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Investigation into foundation issues with pediatric patients requiring SBE Prophylaxis

296 - Investigation into foundation issues with pediatric patients requiring SBE Prophylaxis

Friday, May 24, 2024
2:45 PM - 2:55 PM EST
Location: Exhibit Hall (back left corner of the hall, space 137)

    Presenting Author(s)

  • CM

    Cal McCarthy, BDS

    Pediatric Dental Resident PGY3
    Texas A & M University -—Baylor College of Dentistry, Dallas, TX
    Texas A&M
    Dallas, Texas, United States

    • Program Director(s)

  • CK

    Carolyn Kerins, DDS, PhD

    Graduate Program Director
    Texas A&M College of Dentistry - Department of Pediatric Dentistry
    Dallas, Texas, United States

Purpose
The purpose of this retrospective study is to discern the waiting times for a cardiac consult, the ASA pattern of cardiac patients being brought to the OR and the relationship between ASA status and need for SBE prophylaxis.

Methods
A retrospective review was conducted on all cardiac patients who were treated for full mouth dental rehabilitation at Children’s Medical Center Dallas Main Operating Room requiring a cardiac consult.

Results
81% of patients treated were ASA III with 88% of patients being referred from within Childrens. ASA IV patients had the longest average waiting times of 35 days compared to 15 days for ASA III patients. Outside clinics had the longest waiting times for a returned consult of 62 days compared to 11 days for Childrens. 59% of ASA III patients did not require SBE while 14% of ASA IV patients did.

Conclusions
As demonstrated by the above results, adequate communication between cardiology and dental is essential for shorter response times. Further research needs to be conducted to ascertain why so many consults are needed and issues such as usability of the AHA SBE guidelines.