Medical Risk Assessment in Patients Referred to Dental Clinics, Mashhad, Iran (2011-2012)
- PMID: 26966468
- PMCID: PMC4765512
- DOI: 10.2174/1874210601509010420
Medical Risk Assessment in Patients Referred to Dental Clinics, Mashhad, Iran (2011-2012)
Abstract
Advances in medical and dental techniques have led to a growing aged population living with complex medical conditions. This study focuses on the detection of medically compromised dental patients by means of a validated patient-administered medical risk-related history questionnaire.
Materials and methods: We used the questionnaire EMRRH (European Risk Related Medical History) in order to study the prevalence as well as the risk assessment of past medical problems in a population who visited dental centers (dental university, dental offices and clinics) for treatment in Mashhad, Iran.
Results: A total number of 1,188 patients were registered, 871 of whom had a medical history that was of some interest to us. From the population with medical problems which was 30.6% of the total (N=219), 26.7% of the patients were classified as risk ASA I; 37.3% as ASA II, 16.9% as ASA III; and 19.1% as ASA IV. Among the diverse pathologies, the highest percentage was hypertension (11.6%), followed by allergies to different drugs (8.37%).
Conclusion: It seems absolutely essential for dental practitioners to take a detailed medical history prior to any therapeutic procedure, as certain medical conditions, if unnoticed, will lead to unfavorable consequences and/or repercussions.
Keywords: ASA risk; EMRRH; dentistry; medical history..
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References
-
- Abraham-Inpijn L., Russell G., Abraham D.A., Bäckman N., Baum E., Bullón-Fernández P., Declerck D., Fricain J.C., Georgelin M., Karlsson K.O., Lamey P.J., Link-Tsatsouli I., Rigo O. A patient-administered Medical Risk Related History questionnaire (EMRRH) for use in 10 European countries (multicenter trial). Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2008;105(5):597–605. doi: 10.1016/j.tripleo.2007.09.032. - DOI - PubMed
-
- Goodchild J.H., Glick M. A different approach to medical risk assessment. Endod. Topics. 2003;4:1–8. doi: 10.1034/j.1601-1546.2003.00008.x. - DOI
-
- Chandler-Gutiérrez L., Martínez-Sahuquillo A., Bullón-Fernández P. Evaluation of medical risk in dental practice through using the EMRRH questionnaire. Med. Oral. 2004;9(4):309–320. - PubMed
-
- Greenberg M.S., Glick M. Burkets Oral medicine diagnosis and treatment. 11th ed. Hamilton: BC Decker; 2008. pp. 1-15, 297-415, 509–45.
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