Surgical complications in systemically compromised patients: analysis of 992 medical records
ABSTRACT Objective: The preoperative evaluation is essential to prevent postoperative surgical complications. The present study aimed to establish quantitative and qualitative profiles of systemic disorders and relate them to postoperative surgical complications in patients subjected to dental extr...
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| Format: | Article |
| Language: | English |
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Faculdade São Leopoldo Mandic
2020-09-01
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| Series: | RGO: Revista Gaúcha de Odontologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372020000100315&tlng=en |
| _version_ | 1797792736903954432 |
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| author | Emanuela Fátima Silva PIEDADE Jéssica Lemos GULINELLI Thallita Pereira QUEIROZ Vinicius Matheus ROSA Pâmela Letícia SANTOS |
| author_facet | Emanuela Fátima Silva PIEDADE Jéssica Lemos GULINELLI Thallita Pereira QUEIROZ Vinicius Matheus ROSA Pâmela Letícia SANTOS |
| author_sort | Emanuela Fátima Silva PIEDADE |
| collection | DOAJ |
| description | ABSTRACT Objective: The preoperative evaluation is essential to prevent postoperative surgical complications. The present study aimed to establish quantitative and qualitative profiles of systemic disorders and relate them to postoperative surgical complications in patients subjected to dental extraction Methods: Data were collected from the medical records of 992 patients subjected to dental extractions from 2010 to 2015 through a detailed analysis of anamnesis files. The data collected were tabulated and converted to percentages to facilitate the discussion and comparison with reports in the literature Results: From all the medical records analyzed, 559 presented systemic changes, which corresponds to 56.3%. Among them, there was a higher prevalence of patients with hypertension (24%), smoking habits (20%), and diabetes (11%). The most frequent complications were pain (34%), inflammation (19.8%), and hemorrhage (13.2%). The prevalence of diseases related to age shows patients under the age of 20 (4.7%), 20 to 29 (11.3%), 30 to 39 (16.8%), 40 to 44 (10%), 45 to 49 (10.9%), 50 to 54 (12.3%), 55 to 59 (12.9%), 60 to 64 (10.4%), 65 to 69 (4.8%), and older than 70 years old (5.9%). As for systemic changes with complications, hypertensive patients with complications (n=11) showed higher prevalence of pain (45.4%), the most common complication in smokers (n=15) was exacerbated inflammation (33.3%), and 50% of diabetic patients with complications (n=8) were diagnosed with alveolitis Conclusion: The method studied allowed concluding there was a relationship between postoperative complications and systemic changes, and the main ones were pain-hypertension, inflammation-smoking, and alveolitis-diabetes. |
| first_indexed | 2024-03-13T02:37:07Z |
| format | Article |
| id | doaj.art-249e2391da914b16a9877c59aadd5b20 |
| institution | Directory Open Access Journal |
| issn | 1981-8637 |
| language | English |
| last_indexed | 2024-03-13T02:37:07Z |
| publishDate | 2020-09-01 |
| publisher | Faculdade São Leopoldo Mandic |
| record_format | Article |
| series | RGO: Revista Gaúcha de Odontologia |
| spelling | doaj.art-249e2391da914b16a9877c59aadd5b202023-06-28T23:13:40ZengFaculdade São Leopoldo MandicRGO: Revista Gaúcha de Odontologia1981-86372020-09-016810.1590/1981-863720200003120190005Surgical complications in systemically compromised patients: analysis of 992 medical recordsEmanuela Fátima Silva PIEDADEhttps://orcid.org/0000-0002-5418-4269Jéssica Lemos GULINELLIhttps://orcid.org/0000-0001-7113-2017Thallita Pereira QUEIROZhttps://orcid.org/0000-0002-2464-8181Vinicius Matheus ROSAhttps://orcid.org/0000-0002-3977-7373Pâmela Letícia SANTOShttps://orcid.org/0000-0003-1734-4187ABSTRACT Objective: The preoperative evaluation is essential to prevent postoperative surgical complications. The present study aimed to establish quantitative and qualitative profiles of systemic disorders and relate them to postoperative surgical complications in patients subjected to dental extraction Methods: Data were collected from the medical records of 992 patients subjected to dental extractions from 2010 to 2015 through a detailed analysis of anamnesis files. The data collected were tabulated and converted to percentages to facilitate the discussion and comparison with reports in the literature Results: From all the medical records analyzed, 559 presented systemic changes, which corresponds to 56.3%. Among them, there was a higher prevalence of patients with hypertension (24%), smoking habits (20%), and diabetes (11%). The most frequent complications were pain (34%), inflammation (19.8%), and hemorrhage (13.2%). The prevalence of diseases related to age shows patients under the age of 20 (4.7%), 20 to 29 (11.3%), 30 to 39 (16.8%), 40 to 44 (10%), 45 to 49 (10.9%), 50 to 54 (12.3%), 55 to 59 (12.9%), 60 to 64 (10.4%), 65 to 69 (4.8%), and older than 70 years old (5.9%). As for systemic changes with complications, hypertensive patients with complications (n=11) showed higher prevalence of pain (45.4%), the most common complication in smokers (n=15) was exacerbated inflammation (33.3%), and 50% of diabetic patients with complications (n=8) were diagnosed with alveolitis Conclusion: The method studied allowed concluding there was a relationship between postoperative complications and systemic changes, and the main ones were pain-hypertension, inflammation-smoking, and alveolitis-diabetes.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372020000100315&tlng=enEpidemiologyPreoperative careSurgery, oral |
| spellingShingle | Emanuela Fátima Silva PIEDADE Jéssica Lemos GULINELLI Thallita Pereira QUEIROZ Vinicius Matheus ROSA Pâmela Letícia SANTOS Surgical complications in systemically compromised patients: analysis of 992 medical records RGO: Revista Gaúcha de Odontologia Epidemiology Preoperative care Surgery, oral |
| title | Surgical complications in systemically compromised patients: analysis of 992 medical records |
| title_full | Surgical complications in systemically compromised patients: analysis of 992 medical records |
| title_fullStr | Surgical complications in systemically compromised patients: analysis of 992 medical records |
| title_full_unstemmed | Surgical complications in systemically compromised patients: analysis of 992 medical records |
| title_short | Surgical complications in systemically compromised patients: analysis of 992 medical records |
| title_sort | surgical complications in systemically compromised patients analysis of 992 medical records |
| topic | Epidemiology Preoperative care Surgery, oral |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372020000100315&tlng=en |
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