伊朗马什哈德牙科诊所转诊患者的医疗风险评估（2011 - 2012年）
Medical Risk Assessment in Patients Referred to Dental Clinics, Mashhad, Iran (2011-2012).
作者信息
Maryam Amirchaghmaghi, Atessa Pakfetrat, Mozafari Pegah Mosannen, Zahra Shafiee, Hanieh Ghalavani, Davood Aghasizadeh, Yeganeh Khazaei
机构信息
Oral and Maxillofacial Diseases, Research Center, Department of Oral Medicine, Faculty of Dentistry, Mashhad, University of Medical Sciences, Mashhad, Iran.
Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
Open Dent J. 2015 Dec 23;9:420-5. doi: 10.2174/1874210601509010420. eCollection 2015.
UNLABELLED
Advances in medical and dental techniques have led to a growing aged population living with complex medical conditions. This study focuses on the detection of medically compromised dental patients by means of a validated patient-administered medical risk-related history questionnaire.
MATERIALS AND METHODS
We used the questionnaire EMRRH (European Risk Related Medical History) in order to study the prevalence as well as the risk assessment of past medical problems in a population who visited dental centers (dental university, dental offices and clinics) for treatment in Mashhad, Iran.
RESULTS
A total number of 1,188 patients were registered, 871 of whom had a medical history that was of some interest to us. From the population with medical problems which was 30.6% of the total (N=219), 26.7% of the patients were classified as risk ASA I; 37.3% as ASA II, 16.9% as ASA III; and 19.1% as ASA IV. Among the diverse pathologies, the highest percentage was hypertension (11.6%), followed by allergies to different drugs (8.37%).
CONCLUSION
It seems absolutely essential for dental practitioners to take a detailed medical history prior to any therapeutic procedure, as certain medical conditions, if unnoticed, will lead to unfavorable consequences and/or repercussions.
未标注
医学和牙科技术的进步导致患有复杂医疗状况的老年人口不断增加。本研究的重点是通过一份经过验证的患者自我管理的与医疗风险相关的病史问卷，来检测存在医疗风险的牙科患者。
材料与方法
我们使用了问卷EMRRH（欧洲与医疗风险相关的病史问卷），以研究在伊朗马什哈德的牙科中心（牙科大学、牙科诊所和诊疗所）接受治疗的人群中既往医疗问题的患病率以及风险评估。
结果
总共登记了1188名患者，其中871名患者有我们感兴趣的病史。在有医疗问题的人群中（占总数的30.6%，N = 219），26.7%的患者被归类为ASA I级风险；37.3%为ASA II级；16.9%为ASA III级；19.1%为ASA IV级。在各种病理状况中，高血压的比例最高（11.6%），其次是对不同药物的过敏（8.37%）。
结论
牙科医生在进行任何治疗程序之前详细了解病史似乎绝对必要，因为某些医疗状况如果未被注意到，将导致不良后果和/或影响。
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