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Evaluation of the prevalence of comorbidities in patients reporting for dentoalveolar surgeries

机译：评价牙槽骨手术患者的合并症患病率

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Background: Medical comorbidities have varied effects on the management of a patient for dentoalveolar surgeries. Prior diagnosis and prudence in such conditions is of utmost importance for avoidance of complications and overall welfare of the patient. There is a dilemma on the extent of investigations required to evidently ascertain the medical status and fitness of a patient for a dental procedure. The objective of this study was to evaluate the prevalence of medical comorbidities in patients reporting for dentoalveolar surgeries, which would help provide data to establish an evidence-based protocol for perioperative workup of all dental surgeries. Methodology: A total of 2872 patients were included in this study age ranging from 13 years to 84 years. Detailed case history of the patient and baseline blood investigations were recorded. Physician's consultation was acquired to identify any medical comorbidity the patient may be suffering from. Results: It was observed that 17.8% of the patients were detected with medical co-morbidities. Hypertension and Diabetes being the most prevalent (Hypertension: 9.1% and Diabetes: 6.2%). This study has shown that 8.8% of all patients in our study were either newly diagnosed with comorbidities or were inappropriately treated for a prediagnosed comorbidity. Conclusion: We conclude that only relying on the medical history provided by the patient is not sufficient to rule out any medical comorbidities and there is a chance of missing out on any undiagnosed medical condition that the patient may be suffering from.
机译：背景：合并症对牙槽手术患者的治疗有多种影响。在这种情况下的事先诊断和审慎度对于避免并发症和患者的整体利益至关重要。显然需要确定牙科医生的医疗状况和健康状况的调查范围存在两难选择。这项研究的目的是评估报告牙槽骨手术的患者中合并症的患病率，这将有助于提供数据以建立基于证据的所有牙科手术围手术期检查方案。方法：本研究共纳入2872名患者，年龄在13岁至84岁之间。记录患者的详细病史和基线血液检查。已获得医师的咨询，以确定患者可能患有的任何合并症。结果：观察到17.8％的患者被发现患有合并症。高血压和糖尿病是最普遍的（高血压：9.1％和糖尿病：6.2％）。这项研究表明，在我们的研究中，有8.8％的患者是新诊断为合并症或因预诊合并症而治疗不当。结论：我们得出的结论是，仅依靠患者提供的病史不足以排除任何合并症，并且有可能遗漏患者可能遭受的任何未确诊的疾病。

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