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首页> 外文期刊>Journal of health care for the poor and underserved >Emergency Department Use for Dental Problems among Homeless Individuals: A Population-Based Cohort Study
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Emergency Department Use for Dental Problems among Homeless Individuals: A Population-Based Cohort Study

机译：急诊部门用于无家可归者中的牙科问题：基于人口的队列研究

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Objectives. To evaluate emergency department (ED) visits for dental problems among Toronto's homeless population (Ontario, Canada). Methods. A random sample of 1,189 homeless was recruited from shelters and meal programs. Emergency department visits for non-traumatic dental problems (ICD-10-CA codes K00-K14) were identified using participants' health insurance number, during 2005-2009. Age-and sex-matched controls were selected from low-income neighborhoods. Results. Homeless and matched controls had 182 and 10 ED visits for dental problems, respectively. Homeless people were more significantly more likely (OR=2.27, p=.007) to make ED visit for dental problems compared with controls. Over 80% of the ED visits by homeless people were for odontogenic infections, and 46% of homeless people had more than one such visit. Conclusion. The high rate of ED visits for dental problems by people who are homeless suggests that access to dental care is inadequate. The large number of repeat visits indicates that ED settings are ineffective for treatment of dental problems.
机译：目标。评估紧急部门（ED）对多伦多无家可归人群（安大略省，加拿大）之间的牙科问题进行访问。方法。从庇护所和膳食计划中招募了1,189名无家可归的随机样本。在2005 - 2009年期间，使用参与者的健康保险号识别出对非创伤牙科问题（ICD-10-CA代码K00-K14）进行急诊部门访问。年龄和性别匹配的控制是从低收入社区中选择的。结果。无家可归者和匹配的控件分别有182和10次参加牙科问题。无家可归的人更有可能（或= 2.27，p = .007），与控件相比，对牙科问题进行牙科问题。无家可归者的ed次数超过80％的审查是针对幼儿发生的感染，46％的无家可归者有多个这样的访问。结论。无家可归者的人们对牙科问题的牙科问题的高速率表明牙科护理不充分。大量重复访问表明ED设置对于治疗牙科问题是无效的。

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