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Publication
Protocolos seguidos em cirurgia oral em pacientes com terapêutica antitrombótica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.65 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Objetivo: O objetivo deste estudo foi verificar se existe ou não uniformização, quanto ao
tipo de protocolos clínicos seguidos por médicos dentistas e/ou estomatologistas com
diferentes anos de prática, perante pacientes medicados com terapêutica antitrombótica e com necessidade de uma cirurgia oral.
Materiais e métodos: Com a ajuda de 15 médicos dentistas, foi elaborado um inquérito que chegou a cerca de 204 pessoas tendo-se posteriormente realizado este presente estudo a partir dos resultados obtidos. A recolha de dados foi efetuada através da SPEMD (Sociedade Portuguesa de Estomatologia e Medicina Dentária) segundo a plataforma Google forms. Os resultados obtidos foram tratados estatísticamente através do software SPSS tendo-se efetuado uma estatística descritiva e comparativa.
Resultados: Dos 204 inquiridos conseguiu-se uma amostra constituída por 104 pessoas do sexo masculino e 100 pessoas do sexo feminino. A maioria dos inquiridos encontravam-se na faixa etária dos 20-40 anos. Em termos de formação de base a vasta maioria dos inquiridos eram médicos dentistas e havia cerca de 31 estomatologistas, já em relação ao tempo de exercício a maioria da amostra exercia há menos de 15 anos e em relação há área de atividade 173 dos inquiridos eram generalistas enquanto que 31 eram especialistas. Foi efetuada uma análise inferencial tendo-se associado o tempo de exercício bem como a área de atividade a diferentes variáveis, nomeadamente a distinção entre antiagregante plaquetário e anticoagulante, às diferentes formas de atuação de um paciente em terapia antitrombótica perante uma cirurgia oral e outras.
Conclusões: Conclui-se que as atuais normas e protocolos recomendados em relação a um paciente em terapia antitrombótica com necessidade de uma cirurgia oral são muitas vezes negligenciados ou desconhecidos por uma significativa parte de médicos dentistas.
Objective: The objective of this study was to verify whether or not there is standardization, regarding the type of clinical protocols followed by dentists and / or stomatiologists with different years of practice, before patients receiving antithrombotic therapy and requiring oral surgery. Materials and methods: With the help of 15 dentists, a survey was carried out that reached about 204 people and this study was subsequently carried out based on the results obtained. Data collection was done through the SPEMD (Portuguese Society of Stomatology and Dentistry) according to the platform Google forms. The results were statistically treated using the SPSS software and a descriptive and comparative statistic was performed. Results: Of the 204 respondents we obtained a sample of 104 male and 100 female subjects. The majority of respondents were in the age group of 20-40 years. In terms of basic training the vast majority of the respondents were dentists and there were about 31 stomatologists, while in relation to the time of exercise the majority of the sample exercised to less than 15 years and in relation to the area of activity 173 of the respondents were generalists while 31 were specialists. An inferential analysis was performed, associating exercise time as well as activity area with different variables, namely the distinction between antiplatelet and anticoagulant antiplatelet agents, the different forms of action of an antithrombotic patient before oral surgery and others. Conclusions: This study concluded that the current standards and protocols recommended in relation to a patient in antithrombotic therapy in need of oral surgery are often neglected or unknown by a significant proportion of dentists.
Objective: The objective of this study was to verify whether or not there is standardization, regarding the type of clinical protocols followed by dentists and / or stomatiologists with different years of practice, before patients receiving antithrombotic therapy and requiring oral surgery. Materials and methods: With the help of 15 dentists, a survey was carried out that reached about 204 people and this study was subsequently carried out based on the results obtained. Data collection was done through the SPEMD (Portuguese Society of Stomatology and Dentistry) according to the platform Google forms. The results were statistically treated using the SPSS software and a descriptive and comparative statistic was performed. Results: Of the 204 respondents we obtained a sample of 104 male and 100 female subjects. The majority of respondents were in the age group of 20-40 years. In terms of basic training the vast majority of the respondents were dentists and there were about 31 stomatologists, while in relation to the time of exercise the majority of the sample exercised to less than 15 years and in relation to the area of activity 173 of the respondents were generalists while 31 were specialists. An inferential analysis was performed, associating exercise time as well as activity area with different variables, namely the distinction between antiplatelet and anticoagulant antiplatelet agents, the different forms of action of an antithrombotic patient before oral surgery and others. Conclusions: This study concluded that the current standards and protocols recommended in relation to a patient in antithrombotic therapy in need of oral surgery are often neglected or unknown by a significant proportion of dentists.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Cirurgia oral Anticoagulante Antiagregante plaquetário Cascata de coagulação