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Sedation

185 - Discrete Choice Experiment Evaluating Parental Procedural Sedation Choices in Children.

Friday, May 23, 2025
4:00 PM - 4:20 PM MDT
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Abstract:

Purpose: The Aim of this study was to evaluate the parental preferences through discrete choice experiment (DCE) in selecting a sedation regimen/modality for their child’s dental treatment. This study focused on evidence-based, six parameters that could affect parental preferences for the sedation regimen.



Methods: An electronic postcard consent and survey participation was provided to the English- or Spanish-speaking caregivers of pediatric patients at Children’s Hospital Colorado. Caregivers were asked to select one of the two sedation regimens based in a DCE format with six parameters (pre-operative fasting time, post-operative recovery time, mode of drug administration, adverse reaction, depth of sedation, and use of protective stabilization). Demographic information and survey responses were anonymously collected for data analysis.



Results: A total of 98 caregivers completed surveys while three caregivers declined survey participation. Most caregivers were female (78.6%) and English speakers (62.2%) with Hispanics constituting 56% of the respondents. The conditional logistic regression model with False Discovery Rate adjustments demonstrated that out of the six parameters included in the DCE, the only parameter that was important to any caregiver for selecting sedation regimen/modality was ‘pre-operative fasting time’. The odds a caregiver choosing an option with ‘pre-operative fasting’ was 0.42 times (95%CI: 0.23, 0.78) less than an option with ‘no pre-operative fasting’ (P=.006).



Conclusion: This survey based DCE study revealed that fasting time is critical for caregivers for choosing a sedation regimen/modality for their child during an operative procedure in a pediatric dental clinic.

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