486 - Emergency Oral and Maxillofacial Surgery theatre cases 2019-2020: a review during the COVID-19 pandemic
SMK Carr S Jenkins
Presented by: Susanna Carr
Prince Charles Hospital
Introduction On 13th March 2020 all non-essential hospital appointments and operations were suspended in response to the Coronavirus disease (COVID-19) pandemic. The Welsh government also released ‘Red Alert’ guidance to GDPs advising all practices to operate a remote telephone triage service, directing acute dental emergencies to Urgent/Emergency Dental Care centres. This review compares the effects of the COVID-19 pandemic during the year 2020 to the previous data for the OMFS service in 2019. Method The data for this research was collected retrospectively and focuses on patients that attended for OMFS emergency surgery from 1st January 2019 to 31st December 2020. A spreadsheet was generated for all patients during 2019 and 2020. Data collected from TOMS, Myrddin, Theatre operation notes and the MaxFacs Database were assessed as part of this research to determine the diagnosis and procedures carried out for each patient. Results In 2019, 228 emergency theatre cases were seen by the OMFS team. Comparatively, in 2020 there were 156 emergency cases treated. Although the number of emergency cases decreased by 32% between 2019 and 2020, there was an increase seen in three types of procedure. Dental extractions increased by 18%. Closure of traumatic lacerations also increased by 23%. The number of emergency tracheostomies performed dramatically increased by 160%. More sustained trauma such as facial fractures decreased by 11% from 2019 to 2020. Conclusion A national lockdown resulted in much of the Welsh population staying at home. Fewer people outside can be linked to a decrease in major facial trauma cases (e.g. facial fractures) being seen and treated. The increase in dental extractions however, can be associated with the reduced number of patients seen by GDPs and increased pressure on the Emergency Dental Care centres during the 2020 COVID-19 pandemic period. Further analysis would be needed in the future to see if these trends have continued into 2021.
Consent Statement: There are no details on individual patients reported within the abstract.