Seq #128 - Treatment and Outcomes 3:45 PM-5:00 PM, Thursday, 7 March 2002 San Diego Convention Center Exhibit Hall C | ||
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