ArticleBMC oral health2025
Estimating the need for sedation in Chinese patients using the IOSN tool: a pilot study.
Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThis study aims to evaluate the effectiveness and applicability of the IOSN (Indicator of Sedation Need, IOSN) tool in assessing dental anxiety and sedation needs among Chinese patients undergoing common dental treatments.
methodsThis cross-sectional study enrolled 153 adult patients from the Painless Dental Center at Peking Union Medical College Hospital after ethical approval. Participants completed a structured Chinese questionnaire including personal/clinical data, the translated IOSN scale, and evaluation of received anesthesia. Descriptive statistics, two-way ANOVA, and Kappa analysis were used to assess differences and agreement.
resultsThe mean age was 39.5 ± 13.8 years; 75.2% were female. Significant differences in IOSN scores were observed across anesthesia types (P < 0.001), gender (P = 0.048), and treatment type (P = 0.016). The majority (94.8%) rated their anesthesia as appropriate. The Kappa statistic showed moderate agreement (κ = 0.4615) between IOSN-based sedation recommendations and the adjusted ideal anesthesia plan, indicating that the tool effectively identifies patients who may benefit from sedation.
conclusionsThe IOSN tool shows preliminary potential in assessing sedation needs among Chinese dental patients, though further validation is required.
trial registrationThe study was registered in the Chinese Clinical Trial Registry (no. ChiCTR2300074190). Registered on 1/8/2023.
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