Authors
Abstract(s)
Introdução: O aumento da esperança média de vida tem vindo aumentar ao longo dos anos o que implica um aumento da percentagem, de pacientes polimedicados e portadores de patologias. Perante esta constatação, é essencial que o Médico Dentista adapte a sua prática clínica a uma população cada vez mais complexa, tornando-se fundamental a avaliação do risco médico. O risco médico é caracterizado segundo uma escala de classificação do risco de um paciente e é o primeiro passo para prevenção das emergências médicas em consultório. Este sistema auxilia o Médico Dentista quanto ao plano de tratamento, necessidade de avaliação médica específica ou necessidade de atendimento hospitalar. A escala que nos dá o risco médico é a ASA.
Materiais e Métodos: Para o presente estudo foram seleccionados 1019 pacientes. Foi preenchido o questionário EMRRH (European Medical Risk Related History) aplicado a pacientes maiores de 18 anos, observados durante o período de Fevereiro a Julho. O questionário original, constituído por 21 perguntas relativas à saúde do paciente, foi traduzido e integrado no software newsof,t desenvolvido pela empresa imaginasoft, de base tecnológica, que actua nas áreas de engenharia e produção de software clínico. O software calculou automaticamente o risco médico do paciente. Com este questionário pretendeu-se verificar qual o risco apresentado pelos pacientes da Clínica, face à medicação e patologias por eles referidas.
Resultados: Com este estudo, verificou-se uma correlação positiva entre o risco médico de cada paciente e a idade crescente, o género (feminino) e a medicação efectuada pelos pacientes.
Conclusão: No presente estudo foi possível averiguar o risco médico apresentado pelos pacientes da Clínica Universitária, apesar de algum enviesamento em algumas respostas.
Introduction: Increased life expectancy has been increasing over the years which imply an increase in the percentage of patients with disease and polymedicated. Faced with this reality, it is essential that the dentist adapt their practice to a population increasingly complex, making it necessary to evaluate the medical risk. The medical risk is characterized according to a rating scale of risk of a patient and is the first step to prevention of medical emergencies in the office. This system helps the dentist about the treatment plan, specific need of medical evaluation or the need for hospital care. The scale that gives us the medical risk is the ASA classification. Materials and methods: For this study were selected 1019 patients. The questionnaire EMRRH (European Medical Risk Related History) was filled by patients older than 18 years, observed during the period of February to July. The original questionnaire consists of 21 questions concerning the health of the patient, was translated and integrated into the Newsoft, developed by Imaginasoft, technology-based, which works in engineering and production of clinical software. The software automatically calculates the patient’s medical risk. With this questionnaire was possible to ascertain what the risk posed by the clinic patients through medication and pathologies referred by them. Results: In this study there was a positive correlation between the risk of each patient and increased age, female gender and medication made by patients. Conclusion: In the present study it was possible to find out medical risk presented by the patients of the clinic, despite some skewing in some answers.
Introduction: Increased life expectancy has been increasing over the years which imply an increase in the percentage of patients with disease and polymedicated. Faced with this reality, it is essential that the dentist adapt their practice to a population increasingly complex, making it necessary to evaluate the medical risk. The medical risk is characterized according to a rating scale of risk of a patient and is the first step to prevention of medical emergencies in the office. This system helps the dentist about the treatment plan, specific need of medical evaluation or the need for hospital care. The scale that gives us the medical risk is the ASA classification. Materials and methods: For this study were selected 1019 patients. The questionnaire EMRRH (European Medical Risk Related History) was filled by patients older than 18 years, observed during the period of February to July. The original questionnaire consists of 21 questions concerning the health of the patient, was translated and integrated into the Newsoft, developed by Imaginasoft, technology-based, which works in engineering and production of clinical software. The software automatically calculates the patient’s medical risk. With this questionnaire was possible to ascertain what the risk posed by the clinic patients through medication and pathologies referred by them. Results: In this study there was a positive correlation between the risk of each patient and increased age, female gender and medication made by patients. Conclusion: In the present study it was possible to find out medical risk presented by the patients of the clinic, despite some skewing in some answers.
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Keywords
Risco médico Polimedicação Polipatologia Doentes medicamente comprometidos Medical risk Polypharmacy Multiple pathology Medical compromised patients