@文章{信息:doi/10.2196/15304，作者=“Gaiser, Meike和Kirsch, Joachim和Mutzbauer, Till Sebastian”，标题=“使用非专家在线报告来增强科学出版物中报道的牙科死亡原因的专家知识:定性和定量内容分析和搜索引擎分析”，期刊=“J医学互联网研究”，年=“2020”，月=“四月”，日=“17”，卷=“22”，数=“4”，页=“e15304”，关键词=“牙科死亡;牙科实践;牙科镇静;风险;背景:牙科诊所很少发生死亡事故。对临床医生的影响可以从科学出版物和关于牙科诊所死亡的互联网报道中推断出来。目的:使用谷歌和PubMed数据库对牙科设施死亡数据进行分析。通过比较这两个来源，我们研究了互联网数据如何提高从科学医学出版物中获得的关于牙科死亡的知识，在线发布的死亡原因，以及如何预防相关的危及生命的紧急情况。方法:为了检索相关信息，我们使用以下关键词在谷歌中搜索特定国家的牙科诊所死亡事件:“在牙医处死亡”、“在牙科诊所死亡”和“在牙医处死亡”。在PubMed搜索中，使用了以下关键词:“牙科和死亡率”、“死亡和牙科治疗”、“牙科和致命结果”以及“死亡和牙科”。“我们的分析包括与牙科机构的牙科治疗有关的死亡、可归因的死亡原因以及死者的记录年龄。在颌面外科手术中发生的死亡或已存在的疾病(如癌症和脓肿)被排除在外。 A total of 128 cases from online publications and 71 cases from PubMed publications that met the inclusion criteria were analyzed using chi-square statistics after exclusion of duplicates. Results: The comparison between the fatalities from internet (n=117) and PubMed (n=71) publications revealed that more casualties affecting minors appeared online than in PubMed literature (online 68/117, 58.1{\%}; PubMed 20/71, 28{\%}; P<.001). In PubMed articles, 10 fatalities in patients older than 70 years of age were described, while online sources published 5 fatalities (P=.02). Most deaths, both from internet publications and PubMed literature, could be assigned to the category anesthesia, medication, or sedation (online 80/117, 68.4{\%}; PubMed 25/71, 35{\%}; P<.001). Deaths assigned to the categories infection and cardiovascular system appeared more often in the PubMed literature (infection: online 10/117, 8.5{\%}; PubMed 15/71, 21{\%}; P=.01; cardiovascular system: online 5/117, 4.3{\%}; PubMed 15/71, 21{\%}; P<.001). Furthermore, sedative drugs were involved in a larger proportion of fatal incidents listed online compared to in PubMed (online 41/117, 35.0{\%}; PubMed: 14/71, 20{\%}, P=.03). In the United States, more deaths occurred under sedation (44/96, 46{\%}) compared to those in the other countries (Germany and Austria 1/17, 6{\%}, P=.002; United Kingdom 1/14, 7{\%}, P=.006). Conclusions: Online and PubMed databases may increase awareness of life-threatening risks for patients during dental treatment. Negative aspects of anesthesia and sedation, as well as the number of deaths of young patients, were underestimated when reviewing PubMed literature only. Medical history of patients, medication dosages, and vital function monitoring are significant issues for practitioners. A high-impact finding from online reports was the underestimation of risks when performing sedation and even general anesthesia. Detailed knowledge of the definition and understanding of deep sedation and general anesthesia by dentists is of major concern. By avoiding potentially hazardous procedures, such as sedation-aided treatments performed solely by dentists, the risk of treatment-induced life-threatening emergencies may be reduced. ", issn="1438-8871", doi="10.2196/15304", url="//www.mybigtv.com/2020/4/e15304/", url="https://doi.org/10.2196/15304", url="http://www.ncbi.nlm.nih.gov/pubmed/32038029" }