Evaluation life quality of oral anticoagulated patients following oral surgical interventions

Dimova, Cena and Zdravkovska, Milka (2016) Evaluation life quality of oral anticoagulated patients following oral surgical interventions. Journal of Hygienic Engineering and Design, 14. pp. 69-76. ISSN 1857- 8489

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Abstract

INTRODUCTION. The aim of this study was to evaluate patients on oral anticoagulants about their experience of life quality following different oral surgery interventions. MATERIAL AND METHOD. The study consisted of 260 patients referred for oral surgical treatment. An equal number of patients were assigned to each group (60 individuals). Group 1 was with deep venous thrombosis, Group 2 was with myocardial infarct, Group 3 with cerebrovascular insult and Group 4 with artificial heart valves. Control group consisted of 20 healthy individuals. After performing the oral surgery interventions, all patients were given a questionnaire with 15 questions to evaluate their quality of life for ten days after the oral surgery interventions. The local hemostasis was realized by applied three different local modalities: tranexamic acid 5%, sorbacel gauze, Tachocomb – fibrin glue. The statistical evaluation included descriptive and analytical methods (Kruskal - Wallis test). RESULTS. The average time needed for completion the surgical procedure was approximately 30 minutes. The results showed that patients in Group 1 reported significantly more pain on the first and second day after the interventions. The bleeding index showed no statistical differences in the study groups. The results showed statistical difference between the four groups after 24h (H=13.248; p=0.0113), after 48h (H= 0.425; p=0.0338) and after 7 days (H=9.7603 p=0.0447), and no statistical difference between the four groups after ten days (H=4.2327 p=0.3754) CONCLUSION. The management of oral surgery procedures on patients treated with oral anticoagulants should be influenced by several factors: laboratory values, extent and urgency of the intervention, treating physician’s recommendation, available facilities, dentist expertise, and patient’s oral, medical, and general condition. There is need more scientific investigation about life quality of oral anticoagulated patients following oral surgical procedure. Key words: oral surgery, oral anticoagulants, quality of life, local hemostasis, pain

Item Type: Article
Subjects: Medical and Health Sciences > Basic medicine
Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health biotechnology
Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Cena Dimova
Date Deposited: 19 Feb 2016 15:16
Last Modified: 19 Feb 2016 15:16
URI: http://eprints.ugd.edu.mk/id/eprint/15523

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