Factors associated with dental admissions for children aged under 5 years in Western Australia

Slack‐Smith, Linda; Colvin, Lyn; Leonard, Helen; Kilpatrick, Nicky; Bower, Carol; Messer, Louise Brearley

doi:10.1136/adc.2008.145672

Cited by 26 publications

(37 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A further issue relating to the high hospitalisation rates may be the difficulty in cooperating with dental treatment in the chair [9], a likely reason for the two-fold increase in dental hospitalisations for those with any intellectual disability [41]. Over a third of the children in our cohort had at least one admission for dental treatment; two thirds of admissions were due to caries, contrasting with less than one third for the general WA childhood population [25], [42].…”

Section: Discussionmentioning

confidence: 99%

Hospital Admissions in Children with Down Syndrome: Experience of a Population-Based Cohort Followed from Birth

et al. 2013

View full text Add to dashboard Cite

ObjectiveChildren with Down syndrome, the most common genetic cause of intellectual disability, are prone to multiple and varied health-related problems. This study describes patterns of hospitalisations for children and young people with Down syndrome in Western Australia.MethodsBirth records were linked to the Western Australian population-based Intellectual Disability database to identify all children born with Down syndrome in Western Australia between 1 January, 1983 and 31 December, 1999. These records were linked to the Hospital Morbidity Data System to provide information on all hospitalisations up to 31 December, 2004. Hospitalisation data, coded using ICD-9CM or ICD-10 (v0.5) were grouped into clinically relevant categories using the primary diagnosis. Rates of hospital admission for all and specific diagnoses were expressed in 1000-person-years at-risk and median age at first admission and length of stay were calculated.ResultsOf the 405 children, 395 had one or more hospital admissions, totalling 3786 admissions for all children and an estimated 39.5 person-years in hospital. On average, children were admitted 9.7 times, with an estimated rate of 757.2 admissions per 1000pyr (95% CI: 680, 843). A quarter of all admissions occurred in the first year of life. The average hospital length of stay was 3.8 days (95% CI: 3.7, 4.1). Upper respiratory tract conditions affected the most children (58.5%) and accounted for 12.1% of all admissions. Other disorders which affected a high percentage of children were ear/hearing conditions (50.6%), disorders of the oral cavity (38.0%) and lower respiratory tract conditions (37.5%). Overall, children with Down syndrome were hospitalised at a rate five times (95% CI = 4.3–6.2) that of the general population.ConclusionChildren with Down syndrome are at increased risk of morbidity for varied causes underlining the importance of comprehensive and targeted primary care for this group.

show abstract

Section: Discussionmentioning

confidence: 99%

Hospital Admissions in Children with Down Syndrome: Experience of a Population-Based Cohort Followed from Birth

et al. 2013

View full text Add to dashboard Cite

show abstract

“…The 1–4 year-old age group comprised 25% of the admissions and had the highest rate for dental admissions related to dental decay and associated pathology due to dental decay (pulp and peri-apical tissue conditions). In a study using linked data from various agencies in WA, 76% of children aged less than 5 years who were admitted to a hospital for dental conditions were admitted for diseases of the hard tissues of teeth, and the proportion of children admitted for dental conditions over the period studied (birth years 1980–1995) doubled [10]. Dental disease causes a lot of pain and suffering and its treatment is expensive, consuming between 4%–11% of the health budgets of developed nations and costs more than the treatment of cardiovascular disease, cancer and osteoporosis [11].…”

Section: Introductionmentioning

confidence: 99%

Brief oral health promotion intervention among parents of young children to reduce early childhood dental decay

2013

View full text Add to dashboard Cite

BackgroundSevere untreated dental decay affects a child’s growth, body weight, quality of life as well as cognitive development, and the effects extend beyond the child to the family, the community and the health care system. Early health behavioural factors, including dietary practices and eating patterns, can play a major role in the initiation and development of oral diseases, particularly dental caries. The parent/caregiver, usually the mother, has a critical role in the adoption of protective health care behaviours and parental feeding practices strongly influence children’s eating behaviours. This study will test if an early oral health promotion intervention through the use of brief motivational interviewing (MI) and anticipatory guidance (AG) approaches can reduce the incidence of early childhood dental decay and obesity.MethodsThe study will be a randomised controlled study with parents and their new-born child/ren who are seen at 6–12 weeks of age by a child/community health nurse. Consenting parents will complete a questionnaire on oral health knowledge, behaviours, self-efficacy, oral health fatalism, parenting stress, prenatal and peri-natal health and socio-demographic factors at study commencement and at 12 and 36 months. Each child–parent pair will be allocated to an intervention or a standard care group, using a computer-generated random blocks. The standard group will be managed through the standard early oral health screening program; “lift the lip”. The intervention group will be provided with tailored oral health counselling by oral health consultants trained in MI and AG.Participating children will be examined at 24, and 36 months for the occurrence of dental decay and have their height and weight recorded. Dietary information obtained from a food frequency chart will be used to determine food and dietary patterns. Data analysis will use intention to treat and per protocol analysis and will use tests of independent proportions and means. Multivariate statistical tests will also be used to take account of socio-economic and demographic factors in addition to parental knowledge, behaviour, self-efficacy, and parent/child stress.DiscussionThe study will test the effects of an oral health promotion intervention to affect oral health and general health and have the potential to demonstrate the “common risk factor” approach to health promotion.Trial registrationAustralian New Zealand Clinical Trials Registry: http://ACTRN12611000997954

show abstract

“…We have previously shown that the majority (76%) of dental hospital admissions in children under five years of age were associated with dental caries and caries‐related disease (Slack‐Smith et al . 2009).…”

Section: Introductionmentioning

confidence: 99%

Dental admissions in children under two years – a total‐population investigation

Slack‐Smith

Colvin

Leonard

et al. 2012

Child

View full text Add to dashboard Cite

show abstract

Factors associated with dental admissions for children aged under 5 years in Western Australia

Abstract: Given the burden of dental admissions in young children, these findings highlight the need for improved oral care for children.

Cited by 26 publications

References 28 publications

Hospital Admissions in Children with Down Syndrome: Experience of a Population-Based Cohort Followed from Birth

Hospital Admissions in Children with Down Syndrome: Experience of a Population-Based Cohort Followed from Birth

Brief oral health promotion intervention among parents of young children to reduce early childhood dental decay

Dental admissions in children under two years – a total‐population investigation

Contact Info

Product

Resources

About