A patient-administered Medical Risk Related History questionnaire (EMRRH) for use in 10 European countries (multicenter trial)

Abraham-Inpijn, L.; Russell, Gordon; Abraham, D.; Bäckman, N; Baum, Erika; Bullón-Fernández, P; Declerck, Dominique; Fricain, Jean-Christophe; Georgelin, Marie; Karlsson, Karl Orn; Lamey, P J; Link-Tsatsouli, Iris; Rigó, O

doi:10.1016/j.tripleo.2007.09.032

Cited by 52 publications

(47 citation statements)

References 13 publications

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“…This self-reported information may not always be reliable and could introduce bias. However, the medical health questionnaire which was used in the current study has been validated in a multicentre trial within 10 European countries 29. Moreover, the interview also may have contributed to accurate reporting of systemic health-related issues.…”

Section: Discussionmentioning

confidence: 99%

Periodontitis is an independent risk indicator for atherosclerotic cardiovascular diseases among 60 174 participants in a large dental school in the Netherlands

Beukers

Heijden

Wijk

et al. 2016

J Epidemiol Community Health

104

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BackgroundThe association between periodontitis and atherosclerotic cardiovascular diseases (ACVD) has been established in some modestly sized studies (<10 000). Rarely, however, periodontitis has been studied directly; often tooth loss or self-reported periodontitis has been used as a proxy measure for periodontitis. Our aim is to investigate the adjusted association between periodontitis and ACVD among all individuals registered in a large dental school in the Netherlands (Academic Centre for Dentistry Amsterdam (ACTA)).MethodsAnonymised data were extracted from the electronic health records for all registered patients aged >35 years (period 1998–2013). A participant was recorded as having periodontitis based on diagnostic and treatment codes. Any affirmative answer for cerebrovascular accidents, angina pectoris and/or myocardial infarction labelled a participant as having ACVD. Other risk factors for ACVD, notably age, sex, smoking, diabetes, hypertension, hypercholesterolaemia and social economic status, were also extracted. Logistic regression analyses were used to evaluate the adjusted associations between periodontitis and ACVD.Results60 174 individuals were identified; 4.7% of the periodontitis participants (455/9730) and 1.9% of the non-periodontitis participants (962/50 444) reported ACVD; periodontitis showed a significant association with ACVD (OR 2.52; 95% CI 2.3 to 2.8). After adjustment for the confounders, periodontitis remained independently associated with ACVD (OR 1.59; 95% CI 1.39 to 1.81). With subsequent stratification for age and sex, periodontitis remained independently associated with ACVD.ConclusionsThis cross-sectional analysis of a large cohort in the Netherlands of 60 174 participants shows the independent association of periodontitis with ACVD.

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Section: Discussionmentioning

confidence: 99%

Periodontitis is an independent risk indicator for atherosclerotic cardiovascular diseases among 60 174 participants in a large dental school in the Netherlands

Beukers

Heijden

Wijk

et al. 2016

J Epidemiol Community Health

104

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“…[6] The medical history even includes biographic and demographic data used to identify the patient. An apt interpretation of the information collected through a medical history would achieve three important objectives: [13] (1) It enables the monitoring of medical conditions and evaluation of underlying systemic conditions, of which the patient may be unaware of; (2) It provides a basis for determining whether dental treatment has any affect on the systemic health of the patient; and (3) it even provides an starting point for assessment of possible influence of the patient's systemic health on the patient's oral health or dental treatment.…”

Section: Discussionmentioning

confidence: 99%

Determination of medical conditions afflicting patients visiting dental clinics: A population-based survey study

Shetty¹,

Nagaraj²,

Santosh³

et al. 2015

JCRI

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Introduction:The evaluation of medical history questionnaire in dental clinics is essential to formulate a proper treatment plan in medically complex patients. Besides, it is also a source of information for future correspondence. The percentage of people suffering from chronic medical illness has been steadily increasing. Thus, it is imperative that the dentist will encounter patients with chronic illness in routine practice. Pre-administered questionnaires are the most commonly used and reliable method of evaluating medical health of the visiting patient. The intent of the question pertaining to medical health must be modulated based on the dental treatment requirement. This study intends to evaluate such a similar questionnaire and derive percentages of chronic illness afflicting patients visiting the dental college in a span of 3 months. Materials and Methods: A total of 725 patients were evaluated in the period of 3 months. The randomization of the sample was quantified by using a Tippets randomization table. A pre-tested questionnaire comprising of a list of medical ailments was used. A list of 16 ailments was included, and the answers were sought in monosyllables of yes or no. Besides, adverse habits were also evaluated as these are risk factors for the underlying systemic disease. The results were calculated by deriving simple percentage and then tabulated. Results: A total of 725 subjects were evaluated. Majority of the respondents were in the older age group. The most common chronic illness afflicting the respondents was hypertension, followed by Diabetes. Conclusion: Thorough evaluation of medical history is essential before beginning to start dental treatment. The analysis of the questionnaire in this study indicates toward the varied medical problems afflicting patients visiting the dental clinics. The dentist must be well conversant with the common diseases such as hypertension and diabetes in order to institute the correct treatment without affecting the general health of the patient.

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“…(8) The observation that younger dentists take and update the general medical history less frequently than their older colleagues is further worrisome. This problem could be addressed by using validated medical risk related history questionnaires as has been recommended by Abraham-Inpijn et al (8) …”

Section: Discussionmentioning

confidence: 99%

“…Primary prevention can be achieved by carefully and comprehensively obtaining and updating patient medical histories, with emphasis on known allergies, adverse reactions to medications, chronic illnesses and chronic therapy, and accordingly observing precautionary actions with respect to findings. (8) The aims of this study were to assess the incidence of medical emergencies in dental offices in Slovenia; to determine the confidence perception of dentists in Slovenia with regard to dealing with medical emergencies; to evaluate whether dental offices are properly equipped for adequately responding to medical emergencies; and to ascertain whether dentists are participating in postgraduate courses in emergency medical care and if this reflects on their self-confidence. tists were asked about their frequency of participation in BLS (basic life support) courses, the interval since the last course, and their knowledge of the use of AED (automatic external defibrillators).…”

Section: Introductionmentioning

confidence: 99%

Medical emergencies in dental offices in Slovenia and readiness of dentists to handle them

Umek¹,

Šoštarič²

2018

Signa Vitae

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Introduction. Dentists, and all other dental healthcare workers, can expect to face a medical emergency directly or indirectly related to dental treatment. This study evaluates the incidence of medical emergencies in dental offices in Slovenia, the readiness of dentists and possession of specific medical equipment.Methods. An anonymous online based questionnaire was sent through the Medical Chamber of Slovenia via email to all 1503 active dentists in Slovenia. The questionnaire was pilot-tested on 25 dentists and improved accordingly. Thirty closedended questions were answered by 289 (19.2 %) dentists. Results. 93.4 % (n=267) of dentists reported a medical emergency in their dental office. The most prevalent diagnosis was syncope (1.88-2.44/dentist/year) followed by hypoglycaemia (0.20-0.25/dentist/year), hypertensive crisis (0.4/dentists/year) and anaphylaxis (0.3/dentists/year). There were no cardiac arrests reported in the dentists' entire careers. 85.1 % (n=239) of dentists underwent postgraduate BLS training, 87.4 % (n=209) of them in the last 5 years. Responding dentists estimated that they are most capable of dealing with syncope and least proficient in dealing with stroke, cardiac arrest and a hypertensive crisis. They felt generally more prepared to manage than diagnose a medical emergency. Only 58.1 % (n=161) of dentists have access to a self-inflating bag with a reservoir, and 54.9 % (n=152) to an oxygen mask. Only 4.0 % (n=11) of them have a full set of equipment recommended by Medical Chamber of Slovenia. Conclusions. Results support modification of the undergraduate and postgraduate curriculum for dental students to address specific medical emergencies and the usage

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A patient-administered Medical Risk Related History questionnaire (EMRRH) for use in 10 European countries (multicenter trial)

Cited by 52 publications

References 13 publications

Periodontitis is an independent risk indicator for atherosclerotic cardiovascular diseases among 60 174 participants in a large dental school in the Netherlands

Periodontitis is an independent risk indicator for atherosclerotic cardiovascular diseases among 60 174 participants in a large dental school in the Netherlands

Determination of medical conditions afflicting patients visiting dental clinics: A population-based survey study

Medical emergencies in dental offices in Slovenia and readiness of dentists to handle them

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