Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2015.08.007
Brazilian Journal of Anesthesiology
Scientific Article

Design and validation of an oral health questionnaire for preoperative anaesthetic evaluation

Projeto e validação de um questionário de saúde oral para avaliação pré-anestésica no pré-operatório

Gema Ruíz-López del Prado; Vendula Blaya-Nováková; Zuleika Saz-Parkinson; Óscar Luis Álvarez-Montero; Alba Ayala; Maria Fe Muñoz-Moreno; Maria João Forjaz

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Abstract

Abstract Background and objectives: Dental injuries incurred during endotracheal intubation are more frequent in patients with previous oral pathology. The study objectives were to develop an oral health questionnaire for preanaesthesia evaluation, easy to apply for personnel without special dental training; and establish a cut-off value for detecting persons with poor oral health. Methods: Validation study of a self-administered questionnaire, designed according to a literature review and an expert group's recommendations. The questionnaire was applied to a sample of patients evaluated in a preanaesthesia consultation. Rasch analysis of the questionnaire psychometric properties included viability, acceptability, content validity and reliability of the scale. Results: The sample included 115 individuals, 50.4% of men, with a median age of 58 years (range: 38-71). The final analysis of 11 items presented a Person Separation Index of 0.861 and good adjustment of data to the Rasch model. The scale was unidimensional and its items were not biased by sex, age or nationality. The oral health linear measure presented good construct validity. The cut-off value was set at 52 points. Conclusions: The questionnaire showed sufficient psychometric properties to be considered a reliable tool, valid for measuring the state of oral health in preoperative anaesthetic evaluations.

Keywords

Patient safety, Dental injury, Oral health, Oral hygiene, Questionnaire

Resumo

Resumo Justificativa e objetivo: As lesões dentárias que ocorrem durante a intubação traqueal são mais frequentes em pacientes com patologia oral prévia. O objetivo do estudo foi desenvolver um questionário de saúde bucal para avaliação no período pré-anestesia, de fácil aplicação por pessoal sem formação odontológica, e estabelecer um valor de corte para detectar pessoas com má saúde bucal. Métodos: Estudo de validação de um questionário autoadministrado, projetado de acordo com uma revisão da literatura e recomendações de um grupo de especialistas. O questionário foi aplicado a uma amostra de pacientes avaliados em uma consulta pré-anestesia. A análise Rasch das propriedades psicométricas do questionário incluiu viabilidade, aceitabilidade, validade de conteúdo e confiabilidade da escala. Resultados: A amostra incluiu 115 indivíduos, 50,4% de homens, com mediana de 58 anos (variação: 38-71). A análise final dos 11 itens apresentou um índice de separação dos indivíduos de 0,861 e um bom ajuste dos dados ao modelo de Rasch. A escala foi unidimensional e seus itens não foram influenciados por sexo, idade ou nacionalidade. A medida linear da saúde bucal apresentou boa validade de constructo. O valor de corte foi fixado em 52 pontos. Conclusões: O questionário mostrou propriedades psicométricas suficientes para ser considerado uma ferramenta confiável, válida para medir o estado de saúde bucal nas avaliações pré-anestesia antes da operação.

Palavras-chave

Segurança do paciente, Lesão dentária, Saúde bucal, Higiene bucal, Questionário

References

Cook TM, Scott S, Mihai R. Litigation related to airway and respiratory complications of anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2010;65:556-63.

Gerson C, Sicot C. Dental accidents in relation to general anesthesia. Experience of mutual medical insurance group. Ann Fr Anesth Reanim. 1997;16:918-21.

Mourao J, Neto J, Viana JS. A prospective non-randomised study to compare oral trauma from laryngoscope versus laryngeal mask insertion. Dent Traumatol. 2011;27:127-30.

Mourao J, Neto J, Luis C. Dental injury after conventional direct laryngoscopy: a prospective observational study. Anaesthesia. 2013;68:1059-65.

Fung BK, Chan MY. Incidence of oral tissue trauma after the administration of general anesthesia. Acta Anaesthesiol Sin. 2001;39:163-7.

Vogel J, Stubinger S, Kaufmann M. Dental injuries resulting from tracheal intubation - a retrospective study. Dent Traumatol. 2009;25:73-7.

Gaiser RR, Castro AD. The level of anesthesia resident training does not affect the risk of dental injury. Anesth Analg. 1998;87:255-7.

Newland MC, Ellis SJ, Peters KR. Dental injury associated with anesthesia: a report of 161,687 anesthetics given over 14 years. J Clin Anesth. 2007;19:339-45.

Vallejo MC, Best MW, Phelps AL. Perioperative dental injury at a tertiary care health system: an eight-year audit of 816,690 anesthetics. J Healthc Risk Manag. 2012;31:25-32.

Warner ME, Benenfeld SM, Warner MA. Perianesthetic dental injuries: frequency, outcomes, and risk factors. Anesthesiology. 1999;90:1302-5.

Rincón J, Murillo R. Daño dental durante anestesia general. Rev Colomb Anest. 1996;24:1-6.

Adolphs N, Kessler B, von HC. Dentoalveolar injury related to general anaesthesia: a 14 years review and a statement from the surgical point of view based on a retrospective analysis of the documentation of a university hospital. Dent Traumatol. 2011;27:10-4.

Laidoowoo E, Baert O, Besnier E. Dental trauma and anaesthesiology: epidemiology and insurance-related impact over 4 years in Rouen teaching hospital. Ann Fr Anesth Reanim. 2012;31:23-8.

Nouette-Gaulain K, Lenfant F, Jacquet-Francillon D. French clinical guidelines for prevention of perianaesthetic dental injuries: long text. Ann Fr Anesth Reanim. 2012;31:213-23.

Wright RB, Manfield FF. Damage to teeth during the administration of general anaesthesia. Anesth Analg. 1974;53:405-8.

Clokie C, Metcalf I, Holland A. Dental trauma in anaesthesia. Can J Anaesth. 1989;36:675-80.

Yasny JS. Perioperative dental considerations for the anesthesiologist. Anesth Analg. 2009;108:1564-73.

Gatt SP, Aurisch J, Wong K. A standardized, uniform and universal dental chart for documenting state of dentition before anaesthesia. Anaesth Intensive Care. 2001;29:48-50.

Gaudio RM, Feltracco P, Barbieri S. Traumatic dental injuries during anaesthesia: part I: clinical evaluation. Dent Traumatol. 2010;26:459-65.

Gaudio RM, Barbieri S, Feltracco P. Traumatic dental injuries during anaesthesia. Part II: medico-legal evaluation and liability. Dent Traumatol. 2011;27:40-5.

Folwaczny M, Hickel R. Oro-dental injuries during intubation anesthesia. Anaesthesist. 1998;47:707-31.

Rasch G. Studies in mathematical psychology: probabilistic models for some intelligence and attainment test. 1960.

Tennant A, Conaghan PG. The Rasch measurement model in rheumatology: what is it and why use it? When should it be applied, and what should one look for in a Rasch paper?. Arthritis Rheum. 2007;57:1358-62.

Tennant A, Pallant JF. Unidimensionality matters! (A tale of two smiths?). Rasch Meas Trans. 2006;20:1048-51.

Tennant A, Pallant JF. DIF matters: a practical approach to test if Differential Item Functioning makes a difference. Rasch Meas Trans. 2007;20:1082-4.

Martinez-Martin P, Rodriguez-Blazquez C, Abe K. International study on the psychometric attributes of the non-motor symptoms scale in Parkinson disease. Neurology. 2009;73:1584-91.

McHorney CA, Tarlov AR. Individual-patient monitoring in clinical practice: are available health status surveys adequate?. Qual Life Res. 1995;4:293-307.

Andrich D, Sheridan BE, Luo G. RUMM 2030. 2010.

Bortoluzzi MC, Traebert J, Lasta R. Tooth loss, chewing ability and quality of life. Contemp Clin Dent. 2012;3:393-7.

Pistorius J, Horn JG, Pistorius A. Oral health-related quality of life in patients with removable dentures. Schweiz Monatsschr Zahnmed. 2013;123:964-71.

Guarnizo-Herreño CC, Watt RG, Pikhart H. Socioeconomic inequalities in oral health in different European welfare state regimes. J Epidemiol Community Health. 2013;67:728-35.

Armfield JM, Mejia GC, Jamieson LM. Socioeconomic and psychosocial correlates of oral health. Int Dent J. 2013;63:202-9.

Ando A, Ohsawa M, Yaegashi Y. Factors related to tooth loss among community-dwelling middle-aged and elderly Japanese men. J Epidemiol. 2013;23:301-6.

Ostberg AL, Bengtsson C, Lissner L. Oral health and obesity indicators. BMC Oral Health. 2012;12:50.

Irigoyen-Camacho ME, Sánchez-Pérez L, Molina-Frechero N. The relationship between body mass index and body fat percentage and periodontal status in Mexican adolescents. Acta Odontol Scand. 2014;72:48-57.

Givol N, Gershtansky Y, Halamish-Shani T. Perianesthetic dental injuries: analysis of incident reports. J Clin Anesth. 2004;16:173-6.

Linacre JM. Rasch power analysis: size vs. significance: infit and outfit mean-square and standardized chi-square fit statistic. Rasch Meas Trans. 2003;17:918.

Brosnan C, Radford P. The effect of a toothguard on the difficulty of intubation. Anaesthesia. 1997;52:1011-4.

Huang YF, Ting CK, Chang WK. Prevention of dental damage and improvement of difficult intubation using a paraglossal technique with a straight Miller blade. J Chin Med Assoc. 2010;73:553-6.

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