%0期刊文章%@ 1438-8871 %I JMIR出版物%V 22%卡塔尔世界杯8强波胆分析 N 4% P e15304% T使用非专家在线报告来增强科学出版物中报道的牙科办公室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%A Gaiser,Meike %A Kirsch,Joachim %A Mutzbauer,Till Sebastian %+颌面外科和牙科麻醉学，Mutzbauer & Partner, Tiefenhoefe 11, Zürich, 8001，瑞士，41 44211 ext 1465, tsmutzbauer@gmail.com %K牙科死亡%K牙科实践%K牙科镇静%K风险%K互联网搜索引擎%D 2020 %7 17.4.2020 %9原始论文%J J医学互联网Res %G英文%X背景:牙科诊所很少发生死亡事件。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搜索特定国家的牙科诊所死亡事件:“死于牙医”、“死于牙科诊所”和“死于牙医”。在PubMed搜索中，使用了以下关键词:“牙科与死亡率”、“死亡与牙科治疗”、“牙科与致命结果”以及“死亡与牙科”。我们的分析包括与牙科机构牙科治疗相关的死亡、可归因的死亡原因和死者的记录年龄。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. %M 32038029 %R 10.2196/15304 %U //www.mybigtv.com/2020/4/e15304/ %U https://doi.org/10.2196/15304 %U http://www.ncbi.nlm.nih.gov/pubmed/32038029