Öz
Aim: To evaluate in detail the consultation forms of patients presenting to the periodontal department of a dental faculty hospital.
Material and method: The forms were analyzed in two parts: the consultation request and the response. Demographic data and the department for which consultation was requested were evaluated in the request part. In the response section, precautions taken during dental treatment (antibiotic prophylaxis, etc.) were investigated. The readability and repetition of the consultation were also studied.
Results: The analysis was performed on 505 forms from 430 patients. Recommendations for antibiotic prophylaxis, preventive medication, or change of medication regimen were made in 50.3% of the forms. Antibiotic prophylaxis was recommended in 68 forms (13.5%). Of the recommended infective endocarditis prophylaxis, 38.9% were by American Heart Association guidelines. In the readability evaluation, 93.7% of the request sections were understood at the first reading, while the readability level of the response was 66.9%. It was seen that 47 forms (9.3%) were insufficient and repeated.
Conclusion: Healthy communication between dental and medical disciplines should be promoted through regular education, and clinicians should be aware of the new guidelines. In addition, medical consultations should be integrated into structured forms or digital workflows.
Anahtar Kelimeler
Kaynakça
- 1. Mealey BL. Periodontal implications: medically compromised patients. Ann Periodontol 1996;1:256-321.
- 2. Klokkevold PR, Mealey BL, Otomo-Corgel J. Periodontal treatment of medically compromised patients. Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Newman and Carranza’s Clinical Periodontology. Philadelphia: Elsevier; 2019. p. 442-56.
- 3. Hatipoğlu MG, Hatipoğlu H. Evaluation of Medical Consultations Forms of a Patient Group Admitted to the Dental Clinic of a University Hospital. Ankara Medical Journal 2015;15:10-5 (in Turkish).
- 4. Maloney WJ, Weinberg MA. Implementation of the American Society of Anesthesiologists Physical Status classification system in periodontal practice. J Periodontol 2008;79:1124-6.
- 5. Peacock ME, Carson RE. Frequency of self-reported medical conditions in periodontal patients. J Periodontol 1995;66:1004-7. 6. Nery EB, Meister F Jr, Ellinger RF, Eslami A, McNamara TJ. Prevalence of medical problems in periodontal patients obtained from three different populations. J Periodontol 1987;58:564-8. 7. Brown RS, Farquharson AA, Pallasch TM. Medical consultations for medically complex dental patients. J Calif Dent Assoc 2007;35:343-9.
- 8. Gagari E, Damoulis PD. Desquamative gingivitis as a manifestation of chronic mucocutaneous disease. J Dtsch Dermatol Ges 2011;9:184-8.
- 9. Garcia RI, Henshaw MM, Krall EA. Relationship between periodontal disease and systemic health. Periodontol 2000 2001;25:21-36.
- 10. World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 2013;310:2191-4.
- 11. Wilson W, Taubert KA, Gewitz M, Lockhart PB, Baddour LM, Levison M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation 2007;116:1736-54.
- 12. Hatipoğlu H, Demiralp B. The evaluation of medically compromised periodontal patients and the analysis of consultation forms. Hacettepe Diş Hekimliği Fakültesi Dergisi 2005;29:65-75 (in Turkish).
- 13. Jainkittivong A, Yeh CK, Guest GF, Cottone JA. Evaluation of medical consultations in a predoctoral dental clinic. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;80:409-13.
- 14. Kömerik N, Çadır B. The analysis of referral letters requested from the Oral Surgery Department: Is the communication between medical and dental professionals a neglected issue? Gazi Üniversitesi Diş Hekimliği Fakültesi Dergisi 2004;21:205-8 (in Turkish).
- 15. Wilson WR, Gewitz M, Lockhart PB, Bolger AF, DeSimone DC, Kazi DS, et al. Prevention of viridans group streptococcal infective endocarditis: A scientific statement from the American Heart Association. Circulation 2021;143:e963-78.
- 16. Harbarth S, Samore MH, Lichtenberg D, Carmeli Y. Prolonged antibiotic prophylaxis after cardiovascular surgery and its effect on surgical site infections and antimicrobial resistance. Circulation 2000;101:2916-21.
- 17. Merlos A, Vinuesa T, Jané-Salas E, López-López J, Viñas M. Antimicrobial prophylaxis in dentistry. J Glob Antimicrob Resist 2014;2:232-8.
- 18. Sollecito TP, Abt E, Lockhart PB, Truelove E, Paumier TM, Tracy SL, et al. The use of prophylactic antibiotics prior to dental procedures in patients with prosthetic joints: Evidence-based clinical practice guideline for dental practitioners--a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc 2015;146:11-6.
- 19. Laurence B. Dentists consider medical screening important and are willing to incorporate screening procedures into dental practice. J Evid Based Dent Pract 2012;12:32-3.
- 20. Kim TY, Choi JW, Lee SS, Huh KH, Yi WJ, Heo MS, et al. Effect of LCD monitor type and observer experience on diagnostic performance in soft-copy interpretations of the maxillary sinus on panoramic radiographs. Imaging Sci Dent 2011;41:11-6.
- 21. Dommisch H, Kuzmanova D, Jönsson D, Grant M, Chapple I. Effect of micronutrient malnutrition on periodontal disease and periodontal therapy. Periodontol 2000 2018;78:129-53.
- 22. Yamamoto T, Tsuneishi M, Furuta M, Ekuni D, Morita M, Hirata Y. Relationship between decrease of erythrocyte count and progression of periodontal disease in a rural Japanese population. J Periodontol 2011;82:106-13.
- 23. Navarro CM, Onofre MA, Sposto MR. Referral letters in oral medicine: an approach for the general dental practitioner. Int J Oral Maxillofac Surg 2001;30:448-51.
- 24. Shaw LJ, de Berker DA. Strengths and weaknesses of electronic referral: comparison of data content and clinical value of electronic and paper referrals in dermatology. Br J Gen Pract 2007;57:223-4.
- 25. Geist SM, Geist JR. Improvement in medical consultation responses with a structured request form. J Dent Educ 2008;72:553-61.
Öz
Amaç: Bu kesitsel çalışmada bir diş hekimliği fakültesi hastanesinin periodontoloji bölümüne başvuran hastaların konsültasyon formlarının detaylı olarak değerlendirilmesi amaçlandı.
Gereç ve Yöntem: Formlar, konsültasyon talebi ve cevabı olmak üzere iki bölümde incelendi. Talep kısmında demografik veriler ve hangi bölüme konsültasyon talep edildiği değerlendirildi. Yanıt bölümünde diş tedavisi sırasında alınan önlemler (antibiyotik profilaksisi vb.) incelendi. Çalışma kapsamında konsültasyon formunun okunabilirliği ve tekrarı da incelendi.
Bulgular: Analiz, 430 hastadan alınan 505 form üzerinde gerçekleştirildi. Formların %50.3'ünde antibiyotik profilaksisi, tedavi öncesi ilaç uygulaması veya ilaç rejimi değişikliği önerileri yapıldı. Antibiyotik profilaksisi 68 formda (%13.5) önerildi. Enfektif endokardit profilaksi önerilerinin %38.9'unun Amerikan Kalp Birliği kılavuzlarına göre yapıldığı tespit edildi. Okunabilirlik değerlendirmesinde talep bölümlerinin %93.7'si ilk okumada anlaşılırken, yanıtın okunabilirlik düzeyi %66.9 olarak belirlendi. Analiz sonucunda 47 formun (%9.3) yetersiz kaldığı ve tekrarlandığı görüldü.
Sonuç: Diş hekimliği ve tıp disiplinleri arasındaki sağlıklı iletişim, düzenli eğitim yoluyla teşvik edilmeli ve klinisyenler yeni kılavuzlardan haberdar olmalıdırlar. Ek olarak, tıbbi konsültasyonlar yapılandırılmış formlara veya dijital iş akışlarına entegre edilmelidir.
Anahtar Kelimeler
Kaynakça
- 1. Mealey BL. Periodontal implications: medically compromised patients. Ann Periodontol 1996;1:256-321.
- 2. Klokkevold PR, Mealey BL, Otomo-Corgel J. Periodontal treatment of medically compromised patients. Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Newman and Carranza’s Clinical Periodontology. Philadelphia: Elsevier; 2019. p. 442-56.
- 3. Hatipoğlu MG, Hatipoğlu H. Evaluation of Medical Consultations Forms of a Patient Group Admitted to the Dental Clinic of a University Hospital. Ankara Medical Journal 2015;15:10-5 (in Turkish).
- 4. Maloney WJ, Weinberg MA. Implementation of the American Society of Anesthesiologists Physical Status classification system in periodontal practice. J Periodontol 2008;79:1124-6.
- 5. Peacock ME, Carson RE. Frequency of self-reported medical conditions in periodontal patients. J Periodontol 1995;66:1004-7. 6. Nery EB, Meister F Jr, Ellinger RF, Eslami A, McNamara TJ. Prevalence of medical problems in periodontal patients obtained from three different populations. J Periodontol 1987;58:564-8. 7. Brown RS, Farquharson AA, Pallasch TM. Medical consultations for medically complex dental patients. J Calif Dent Assoc 2007;35:343-9.
- 8. Gagari E, Damoulis PD. Desquamative gingivitis as a manifestation of chronic mucocutaneous disease. J Dtsch Dermatol Ges 2011;9:184-8.
- 9. Garcia RI, Henshaw MM, Krall EA. Relationship between periodontal disease and systemic health. Periodontol 2000 2001;25:21-36.
- 10. World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 2013;310:2191-4.
- 11. Wilson W, Taubert KA, Gewitz M, Lockhart PB, Baddour LM, Levison M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation 2007;116:1736-54.
- 12. Hatipoğlu H, Demiralp B. The evaluation of medically compromised periodontal patients and the analysis of consultation forms. Hacettepe Diş Hekimliği Fakültesi Dergisi 2005;29:65-75 (in Turkish).
- 13. Jainkittivong A, Yeh CK, Guest GF, Cottone JA. Evaluation of medical consultations in a predoctoral dental clinic. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;80:409-13.
- 14. Kömerik N, Çadır B. The analysis of referral letters requested from the Oral Surgery Department: Is the communication between medical and dental professionals a neglected issue? Gazi Üniversitesi Diş Hekimliği Fakültesi Dergisi 2004;21:205-8 (in Turkish).
- 15. Wilson WR, Gewitz M, Lockhart PB, Bolger AF, DeSimone DC, Kazi DS, et al. Prevention of viridans group streptococcal infective endocarditis: A scientific statement from the American Heart Association. Circulation 2021;143:e963-78.
- 16. Harbarth S, Samore MH, Lichtenberg D, Carmeli Y. Prolonged antibiotic prophylaxis after cardiovascular surgery and its effect on surgical site infections and antimicrobial resistance. Circulation 2000;101:2916-21.
- 17. Merlos A, Vinuesa T, Jané-Salas E, López-López J, Viñas M. Antimicrobial prophylaxis in dentistry. J Glob Antimicrob Resist 2014;2:232-8.
- 18. Sollecito TP, Abt E, Lockhart PB, Truelove E, Paumier TM, Tracy SL, et al. The use of prophylactic antibiotics prior to dental procedures in patients with prosthetic joints: Evidence-based clinical practice guideline for dental practitioners--a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc 2015;146:11-6.
- 19. Laurence B. Dentists consider medical screening important and are willing to incorporate screening procedures into dental practice. J Evid Based Dent Pract 2012;12:32-3.
- 20. Kim TY, Choi JW, Lee SS, Huh KH, Yi WJ, Heo MS, et al. Effect of LCD monitor type and observer experience on diagnostic performance in soft-copy interpretations of the maxillary sinus on panoramic radiographs. Imaging Sci Dent 2011;41:11-6.
- 21. Dommisch H, Kuzmanova D, Jönsson D, Grant M, Chapple I. Effect of micronutrient malnutrition on periodontal disease and periodontal therapy. Periodontol 2000 2018;78:129-53.
- 22. Yamamoto T, Tsuneishi M, Furuta M, Ekuni D, Morita M, Hirata Y. Relationship between decrease of erythrocyte count and progression of periodontal disease in a rural Japanese population. J Periodontol 2011;82:106-13.
- 23. Navarro CM, Onofre MA, Sposto MR. Referral letters in oral medicine: an approach for the general dental practitioner. Int J Oral Maxillofac Surg 2001;30:448-51.
- 24. Shaw LJ, de Berker DA. Strengths and weaknesses of electronic referral: comparison of data content and clinical value of electronic and paper referrals in dermatology. Br J Gen Pract 2007;57:223-4.
- 25. Geist SM, Geist JR. Improvement in medical consultation responses with a structured request form. J Dent Educ 2008;72:553-61.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Diş Hekimliği |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 25 Eylül 2023 |
| Gönderilme Tarihi | 5 Nisan 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 12 Sayı: 3 |
