Faculty, Staff and Student Publications
Publication Date
5-15-2022
Journal
Pediatric Dentistry
Abstract
Purpose: The purpose of this study was to examine a university-based dental electronic health records (EHR) database to identify sedation-related adverse events (AEs) and assess patients' behavioral outcomes during routine pediatric dental sedations (PDSs) in a dental school clinic.
Methods: A database was screened for patients younger than 18 years old who had received dental sedation in 2019. The qualifying EHRs were then accessed and sedations were reviewed for AEs, which were categorized using a 12-point classification system and the Tracking and Reporting Outcomes of Procedural Sedation Tool. Patient behaviors were assessed using provider progress notes and categorized as presence/ absence of agitation.
Results: A total of 690 sedations were reviewed, yielding 28 AEs. Emesis was the most common AE observed in 1.3 percent of sedations. Respiratory and cardiovascular AEs were observed in 0.7 percent and 0.6 percent of sedations, respectively. Agitation was identified in 47.5 percent of sedations, while 34.1 percent of agitations resulted in the documented suspension of dental treatment. Agitation was mainly observed for nitrous oxide and oral sedation resulting in one failed sedation out of five sedations for each method.
Conclusions: Potentially serious adverse effects were identified during pediatric dental sedations, but their incidence was low. A significant proportion of the sedated children experienced agitation, resulting in some sedation failures. Such events need to be tracked and examined for risk assessment reduction and quality-of-care improvement.
Keywords
Adolescent, Child, Conscious Sedation, Humans, Hypnotics and Sedatives, Incidence, Nitrous Oxide, Retrospective Studies, Pediatric Dentistry, Dental Sedation, Patient Safety, Health Care Quality
PMID
35799341
PMCID
PMC9648664
PubMedCentral® Posted Date
11-15-2022
PubMedCentral® Full Text Version
Author MSS
Published Open-Access
yes
Included in
Behavioral Medicine Commons, Bioinformatics Commons, Biomedical Informatics Commons, Data Science Commons, Digestive System Diseases Commons, Gastroenterology Commons, Internal Medicine Commons, Other Medical Sciences Commons, Patient Safety Commons, Pediatric Dentistry and Pedodontics Commons
