Evidence map›Paper›PMID 36434491›Full record

ArticleEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2023

Impact of Covid-19 pandemic on children with special needs requiring general anaesthesia for the treatment of dental disease: the experience of the Brescia Children's Hospital, Lombardy, Italy.

K Tewfik, C Peta, M C De Giuli, M Rossini, G Giampaoli, C Covelli, D Burlini

Open access · greenAbstract read
In one paragraph

Article in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Interdisciplinary management of patients with special healthcare needs undergoing dental treatment in a tertiary care hospital setting in Germany: a retrospective study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

K TewfikPediatric Maxillo-Facial Surgery Unit, Children's Hospital, ASST Spedali Civili of Brescia, Brescia, Italy. karim.tewfik@gmail.com.ORCID http://orcid.org/0000-0001-6184-8767
C PetaPediatric Maxillo-Facial Surgery Unit, Children's Hospital, ASST Spedali Civili of Brescia, Brescia, Italy.
M C De GiuliPediatric Maxillo-Facial Surgery Unit, Children's Hospital, ASST Spedali Civili of Brescia, Brescia, Italy.
M RossiniPediatric Maxillo-Facial Surgery Unit, Children's Hospital, ASST Spedali Civili of Brescia, Brescia, Italy.
G GiampaoliPediatric Maxillo-Facial Surgery Unit, Children's Hospital, ASST Spedali Civili of Brescia, Brescia, Italy.
C CovelliPathology Unit, ASST del Garda, Desenzano del Garda, Italy.
D BurliniPediatric Maxillo-Facial Surgery Unit, Children's Hospital, ASST Spedali Civili of Brescia, Brescia, Italy.
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITCasa di Cura Villa Garda · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSpecial needs children presenting with dental problems were penalised during the Covid-19 pandemic due to the reduction of clinical activity and the risks of nosocomial infection. The aim of this study is to evaluate the impact of the pandemic on oral healthcare in paediatric special needs patients.

methodsWe retrospectively assessed and compared the outpatient clinic activity and dental procedures performed under general anaesthesia in children with special needs at Brescia Children's Hospital (Italy) in 2019, 2020, and 2021. Any delay between expected waiting time based on assigned priority and surgery was recorded. The efficacy of the protocol adopted to reduce the spread of Covid-19 was evaluated by reporting any infections in patients, parents, and health care providers.

resultsIn 2020, 270 outpatient visits were performed, and 40 patients were treated under general anaesthesia, with a 26% and 65% reduction, respectively, compared to 2019. In 2021, 362 visits were performed (similar to 2019) and 48 patients were treated under general anaesthesia (58% compared to 2019). The mean delay in the planned treatment was 1.0 month in 2019 (pre-pandemic period), 2.1 months in 2020, and 1.1 month in 2021. No cases of Covid-19 infection were reported in the cohort of patients and parents or among the operators related to nosocomial infection.

conclusionsThe Covid-19 pandemic has profoundly reduced the activity of general anaesthesia in paediatric special need patients during 2020, with a gradual return to normal pre-pandemic activity in 2021. The adopted protocol prevented the spread of COVID-19 during hospitalisation.

Indexed as

Children with DisabilitiesCOVID-19Cross InfectionStomatognathic DiseasesAnesthesia, GeneralChildHospitalsHumansItalyPandemicsRetrospective StudiesCovid-19Dental diseaseSpecial needs

Identifiers

PMID36434491
PMCPMC9702869
OpenAlexW4310224699

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.