Literature DB >> 18027774

Combining procedures under general anesthesia.

Mark Stapleton1, Barbara Sheller, Bryan J Williams, Lloyd Mancl.   

Abstract

PURPOSE: The purpose of this study was to analyze cases in which dentistry was combined with other procedures during a single outpatient general anesthetic (GA) in a children's hospital. Financial and time savings were evaluated for a subgroup of combined care patients.
METHODS: Records of 120 patients who received combined dental and one other procedure under GA were reviewed. All were treated as outpatients, and dental procedures were more than just radiographs. Descriptive statistics were calculated for: (1) patient characteristics; (2) procedures; (3) times for procedures; (4) anesthesia; (5) recovery; and (6) total time in hospital. Records of 18 patients with combined dentistry and extraction of third molars were compared to 36 patients receiving the same procedures during separate GAs to evaluate time and costs for combined vs separate procedures.
RESULTS: Patients ranged from 2 to 21 years, and 98% had special health care needs. Oral surgery (41%) and otolaryngology (23%) were most frequently combined with dentistry. Estimated mean savings for patients receiving dentistry and third molar extractions in combination were 312 minutes and $2,177.
CONCLUSIONS: Combining care offers an economical vehicle for providing medical and dental care to patients needing multiple procedures. Awareness of the efficiency of combined care may lead to more combinations of procedures when possible.

Entities:  

Mesh:

Year:  2007        PMID: 18027774

Source DB:  PubMed          Journal:  Pediatr Dent        ISSN: 0164-1263            Impact factor:   1.874


  5 in total

1.  Cost analysis of combining congenital cardiac catheterization and electrophysiology procedures in an outpatient setting.

Authors:  Manish Bansal; Vaelan A Molian; Jennifer R Maldonado; Osamah Aldoss; Luis A Ochoa; Ian H Law
Journal:  Pacing Clin Electrophysiol       Date:  2018-09-19       Impact factor: 1.976

2.  Efficacy and Safety in Combining Primary Palatoplasty and Myringotomy in Patients with Cleft Palate.

Authors:  Esperanza Mantilla-Rivas; Ishwarya Mamidi; Alex Rokni; Ashleigh Brennan; Md Sohel Rana; Agnes Goldrich; Monica Manrique; Monica Shah; Brian K Reilly; Gary F Rogers; Albert K Oh
Journal:  Plast Reconstr Surg Glob Open       Date:  2020-05-27

3.  General anesthesia time for pediatric dental cases.

Authors:  Anna R Forsyth; Ana Lucia Seminario; Joanna Scott; Joel Berg; Iskra Ivanova; Helen Lee
Journal:  Pediatr Dent       Date:  2012 Sep-Oct       Impact factor: 1.874

4.  A study on the efficacy and safety of combining dental surgery with tonsillectomy in pediatrics.

Authors:  Faizaan Syed; Joshua C Uffman; Dmitry Tumin; Catherine M Flaitz; Joseph D Tobias; Vidya T Raman
Journal:  Clin Cosmet Investig Dent       Date:  2018-03-27

5.  Experience with Combining Pediatric Procedures into a Single Anesthetic.

Authors:  Renata M Miketic; Joshua Uffman; Dmitry Tumin; Joseph D Tobias; Vidya T Raman
Journal:  Pediatr Qual Saf       Date:  2019-08-30
  5 in total

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