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444 - National Trends of Pediatric Dental Procedures under General Anesthesia and Associated Adverse Outcomes

Monday, May 26, 2025
Abstract:

Purpose: The demand for dental procedures under general anesthesia (GA) has increased significantly over the past decade. However, there are limited studies that assess the trends in GA use in the hospital vs office setting and that evaluate the risk associated with dental procedure under GA. In this project we aim to describe national trends in GA use for dental procedure and

assess factors associated with adverse outcomes.

Method: We will conduct a retrospective analysis using the National Anesthesia Clinical Outcome Registry (NACOR) Participant User File (PUF) data from 2010-2022. Patients under the age of 18 years undergoing GA for a dental procedure in dental offices, ambulatory surgical centers and inpatient hospitals will be included. Outcomes include serious GA related cardiovascular, respiratory, neurological complications, anaphylaxis, aspiration or death. A mixed effects logistic regression analysis will identify factors associated with increased risk of complications. Factors of interest include patient demographics (age, race, location), American Society of Anesthesiologists physical status (ASA PS), place of service, provider type, diagnosis (ICD codes) and procedures (CPT codes).

Results: Final Data pending

Conclusion: This analysis will enable us to describe the national trends and changes in GA use for dental procedures in different settings. Further, our analysis will identify important GA risk factors that may assist care providers, patients and guardians in their decision-making process.

Identify Supporting Agency and Grant Number: