School of Medicine and Dentistry, Griffith University, Southport, Australia.
Clin Exp Dent Res. 2023 Oct;9(5):899-905. doi: 10.1002/cre2.781. Epub 2023 Sep 7.
Thorough knowledge of a patient's medical history and medications is necessary for providing safe oral surgery care, and may be considered a form of risk management. This study investigated the prevalence of medical conditions and medication types in patients referred to an Australian postgraduate oral surgery clinic over 2 years.
A retrospective cross-sectional study of the clinical records of 233 randomized patients referred to the Griffith University (Queensland, Australia) postgraduate oral surgery clinic in 2018 and 2019 was performed. Medical conditions and medications were counted and categorized, and descriptive statistics were generated.
In all, 133 patients (57%) had at least one medical condition. 58% of them (77) had two or more categories of medical conditions, representing nearly a third (33.0%) of all sampled patients. The most prevalent category of medical conditions was psychiatric (25.3%), followed closely by cardiovascular (24.5%) diseases. Cardiovascular medications were the most prevalent, comprising 23.6% of all medications recorded, followed by psychotropics (18.3%).
Over half of patients referred to the postgraduate oral surgery clinic had at least one systemic medical condition. Nearly a third of patients referred had at least two distinct systemic medical conditions. With an ageing population and the accompanying rise in multimorbidity globally, dental school curricula must adapt to prepare students to meet these challenges in their careers.
为了提供安全的口腔手术护理，彻底了解患者的病史和用药情况是必要的，这可以被视为一种风险管理形式。本研究调查了 2 年来澳大利亚研究生口腔外科诊所就诊患者的疾病和用药类型的流行情况。
对 2018 年和 2019 年在格里菲斯大学（澳大利亚昆士兰州）研究生口腔外科诊所随机就诊的 233 名患者的临床记录进行了回顾性横断面研究。对疾病和药物进行了计数和分类，并生成了描述性统计数据。
总共有 133 名患者（57%）至少有一种疾病。其中 58%（77 人）有两种或两种以上类别的疾病，占所有抽样患者的近三分之一（33.0%）。最常见的疾病类别是精神疾病（25.3%），其次是心血管疾病（24.5%）。心血管药物是最常见的药物，占所有记录药物的 23.6%，其次是精神药物（18.3%）。
向研究生口腔外科诊所就诊的患者中，超过一半至少有一种系统性疾病。近三分之一的就诊患者至少有两种不同的系统性疾病。随着全球人口老龄化和多种疾病的增加，牙科学校的课程必须进行调整，以培养学生在职业生涯中应对这些挑战的能力。
