Distribution of medical status and medications in elderly patients treated with dental implant surgery covered by national healthcare insurance in Korea
Identifieur interne : 000278 ( Main/Exploration ); précédent : 000277; suivant : 000279Distribution of medical status and medications in elderly patients treated with dental implant surgery covered by national healthcare insurance in Korea
Auteurs : Kyungjin Lee [Corée du Sud] ; Chugeum Dam [Corée du Sud] ; Jisun Huh [Corée du Sud] ; Kyeong-Mee Park [Corée du Sud] ; Seo-Yul Kim [Corée du Sud] ; Wonse Park [Corée du Sud]Source :
- Journal of Dental Anesthesia and Pain Medicine [ 2383-9309 ] ; 2017.
Abstract
The purpose of this study was to investigate the distribution of systemic diseases and medications in patients older than 65 years of age who visited the hospital for implant treatment, as well as to investigate basic information about surgical complications that may occur after insured implant treatment.
A total of 126 patients over 65 years of age were treated for implant surgery from October 1, 2013 to October 30, 2016. Electronic chart review was conducted to obtain medical records, which included sex, age, systemic diseases, medication(s) being taken, and control of the medications. Five patients were excluded due to lack of medical records giving information about systemic disease.
Of the 126 patients, 112 (88.9%) were taking medication due to systemic disease and 9 patients (7.1%) were not. The sex distribution was 71 women and 55 men and the highest proportion of patients were between 65 and 69 years old. The most common diseases were, from most to least frequent, hypertension, cardiovascular disease, diabetes, and osteoporosis. The drug groups that can cause major complications after dental treatment were classified as hemorrhagic, osteoporotic, and immunosuppressive agents, and were taken by 45 (35.7%), 22 (17.5%) and 4 (3.2%) patients, respectively.
Given that 88.9% of the elderly patients who were eligible for insurance implant treatment had systemic disease, it is necessary to carefully evaluate patients' medical histories and their general conditions in order to prevent emergencies during implant surgery.
Url:
DOI: 10.17245/jdapm.2017.17.2.113
PubMed: 28879338
PubMed Central: 5564144
Affiliations:
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Korea</title><author><name sortKey="Lee, Kyungjin" sort="Lee, Kyungjin" uniqKey="Lee K" first="Kyungjin" last="Lee">Kyungjin Lee</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Advanced General Dentistry, Yonsei University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Advanced General Dentistry, Yonsei University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Dam, Chugeum" sort="Dam, Chugeum" uniqKey="Dam C" first="Chugeum" last="Dam">Chugeum Dam</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Advanced General Dentistry, Yonsei University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Advanced General Dentistry, Yonsei University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Huh, Jisun" sort="Huh, Jisun" uniqKey="Huh J" first="Jisun" last="Huh">Jisun Huh</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Advanced General Dentistry, Yonsei University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Advanced General Dentistry, Yonsei University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Kyeong Mee" sort="Park, Kyeong Mee" uniqKey="Park K" first="Kyeong-Mee" last="Park">Kyeong-Mee Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Advanced General Dentistry, Yonsei University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Advanced General Dentistry, Yonsei University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Seo Yul" sort="Kim, Seo Yul" uniqKey="Kim S" first="Seo-Yul" last="Kim">Seo-Yul Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Advanced General Dentistry, Yonsei University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Advanced General Dentistry, Yonsei University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Wonse" sort="Park, Wonse" uniqKey="Park W" first="Wonse" last="Park">Wonse Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Advanced General Dentistry, Yonsei University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Advanced General Dentistry, Yonsei University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Dental Anesthesia and Pain Medicine</title><idno type="ISSN">2383-9309</idno><idno type="eISSN">2383-9317</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The purpose of this study was to investigate the distribution of systemic diseases and medications in patients older than 65 years of age who visited the hospital for implant treatment, as well as to investigate basic information about surgical complications that may occur after insured implant treatment.</p></sec><sec><title>Methods</title><p>A total of 126 patients over 65 years of age were treated for implant surgery from October 1, 2013 to October 30, 2016. Electronic chart review was conducted to obtain medical records, which included sex, age, systemic diseases, medication(s) being taken, and control of the medications. Five patients were excluded due to lack of medical records giving information about systemic disease.</p></sec><sec><title>Results</title><p>Of the 126 patients, 112 (88.9%) were taking medication due to systemic disease and 9 patients (7.1%) were not. The sex distribution was 71 women and 55 men and the highest proportion of patients were between 65 and 69 years old. The most common diseases were, from most to least frequent, hypertension, cardiovascular disease, diabetes, and osteoporosis. The drug groups that can cause major complications after dental treatment were classified as hemorrhagic, osteoporotic, and immunosuppressive agents, and were taken by 45 (35.7%), 22 (17.5%) and 4 (3.2%) patients, respectively.</p></sec><sec><title>Conclusion</title><p>Given that 88.9% of the elderly patients who were eligible for insurance implant treatment had systemic disease, it is necessary to carefully evaluate patients' medical histories and their general conditions in order to prevent emergencies during implant surgery.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Manor, Y" uniqKey="Manor Y">Y Manor</name></author><author><name sortKey="Simon, R" uniqKey="Simon R">R Simon</name></author><author><name sortKey="Haim, D" uniqKey="Haim D">D Haim</name></author><author><name sortKey="Garfunkel, A" uniqKey="Garfunkel A">A Garfunkel</name></author><author><name sortKey="Moses, O" uniqKey="Moses O">O 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sortKey="Jacobsen, Pl" uniqKey="Jacobsen P">PL Jacobsen</name></author><author><name sortKey="Kalmar, Jr" uniqKey="Kalmar J">JR Kalmar</name></author><author><name sortKey="Koka, S" uniqKey="Koka S">S Koka</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baron, R" uniqKey="Baron R">R Baron</name></author><author><name sortKey="Ferrari, S" uniqKey="Ferrari S">S Ferrari</name></author><author><name sortKey="Russell, Rgg" uniqKey="Russell R">RGG Russell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ruggiero, Sl" uniqKey="Ruggiero S">SL Ruggiero</name></author><author><name sortKey="Dodson, Tb" uniqKey="Dodson T">TB Dodson</name></author><author><name sortKey="Fantasia, J" uniqKey="Fantasia J">J Fantasia</name></author><author><name sortKey="Goodday, R" uniqKey="Goodday R">R Goodday</name></author><author><name sortKey="Aghaloo, T" uniqKey="Aghaloo T">T Aghaloo</name></author><author><name sortKey="Mehrotra, B" uniqKey="Mehrotra B">B Mehrotra</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Guggenheimer, J" uniqKey="Guggenheimer J">J Guggenheimer</name></author><author><name sortKey="Eghtesad, B" uniqKey="Eghtesad B">B Eghtesad</name></author><author><name sortKey="Stock, Dj" uniqKey="Stock D">DJ Stock</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Lee, Kyungjin" sort="Lee, Kyungjin" uniqKey="Lee K" first="Kyungjin" last="Lee">Kyungjin Lee</name></region><name sortKey="Dam, Chugeum" sort="Dam, Chugeum" uniqKey="Dam C" first="Chugeum" last="Dam">Chugeum Dam</name><name sortKey="Huh, Jisun" sort="Huh, Jisun" uniqKey="Huh J" first="Jisun" last="Huh">Jisun Huh</name><name sortKey="Kim, Seo Yul" sort="Kim, Seo Yul" uniqKey="Kim S" first="Seo-Yul" last="Kim">Seo-Yul Kim</name><name sortKey="Park, Kyeong Mee" sort="Park, Kyeong Mee" uniqKey="Park K" first="Kyeong-Mee" last="Park">Kyeong-Mee Park</name><name sortKey="Park, Wonse" sort="Park, Wonse" uniqKey="Park W" first="Wonse" last="Park">Wonse Park</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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