Prevalence and risk factors of missed appointment among paediatric patients after minor oral surgical procedures in a tertiary hospital in Southern Nigeria
DOI:
https://doi.org/10.17159/sadj.v78i02.16185Keywords:
missed dental appointments, Minor oral surgical procedures, Pediatric dentistry, risk factorAbstract
Missed appointments are common in paediatric dentistry, yet not many studies have explored its prevalence and associated factors. To determine the prevalence of missed appointments and the associated factors. This prospective study design recruited all consecutive
paediatric patients that presented for minor oral surgical procedures from 1st July 2020 to 30th June 2021. Data collected was the age of patients, gender, parents’ educational level, distance from the clinic, type of minor oral surgical procedures and missed appointments. Descriptive and inferential statistics were performed. Chi-square test of association was used to determine the association between study participants’ age, sex, parents’ educational level, the distance from the clinic, and the prevalence of missed
dental appointments. Binary logistic regression was used to determine the predictors. Data was analysed using the Statistical Package of Social Science (SPSS) version 26 (IBM, Chicago, IL, USA). A p-value of less than 0.05 was considered significant. A total of 182 paediatric dental patients, age ranged from 0.5 to 16 years and with a mean age of 8.55+3.88 participated. Most (60.4%) of the patients were females and 46.2% of them were of school age. Most of the parents had a tertiary level of education and lived within 7 to 12 kilometers from the clinic. The prevalence of missed appointments was 54.9% and the most performed minor oral surgical
procedure was primary tooth extraction. The relationship between age group, minor surgical procedures with missed appointments was statistically significant (P<0.05). Binary logistic regression analysis revealed that the type of surgical procedure was the only independent predictor of missed appointments (p<0.05) The prevalence of missed appointments in this study is remarkably high. Although the age of the patients and the type of procedure was associated with the prevalence of missed appointment, it was only the type of surgical procedure that was a significant risk factor for missed appointment.
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Mileva SP, Kondeva VK. Age and reasons for the first dental visit. Folia Med (Plovdiv). 2010 ;52(4):56-61 DOI: https://doi.org/10.2478/v10153-010-0018-x
American Academy of Pediatric Dentistry. Oral health policies. Pediatr Dent. 1999; 21:18-37.
Bhatia R, C Vora E, Panda A. Pediatric dental appointments no-show: rates and reasons. Int J Clin Pediatr Dent. 2018; 11:171-176 DOI: https://doi.org/10.5005/jp-journals-10005-1506
AlSadhan SA. Frequency of missed and cancelled appointments in King Saud University orthodontic clinic. King Saud. Univ J Dent Sci. 2013; 4:77-80. DOI: https://doi.org/10.1016/j.ksujds.2013.04.001
Okolie PN, Saheeb BD, Obuekwe ON, Edetanlen EB. Effects of surgical trauma on peripheral white blood cell count following major oral and maxillofacial surgical procedures. Afr. J. Health Sci. 2022 35(5): 1-9.
Kheirkhah P, Feng Q, Travis LM et al., Prevalence, predictors and economic consequences of no-shows. BMC Heal Serv Res. 2016; 16:13. DOI: https://doi.org/10.1186/s12913-015-1243-z
Aggarwal A, Davies J, Sullivan R. “Nudge” and the epidemic of missed appointments: Can behavioural policies provide a solution for missed appointments in the health service? J Health Organ Manag. 2016; 30: 558-564 DOI: https://doi.org/10.1108/JHOM-04-2015-0061
Schweinberger MH, Roukis TS. Wound complications. Clin Podiatr Med Surg. 2009; 26:1-10 DOI: https://doi.org/10.1016/j.cpm.2008.09.001
Prabhu A, Krishnakumar R, Bhushan S, Karthikeyan M. Prevalence and factors associated with missed appointments in pediatric dental office : A Retrospective Analysis. 2019;10(2):55–59.
Lalloo R MJ. Appointment attendance at a remote rural dental training facility in Australia. BMC Oral Health. 2013; 13:(36)1-8 DOI: https://doi.org/10.1186/1472-6831-13-36
Gallucci G, Swartz W HF. Impact of the wait for an initial appointment on the rate of kept appointments at a mental health center. Psychiatr Serv. 2005; 56:344–346. DOI: https://doi.org/10.1176/appi.ps.56.3.344
Wigen TI, Skaret EWN. Dental avoidance behaviour in parent and child as risk indicators for caries in 5 year old children. Int J Paediatr Dent. 2009; 19:431–437. DOI: https://doi.org/10.1111/j.1365-263X.2009.01014.x
Detman L, Gorzka P. A Study of Missed Appointments in a Florida. Public Heal Dep. 2015; 1(1):1-22.
Si A, Morakinyo O, Ao L, Bo J, Jo O. Prevalence and correlates of missed first appointments among outpatients at a psychiatric hospital in Nigeria. Ann Med Health Sci Res 2014; 4: 763-768 DOI: https://doi.org/10.4103/2141-9248.141550
Omokanye SA, Adeleke IT, Adekanye AO, et al., Missed appointment at specialist outpatient clinics : The Federal Medical Centre, Bida, Northern Nigeria experience. Int J Biol. Pharm Sci Arch 2021, 01: 133–144 DOI: https://doi.org/10.30574/ijbpsa.2021.1.2.0035
Onyejaka N. Appointment failure among dental patients attending a government dental centre in Enugu, Nigeria. Pesquisa Brasileira em Odontopediatria e Clinica Integrada 2018, 18(1):e4004 DOI: https://doi.org/10.4034/PBOCI.2018.181.56
Godpower CM, Salihu TT, Ibrahim A, et al., Prevalence and predictors of clinic appointment non-adherence among adults with poorly controlled hypertension in a primary care setting. Ghana Med J 2021; 55(4): 248-256 DOI: https://doi.org/10.4314/gmj.v55i4.4
Omorogbe OS, Orhue OK, Osayande E. Evaluation of patients’ compliance to recall visits after tooth extraction at the Dental Centre, University of Benin Teaching Hospital (UBTH): A two-year retrospective study. Niger J Dent Res. 2022; 7:45-52. DOI: https://doi.org/10.4314/njdr.v7i1.6
Machado AT, Werneck MAF, Lucas SD, Abreu MH. Who did not appear? First dental visit absences in secondary care in a major Brazilian city: a cross-sectional study. Ciência & Saúde Coletiva. 2015; 20: 289–298 DOI: https://doi.org/10.1590/1413-81232014201.01012014
Paige L, Mansell W. To attend or not attend? A critical review of the factors impacting on initial appointment attendance from an approach-avoidance perspective. J Ment Heal. 2013; 22:72-82 DOI: https://doi.org/10.3109/09638237.2012.705924
AlKanderi A AH. Factors associated with failed dental appointments: a retrospective cross sectional study. J Dent Educ. 73(9):1118-1124.
Skaret E, Raadal M, Kvale G, Berg E. Missed and cancelled appointments among 12-18-year-olds in the Norwegian Public Dental Service. Eur J Oral Sci. 1998; 106:1006-1012. DOI: https://doi.org/10.1046/j.0909-8836.1998.eos106605.x
Bos A, Hoogstraten J, Prahl-Andersen B. Failed appointments in an orthodontic clinic. Am J Orthod Dentofac Orthop. 2005; 127:355-357. DOI: https://doi.org/10.1016/j.ajodo.2004.11.014
Ogordi PU, Ajimen S. Treatment and care trends at the paedodontics clinic of a teaching hospital. J Paediatr Dent Res Pract. 2021; 2:8-15.
Ashiwaju MO, Folayan MO, Sote EO. Pattern of tooth extraction in children attending tertiary health care centers in Nigeria: a prospective study. J Clin Pediatr Dent. 2011; 36:107-110 DOI: https://doi.org/10.17796/jcpd.36.1.3616j76286616672
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