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Patient Management

256 - Wait Times For General Anesthesia And Extractions In Pediatric Population

Friday, May 24, 2024
1:45 PM – 1:55 PM EST
Location: Exhibit Hall (back left corner of the hall, space 137)

    Presenting Author(s)

  • Allison Bailey, DDS

    Resident
    Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA
    UPMC Children's Hospital of Pittsburgh
    Pittsburgh, Pennsylvania, United States

    • Co-Author(s)

  • MC

    Mary Chapman, DDS

    UPMC Children's Hospital of Pittsburgh

    • Research Mentor(s)

  • MC

    Mary Chapman, DDS

    Attending, Research Mentor
    UPMC Children's Hospital of Pittsburgh
    Pittsburgh, Pennsylvania, United States

    • Program Director(s)

  • HB

    Heather Baumhardt, DDS

    Program Director
    UPMC Children's Hospital of Pittsburgh
    Pittsburgh, Pennsylvania, United States

Abstract:



Purpose: The purpose of this analysis is to determine if the number of extractions have increased because of increased wait times for complete oral rehabilitation under general anesthesia in the pediatric population. Previous literature states that hospitals have decreased operating room time for pediatric dental treatment and prioritized surgeries that are more profitable and necessary. As a result, children’s school performance and sleep are negatively affected. There are more emergency room visits too.





Methods: Wait time and the number of extractions performed were documented from 492 charts in the month of October between 2018 and 2023 with general anesthesia. The Pearson correlation coefficient was calculated for all cases to determine their association. Also, the Pearson correlation coefficient was calculated for the monthly aggregated data.   





Results: A Pearson correlation coefficient of all October cases between 2018 and 2023 was calculated to be 0.070, while the coefficient of determination was 0.355. The Pearson correlation coefficient for the monthly aggregated data was 0.622.





Conclusions: There is a weak correlation between wait time for general anesthesia and the number of extractions when looking at all the data. Only 36% of the variability in the number of teeth extracted is explained by the wait list. The other 65% of the variability is unaccounted for and could be due to other sources of variation. However, a 0.622 Pearson correlation coefficient of the monthly aggregated data means that that as the average wait time gets longer as a whole, more teeth are extracted.


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