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澳大利亚牙科研究所就诊患者的医疗状况:一项横断面研究。

Medical status of patients presenting for treatment at an Australian dental institute: a cross-sectional study.

机构信息

UWA Dental School, The University of Western Australia, 17 Monash Avenue, Nedlands, WA, 6009, Australia.

School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Bentley, WA, 6102, Australia.

出版信息

BMC Oral Health. 2020 Oct 21;20(1):289. doi: 10.1186/s12903-020-01285-2.

DOI:10.1186/s12903-020-01285-2
PMID:33087084
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7579782/
Abstract

BACKGROUND

Individuals seeking dental treatment often present with medical conditions which may affect dental treatment provision. The purpose of this study was to determine the prevalence of medical conditions and medication use among individuals attending dental clinics at a Western Australian tertiary institution.

METHODS

This observational study examined the general demographics, medical and social histories of 873 subjects presenting for a general dental examination at a Western Australian Tertiary Institution between March 2018 and February 2019. Individual recruited were those presenting to the clinics either as new patients to the Centre or returning patients after an extended period of absence.

RESULTS

Presence of a medical condition was reported by 86% of the participants, with males more commonly affected (p = 0.0448). Medication use was noted by 80% of the participants. Cardiovascular disease (37.9%), allergy (32.3%), mental health disorders (29.4%), musculoskeletal (23.0%), endocrine (22.4%) and respiratory disease (17.8%) were the most common conditions identified. Women were significantly more likely to report allergy (p = 0.0002) or a mental health condition (p = 0.0368).

CONCLUSION

Medical comorbidities are common among individuals presenting for student dental treatment in Western Australia, highlighting the importance of knowledge and teaching of internal medicine and its application to the dental setting.

摘要

背景

寻求牙科治疗的个体常伴有可能影响牙科治疗提供的医疗状况。本研究的目的是确定在西澳大利亚州一所三级机构的牙科诊所就诊的个体的医疗状况和用药情况的患病率。

方法

本观察性研究检查了 2018 年 3 月至 2019 年 2 月期间在西澳大利亚州一所三级机构接受一般牙科检查的 873 名个体的一般人口统计学、医疗和社会史。招募的个体是那些作为中心的新患者或在长时间缺席后返回诊所的患者。

结果

86%的参与者报告存在医疗状况,男性更常见(p=0.0448)。80%的参与者注意到用药情况。心血管疾病(37.9%)、过敏(32.3%)、心理健康障碍(29.4%)、肌肉骨骼(23.0%)、内分泌(22.4%)和呼吸系统疾病(17.8%)是最常见的疾病。女性更有可能报告过敏(p=0.0002)或心理健康状况(p=0.0368)。

结论

在西澳大利亚州,寻求学生牙科治疗的个体中存在多种医疗合并症,这突显了内部医学知识的重要性及其在牙科环境中的应用。

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Health History Vital in Assessing Patients, Reducing Risk.健康史对评估患者及降低风险至关重要。
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