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土耳其中东部地区牙医对抗血小板治疗的知识、态度和认知

Knowledge, attitude and perception of antiplatelet therapy among dentists in Central Eastern Turkey.

作者信息

Can Mehmet M, Biteker Murat, Babur Gamze, Ozveren Olcay, Serebruany Victor L

机构信息

Mehmet M Can, Bagcilar Research and Education Hospital, Cardiology Department, 34200 Istanbul, Turkey.

出版信息

World J Cardiol. 2012 Jul 26;4(7):226-30. doi: 10.4330/wjc.v4.i7.226.

Abstract

AIM

To survey the dentists in Central Eastern Turkey, testing their knowledge on coronary interventions and assessing perception of antecedent dual antiplatelet therapy.

METHODS

Two hundred and ninety-eight dentists were surveyed face-to-face by completing questionnaires, including 16 structured questions focused on general knowledge of coronary stents, and assessing periprocedural practice with regard to antiplatelet therapy.

RESULTS

All respondents were aware of such devices as coronary stents, but only one-third of the respondents knew the differences between a bare metal and a drug-eluting stent design, and associated vascular outcomes. Awareness about stent thrombosis was limited to 34%, while consequences of interrupting antiplatelet therapy were known to only 30% of surveyed dentists. Importantly, the attitudes of surveyed respondents differed substantially depending on the location of their practice, where dentists working in the urban environment (population over 10 000) were more aware of antiplatelet recommendations when compared to their colleagues from the rural areas.

CONCLUSION

Knowledge about coronary stents, associated clinical outcomes, and current guidelines with regard to surgical management of antecedent antiplatelet therapy in Central Eastern Turkey is inconsistent, and heavily dependent on the location of dental practice. Rural areas around the globe should be in a focus of continuous medical education to improve the quality of medical care.

摘要

目的

调查土耳其中东地区的牙医,测试他们关于冠状动脉介入治疗的知识,并评估他们对术前双重抗血小板治疗的认知。

方法

通过面对面填写问卷对298名牙医进行调查,问卷包括16个关于冠状动脉支架常识的结构化问题,并评估抗血小板治疗的围手术期实践。

结果

所有受访者都知晓冠状动脉支架这类器械,但只有三分之一的受访者了解裸金属支架和药物洗脱支架设计之间的差异以及相关的血管结局。对支架血栓形成的知晓率仅为34%,而只有30%的受访牙医了解中断抗血小板治疗的后果。重要的是,受访牙医的态度因执业地点的不同而有很大差异,与农村地区的同事相比,在城市环境(人口超过10000)工作的牙医对抗血小板治疗建议的了解更多。

结论

在土耳其中东地区,关于冠状动脉支架、相关临床结局以及术前抗血小板治疗外科管理的现行指南的知识并不一致,且严重依赖牙科执业地点。全球农村地区应成为持续医学教育的重点,以提高医疗质量。

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