Iijima Yosuke, Yamada Miki, Nakayama Nami, Takahashi Takumi, Hino Shunsuke, Sano Motohiko, Horie Norio, Kaneko Takahiro
Department of Oral and Maxillofacial Surgery, Saitama Medical Center, Saitama Medical University, Saitama, JPN.
Division of Applied Pharmaceutical Education and Research, Hoshi University, Tokyo, JPN.
Cureus. 2025 Sep 21;17(9):e92878. doi: 10.7759/cureus.92878. eCollection 2025 Sep.
This study aimed to evaluate blood pressure in patients attending an out-of-hours dental clinic, including oral surgery treatment, and compare it with the 2019 National Health and Nutrition Survey (National Survey) in Japan. The prevalence of treated hypertension and diabetes was also assessed.
A retrospective study was conducted on patients aged 20 years or older who visited the out-of-hours dental clinic between February 19, 2013, and May 8, 2024. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and the prevalence of treated hypertension and diabetes were compared with the National Survey. Fisher's exact test was used for categorical variables where appropriate. All statistical tests were two-sided, and p-values < 0.05 were considered statistically significant. Statistical analysis was performed using js-STAR software v9 (www.kisnet.or.jp/nappa/software/star/index.htm; developed by Satoshi Tanaka and Hiroyuki Nakano, Japan).
A total of 2511 out-of-hours dental clinic outpatients were included in the study. The distribution was 1344 (53.5%) male and 1167 (46.5%) female patients, with a gender ratio of 1.2:1. Blood pressure was significantly higher in out-of-hours dental clinic patients compared to the National Survey (p < 0.001), except for specific age/gender groups. The prevalence of treated hypertension and diabetes was not significantly different between the two groups (p > 0.05), except for certain subgroups.
The out-of-hours dental clinic patients exhibited significantly higher blood pressure than the general population, suggesting a need for careful monitoring. The comparable prevalence of treated hypertension and diabetes indicates potential undiagnosed cases, highlighting the importance of systemic health assessments in out-of-hours dental care.
本研究旨在评估在非工作时间牙科诊所就诊的患者（包括接受口腔外科治疗的患者）的血压，并将其与2019年日本国民健康与营养调查（全国调查）进行比较。同时还评估了接受治疗的高血压和糖尿病的患病率。
对2013年2月19日至2024年5月8日期间前往非工作时间牙科诊所就诊的20岁及以上患者进行了一项回顾性研究。将收缩压（SBP）、舒张压（DBP）以及接受治疗的高血压和糖尿病的患病率与全国调查进行了比较。在适当情况下，对分类变量使用Fisher精确检验。所有统计检验均为双侧检验，p值<0.05被认为具有统计学意义。使用js-STAR软件v9（www.kisnet.or.jp/nappa/software/star/index.htm；由日本的田中聪和中野博之开发）进行统计分析。
本研究共纳入了2511名非工作时间牙科诊所的门诊患者。其中男性1344名（53.5%），女性1167名（46.5%），性别比为1.2:1。除特定年龄/性别组外，非工作时间牙科诊所患者的血压显著高于全国调查（p<0.001）。除某些亚组外，两组间接受治疗的高血压和糖尿病的患病率无显著差异（p>0.05）。
非工作时间牙科诊所的患者血压显著高于普通人群，这表明需要进行仔细监测。接受治疗的高血压和糖尿病患病率相当，这表明可能存在未被诊断的病例，凸显了在非工作时间牙科护理中进行系统健康评估的重要性。
