{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T01:10:00Z","timestamp":1752282600110,"version":"3.40.5"},"reference-count":17,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:00:00Z","timestamp":1675814400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objective<\/jats:title>\n<jats:p>This study aims to (1) assess the efficacy of a face-to-face emergency protocol in children and adults and (2) measure the efficacies of prediagnosis at the triage level and clinical diagnosis at the emergency department level during the COVID-19 pandemic.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A triage protocol was applied for patients at the entry of the Rothschild Hospital (AP-HP) between March 18<jats:sup>th<\/jats:sup> and May 11<jats:sup>th<\/jats:sup>, 2020. First, patients underwent a triage based on self-reported symptoms. If their condition was deemed urgent, they were oriented toward dental professionals, who performed an intraoral examination leading to a clinical diagnosis. Triage and diagnoses were categorized into four emergency groups: infectious, prosthetic, traumatic, and others. The agreement between triage and clinical diagnosis was tested (\u03c7<jats:sup>2<\/jats:sup> test). Positive predictive value (PPV), negative predictive value (NPV), sensitivity, and specificity for each diagnostic category were assessed to evaluate the performance and efficacy of the triage.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Out of 1562 dental visits, 1064 were included in this analysis. The most frequently reported symptoms by children at triage were pain (31.5%) and trauma (22%). Adults mainly complained of abscesses (45.1%) and pulpitis (20.5%). The most frequent clinical diagnoses were abscesses (29.2%) and pulpitis (20.5%) among children and adults, respectively. Tooth extraction was the most frequent treatment modality. Systemic antibiotics were prescribed for 49.2% of patients. Regardless of the age class, the PPV was high for groups 1 to 3, ranging from 78.9% to 100%. The NPV was high in all groups, ranging from 68.8% to 99.1%.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>This study demonstrates that the triage implanted during the first COVID-19 lockdown was effective and is an appropriate tool for the referral of adults and children before clinical examination.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0281390","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T18:34:37Z","timestamp":1675881277000},"page":"e0281390","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["The dental triage method at Rothschild Hospital during the first lockdown due to the COVID-19 pandemic"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7266-9905","authenticated-orcid":true,"given":"Yara","family":"Saade","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muriel","family":"de la Dure Molla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin P. J.","family":"Fournier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phane","family":"Kerner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Colon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Clotilde","family":"Carra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2500-3219","authenticated-orcid":true,"given":"Philippe","family":"Bouchard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2023,2,8]]},"reference":[{"key":"pone.0281390.ref001","unstructured":"World Health Organization. Coronavirus disease 2019 (COVID-19): situation report, 73"},{"key":"pone.0281390.ref002","unstructured":"Weekly epidemiological update on COVID-19\u20134 January 2023 [Internet]. [cited 2023 Jan 8]. 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WebMD. Recommendations for the re-opening of Dental Services: A rapid review of international sources. Accessed May 14, 2021, from https:\/\/oralhealth.cochrane.org\/sites\/oralhealth.cochrane.org\/files\/public\/uploads\/covid19_dental_reopening_rapid_review_13052020.pdf"},{"issue":"5","key":"pone.0281390.ref016","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.joen.2020.03.008","article-title":"Coronavirus Disease 19 (COVID-19): Implications for Clinical Dental Care.","volume":"46","author":"A Ather","year":"2020","journal-title":"J Endod."},{"key":"pone.0281390.ref017","first-page":"1","article-title":"Triage and urgent dental care for COVID-19 patients in the Hospital District of Helsinki and Uusimaa.","volume":"31","author":"MK Mikkola","year":"2022","journal-title":"Acta Odontol Scand."}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0281390","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T18:35:03Z","timestamp":1675881303000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0281390"}},"subtitle":[],"editor":[{"given":"Inge","family":"Roggen","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,2,8]]},"references-count":17,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,2,8]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0281390","relation":{},"ISSN":["1932-6203"],"issn-type":[{"type":"electronic","value":"1932-6203"}],"subject":[],"published":{"date-parts":[[2023,2,8]]}}}