title: Development of a screening tool to assess the suitability of people with a disability for oral care under sedation or general anesthesia.
abstract: The aim of this study was to develop a screening tool to assess the suitability of people with disabilities for oral care in different settings. The objectives were to investigate retrospectively the uptake of general anesthetic (GA) services and use this information to develop a composite tool. One hundred cases referred for GA were reviewed to generate data for a Delphi Panel. Patients with disabilities were the subject of a tool, devised by the Delphi Panel, to appropriately allocate patients to the most suitable care, including the patients' medical, behavioral, and social status as well as planned dental treatment complexity. A total of 124 patients, between the ages of 4 and 75 years, in seven centers were treated under sedation or GA, according to the tool. Agreement on behavior assessment between dentists and anesthesiologists was poor. The tool has the potential to identify which people with disabilities can be effectively allocated for treatment under sedation or GA.
authors.affiliation: Paediatric Dentistry, Westmead Hospital, Sydney, Australia. neetaprabhu@hotmail.com
authors.forename: Neeta T
authors.initials: NT
authors.lastname: Prabhu
authors.forename: June H
authors.initials: JH
authors.lastname: Nunn
authors.forename: D J
authors.initials: DJ
authors.lastname: Evans
authors.forename: N M
authors.initials: NM
authors.lastname: Girdler
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000766:Anesthesia, Dental / Q000379:methods; D000768:Anesthesia, General / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D016292:Procedural Sedation / Q000706:statistics & numerical data*; D003299:Cooperative Behavior; D003661:Decision Support Techniques; D003730:Dental Care for Persons with Disabilities / Q000379:methods*; D006233:Persons with Disabilities / Q000145:classification*; D006801:Humans; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D011446:Prospective Studies; D012189:Retrospective Studies; D011795:Surveys and Questionnaires