RESUMO
OBJECTIVE: To examine parental expectations and beliefs about diagnosis and management of pediatric concussion. STUDY DESIGN: We conducted a cross-sectional web-based survey of a nationally representative panel of US parents in March 2014. Parents of 10- to 17-year-old children responded to questions about their expectations and beliefs about diagnosis and management of pediatric concussion in the emergency department (ED). Weighted percentages for descriptive statistics were calculated, and χ2 statistics were used for bivariate analysis. RESULTS: Survey participation was 53%, and of 912 parent respondents with a child 10-17 years of age who were presented with a scenario of their child having mild symptoms of concussion, 42% would seek immediate ED care. Parents who would seek immediate ED care for this scenario were more likely than parents who would consult their child's usual provider or wait at home to "definitely expect" imaging (65% vs 21%), definitive diagnosis of concussion (77% vs 61%), a timeline for return to activity (80% vs 60%), and a signed return to play form (55% vs 41%). CONCLUSIONS: Many parents who bring children to the ED following a possible concussion are likely to expect comprehensive and definitive care, including imaging, a definitive diagnosis, a timeline for return to activity, and a signed return to play form. To manage these expectations, healthcare providers should continue to educate parents about the evaluation and management of concussion.
Assuntos
Concussão Encefálica/terapia , Cultura , Tratamento de Emergência/psicologia , Pais/psicologia , Adolescente , Criança , Estudos Transversais , Serviço Hospitalar de Emergência , Feminino , Humanos , Masculino , Estados UnidosRESUMO
UNLABELLED: Traumatic injuries to the teeth and their supporting structures are frequent in children. Among the traumatic injuries, dental avulsion results in the major functional and esthetic disturbances for patients. PURPOSE: The present study's aim was to assess the mothers' level of knowledge and attitude concerning dental avulsion. METHODS: A questionnaire contained 6 objective questions for the assessment of the mothers' knowledge and attitude regarding the management of dental avulsion and emergency procedures. RESULTS: A total of 242 mothers participated in the study. A lack of technical information was observed among the mothers. CONCLUSION: This study showed the need of a more effective communication between dental professionals and mothers to better handle dental emergencies. Educational campaigns and preventive programs on dental trauma must be organized to improve the emergency management of dental avulsion.
Assuntos
Tratamento de Emergência/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Mães/psicologia , Avulsão Dentária/psicologia , Avulsão Dentária/terapia , Acidentes Domésticos , Adulto , Criança , Humanos , Educação de Pacientes como Assunto , Inquéritos e Questionários , Reimplante DentárioRESUMO
The purpose of this study was to determine Brazilian dentists' knowledge of emergency management of dento-alveolar trauma. A two-part questionnaire containing questions on demographic data and knowledge were mailed to 230 general dental practitioners (GDPs) and 70 endodontists. Questionnaires were returned by 42.6% of the GDPs and 62.8% of the endodontists. The survey data were statistically analyzed using Mann-Whitney U-test for practitioners' knowledge and Pearson's correlation coefficient for association between knowledge scores and practitioner age or years since graduation. The mean knowledge score of endodontists was significantly greater than for GDPs (P<0.0001). Dentists with trauma experience in their practices and those who had attended postgraduate courses on dental trauma had a significant higher mean knowledge score. In contrast, there was a poor correlation between the knowledge score and the ages of the respondents (r=0.086) or the years since graduation (r=0.108). In conclusion, this survey showed a poor knowledge of dental trauma management among the surveyed dentists and highlights the need to develop strategies to improve the knowledge base in this area of dentistry for the benefit of the dental trauma patient.