Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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National Patterns and Characteristics in Pediatric Dental Emergency Visits for Dental Conditions

치과를 주소로 응급실에 내원한 소아청소년의 특성과 경향성

  • Seongeun, Mo (Department of Pediatric Dentistry, School of Dentistry, Jeonbuk National University) ;
  • Myeongkwan, Jih (Department of Pediatric Dentistry, School of Dentistry, Chosun University) ;
  • Jewoo, Lee (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • Jaegon, Kim (Department of Pediatric Dentistry, School of Dentistry, Jeonbuk National University) ;
  • Yeonmi, Yang (Department of Pediatric Dentistry, School of Dentistry, Jeonbuk National University) ;
  • Van Nhat Thang, Le (Department of Pediatric Dentistry, School of Dentistry, Jeonbuk National University) ;
  • Daewoo, Lee (Department of Pediatric Dentistry, School of Dentistry, Jeonbuk National University)
  • 모성은 (전북대학교 치과대학 소아치과학교실) ;
  • 지명관 (조선대학교 치과대학 소아치과학교실) ;
  • 이제우 (원광대학교 치과대학 소아치과학교실) ;
  • 김재곤 (전북대학교 치과대학 소아치과학교실) ;
  • 양연미 (전북대학교 치과대학 소아치과학교실) ;
  • 레반낫탕 (전북대학교 치과대학 소아치과학교실) ;
  • 이대우 (전북대학교 치과대학 소아치과학교실)
  • Received : 2021.12.14
  • Accepted : 2022.02.17
  • Published : 2022.05.31
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Abstract

The purpose of this study was to investigate pediatric emergency department visits patterns and characteristics of children and adolescents under the age of 20 in South Korea from 2002 to 2015 due to dental conditions. This study used a stratified sample of approximately 1 million people from the Health Insurance Review and Assessment Service Database. The age, region, household income, and treatment cost were included for the patient characteristic analysis. Pediatric patients were compared to the adult group (over 20 years old). In children and adolescents, the rate of emergency department visits due to dental conditions was higher for traumatic conditions than for non-traumatic conditions. Children and adolescents with higher household income visited the emergency department more often than those with lower household income. The region with the highest number of children and adolescents visiting the emergency department for dental conditions was Busan (per 100,000 population). Although this study could not confirm the annual trend of children and adolescents' dental emergency visits due to the sample size limitation, the characteristics of children and adolescents' dental emergency visits were compared with those of adults using a stratified sample.

이 연구의 목적은 2002년부터 2015년까지 건강보험심사평가원 자료를 이용하여 대한민국 만 20세 미만 소아청소년의 치과를 주소로 응급실 방문 특성과 경향성에 대하여 조사하는 것이다. 연구 대상은 대한민국 전체 인구 중 2%인 약 100만 명을 무작위 표본 추출하여 만 20세 미만의 소아청소년들과 만 20세 이상의 성인들로 나누어 주상병, 성별, 지역, 소득수준 및 요양급여 비용에 대해 비교 분석하였다. 소아청소년에서 응급실 방문 비율은 비외상성 주상병보다 외상성 주상병에서 더 높게 관찰되었다. 비외상성 주상병의 비율은 소아청소년이 성인보다 낮았으며, 특히 입의 연조직염 및 농양(K12.2)과 치은염 및 치주질환(K05)에서 유의미한 차이를 보였다. 고소득 가구의 소아청소년이 저소득 가구의 소아청소년보다 응급실에 더 많이 내원하는 것으로 조사되었다. 소아청소년의 치과 응급 진료의 연도별 경향성은 표본 수가 적어 확인할 수 없었으나 소아청소년의 치과를 주소로 응급실에 내원하는 특성을 성인과 비교 및 분석이 가능하였다. 추후 연구에서 시간에 따른 유의미한 경향성을 파악하기 위해서는 표본 연구 자료가 아닌 맞춤형 자료를 이용한 연구가 필요할 것으로 보인다.

Keywords

Acknowledgement

This paper was supported by Korean Academy of Pediatric Dentistry. This study was also supported by the Fund of Biomedical Research Institute, Jeonbuk National University Hospital.

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