Impacto da pandemia de covid-19 nos atendimentos odontológicos de um serviço de pronto atendimento da cidade de Manaus-AM

Abstract

The study aimed to compare the care provided at the Joventina Dias Emergency Care Service, before the pandemic and during its worst moment, in addition to identifying the health and demographic profile and analyzing associations between the variables capable of determining the increase or decrease in demand. for the service, in both stipulated moments. A cross-sectional study was carried out, with retrospective collection, based on secondary data obtained from the service's dental care records. Two moments were considered for data collection, three months prior to the first case of covid-19 in ManausAM (December 2019, January and February 2020) and three months during the worst moment of the pandemic, known as the “crisis of the pandemic”. oxygen” (January, February and March 2021). Descriptive data analysis was performed based on measures of central tendency for quantitative variables and frequencies for categorical variables. Data normality was tested using the Kolmogorov-Smirnov statistics, aiding the bivariate analysis. The outcome was observed from the association between the number of procedures performed and the time of care. Therefore, the T test for independent samples was considered, with a significance level of 95%. In addition, associations between the type of procedure and the other independent variables investigated were tested, using Perason's chi-square test or Fisher's exact test, maintaining the same level of significance. A total of 673 medical records were evaluated. Of these, 618 (91.8%) correspond to the pre-pandemic period and 55 (8.2%) during the pandemic. The mean age of users whose medical records were evaluated was 30.26 (± 14.58) years. As for the sex of these individuals, 52.2% were male, the majority (75.5%) lived in the west of the city, whose main complaint was toothache (56.2%). The difference in the mean age of users who sought the service before the pandemic (26.42 years; SD ±11.5) and during the pandemic months (30.60 years; SD ±14.78) was statistically significant (p = 0.04). On the other hand, the performance of a procedure was associated with the type of complaint and the user's referral (p ≤ 0.001). It is understood that the findings explained in this work reveal the weaknesses of the service in the pandemic context and, above all, regarding the collection of information via medical records, harming management.