Niquille M, Burnand B, Magnenat P, Paccaud F, Yersin B
Département de Médecine Interne, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
J Gen Intern Med. 1993 Sep;8(9):470-5. doi: 10.1007/BF02600106.
To measure the presence and severity of dental disease, as assessed by physicians, among consecutively hospitalized alcoholic and nonalcoholic medical patients.
Descriptive cross-sectional study. Patients who had Michigan Alcoholism Screening Test (MAST) scores > or = 8 were identified as being alcoholic. Nonalcoholic patients were defined as individuals with MAST scores < or = 4. These patients were matched with alcoholic patients for gender and age (+/- 5 years). The decayed, missing, and filled teeth (DMF) score and its components were used as a measure of dental disease.
General wards of internal medicine of a 1,000-bed urban teaching hospital in Lausanne, Switzerland.
Among patients aged 20-75 years, the mean DMF score was higher among alcoholic patients than among nonalcoholic patients (26 vs 23, respectively; p < 0.001). This difference was greater among patients aged 20-39 years (20 vs 14, respectively) than among those aged 60-75 years (29 vs 27, respectively). The positive association between alcoholism and dental disease (crude odds ratio, 2.24; 95% CI, 1.15-4.31) remained after sequential stratification for several confounding factors.
The study suggests that dental disease is frequent and severe in hospitalized medical patients and that alcoholism is an independent predictor of its severity. Routine assessment of dental disease by the physician is important for medical inpatients, especially among those who are alcoholic.
由医生评估连续住院的酒精性和非酒精性内科患者中牙科疾病的存在情况及严重程度。
描述性横断面研究。密歇根酒精中毒筛查测试（MAST）得分≥8分的患者被确定为酒精性患者。非酒精性患者定义为MAST得分≤4分的个体。这些患者在性别和年龄（±5岁）上与酒精性患者相匹配。龋失补牙（DMF）得分及其组成部分被用作牙科疾病的一项衡量指标。
瑞士洛桑一家拥有1000张床位的城市教学医院的内科普通病房。
在20 - 75岁的患者中，酒精性患者的平均DMF得分高于非酒精性患者（分别为26分和23分；p<0.001）。20 - 39岁患者中的这种差异（分别为20分和14分）大于60 - 75岁患者中的差异（分别为29分和27分）。在对几个混杂因素进行连续分层后，酒精中毒与牙科疾病之间的正相关关系（粗比值比，2.24；95%可信区间，1.15 - 4.31）依然存在。
该研究表明，住院内科患者中牙科疾病常见且严重，酒精中毒是其严重程度的一个独立预测因素。医生对牙科疾病进行常规评估对内科住院患者很重要，尤其是对那些酒精性患者。
