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A novel questionnaire to perform teletriage of dental emergencies in children: A before-and-after study nested within a randomized clinical trial.
Dornellas, Ana Paula; Marques, João Vitor; Aníbal Oliveira Dos Santos, Isabelle; Ramos, Marcelo; Mulder, Júlia; Haddad, Ana Estela.
Afiliação
  • Dornellas AP; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, 05508000, Brazil.
  • Marques JV; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, 05508000, Brazil.
  • Aníbal Oliveira Dos Santos I; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, 05508000, Brazil.
  • Ramos M; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, 05508000, Brazil.
  • Mulder J; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, 05508000, Brazil.
  • Haddad AE; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, 05508000, Brazil.
F1000Res ; 12: 1610, 2023.
Article em En | MEDLINE | ID: mdl-38840981
ABSTRACT

Background:

This will be a before-and-after study nested within a randomized clinical trial. Its objective will be to analyze the effectiveness of a teleconsultation and validate a questionnaire for performing teletriage in dental urgency/emergency situations in children aged 3 to 13, whose parents will have signed a free and informed consent form, and who have had full access to the internet.

Methods:

The Questionnaire for Teletriage of Emergencies and Urgencies in Pediatric Dentistry (QuesT-Odontoped)-will be validated by applying it to 140 randomized child parents/guardians. After validation, another 260 children seeking emergency dental care in the municipality of Carangola, Minas Gerais, Brazil, will receive a remote consultation, be randomized, and then allocated into two groups G1, teleconsultation, and G2, teleconsultation and face-to-face consultation (immediately after the former) with a blinded evaluator, involving anamnesis and conventional clinical examination. The G2 sample will be used in the before-after study. Both groups will be followed-up for 7 and 14 days using pain and quality-of-life scales, applied at baseline and after each follow-up period. Clinical follow-up will be carried out after 12 and 24 months to assess the outcome of the tooth that had been indicated for treatment in the teletriage. The Mann-Whitney test will be used to assess pain; Student's t test or the Mann-Whitney test will be used to assess quality of life and the number of missing teeth after 24 months; and Poisson's regression analysis will be used to assess the influence of other variables. The significance level will be set at 5%.

Conclusions:

In conclusion, this study expects to confirm the hypothesis that remote urgency consultation (teletriage), through a validated questionnaire, will be able to define the planning of the clinical situation, reducing the chance of displacements and progression of infection, helping to eliminate patient pain and discomfort.
Assuntos
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Consulta Remota Limite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: F1000Res Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Consulta Remota Limite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: F1000Res Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido