Krasovsky Andrei, Capucha Tal, Abdalla-Aslan Ragda, Zeineh Nidal, Bilder Amir, Hija Ahmad, Blanc Ori, Emodi Omri, Rachmiel Adi, Shilo Dekel
Oral and Maxillofacial Surgery, Rambam Medical Care Campus, HaAliya HaShniya St 8, Haifa 3109601, Israel.
Ruth & Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 3200003, Israel.
Medicina (Kaunas). 2025 Apr 12;61(4):712. doi: 10.3390/medicina61040712.
: Diabetes mellitus (DM) and hypertension (HTN) continue to increase and pose a significant burden on the health system worldwide. These patients comprise a significant portion of the hospitalized Oral and Maxillofacial Surgery (OMFS) department. Addressing and controlling DM and HTN during hospitalization should thus be one of the treatment goals. This study aims to investigate the management and outcomes of DM and HTN during the hospitalization period in the OMFS department. : A retrospective analysis of patients with community-diagnosed DM and/or HTN admitted to the OMFS department between 2017 and 2019 was conducted at Rambam Healthcare Campus, Haifa, Israel. Linear regression analysis was used to determine trends in changes in blood pressure and blood glucose levels during hospitalization. The impact of consults from internal medicine experts and endocrinologists was tested using a paired-samples -test. : A statistically significant reduction was observed in all systolic HTN patients categorized as stages 1 and 2, = 0.012 and = 0.001, respectively. A statistically significant ( = 0.012) reduction in blood glucose levels in all DM patients with initial values higher than 250 mg/dL was observed. A statistically significant reduction in blood glucose levels was observed in the DM group of patients who received endocrinologist consultations ( = 0.012). : Addressing patients with systemic conditions during hospitalization in the OMFS department is mandatory. External medical consulting can be of great value for short-term treatment during hospitalization and may also have long-term benefits after discharge to the community. The main limitations of this study include retrospective data acquisition, a small sample size, and a lack of data regarding the impact of pain management on blood pressure and glucose levels.
糖尿病（DM）和高血压（HTN）的发病率持续上升，给全球卫生系统带来了沉重负担。这些患者在口腔颌面外科（OMFS）住院患者中占相当大的比例。因此，在住院期间应对和控制DM和HTN应是治疗目标之一。本研究旨在调查OMFS科室住院期间DM和HTN的管理情况及治疗效果。：在以色列海法的兰巴姆医疗中心，对2017年至2019年间入住OMFS科室的社区诊断为DM和/或HTN的患者进行了回顾性分析。采用线性回归分析来确定住院期间血压和血糖水平的变化趋势。使用配对样本检验来测试内科专家和内分泌科医生会诊的影响。：在所有分类为1期和2期的收缩期HTN患者中，观察到血压有统计学意义的下降，分别为P = 0.012和P = 0.001。在所有初始值高于250 mg/dL的DM患者中，观察到血糖水平有统计学意义的下降（P = 0.012）。在接受内分泌科医生会诊的DM患者组中，观察到血糖水平有统计学意义的下降（P = 0.012）。：在OMFS科室住院期间治疗患有全身性疾病的患者是必要的。外部医疗会诊对于住院期间的短期治疗可能具有很大价值，并且在出院回归社区后可能也有长期益处。本研究的主要局限性包括回顾性数据采集、样本量小以及缺乏关于疼痛管理对血压和血糖水平影响的数据。
