精神障碍患者的严重牙源性感染--初期治疗无效的挑战

Satu Manninen BDS, Johanna Snäll MD DDS PhD, Tero Puolakkainen DDS PhD, Aleksi Haapanen DDS PhD
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引用次数: 0

摘要

本研究阐明了精神障碍患者在严重牙源性感染(OI)治疗中可能存在的延误和不足。研究人员对严重牙源性感染住院患者的数据进行了回顾性评估。结果变量是住院前的医疗就诊。主要预测因素是患者的精神障碍。解释变量包括年龄、性别、吸烟、酗酒、免疫力低下的疾病或药物以及从症状开始到住院的时间跨度。此外,还对导致重症监护室(ICU)护理的因素进行了评估。在 172 名 OI 患者中,有 61 人(35.5%)在住院前曾就诊。共有 27 名患者(15.7%)目前患有精神障碍,其中女性患者(26.0%)多于男性患者(8.1%)(= 0.001)。与近期无精神病史的患者(51.9% 对 32.4%)相比,有精神障碍的患者之前就诊与当前感染相关的次数明显增多(= .053)。与患者相关的治疗延迟仍然不显著。大量饮酒(=0.010)和吸烟(=0.025)会影响重症监护室的治疗,但与患者的精神障碍没有关联。患者的精神障碍会使开放性损伤的诊断复杂化。有效而及时的治疗要求专业人员能够同时识别患者的心理健康挑战和正在发展的 OI。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Severe odontogenic infections in patients with mental disorders—the challenge of ineffective initial treatment
This study clarified possible delays and deficiencies in severe odontogenic infection (OI) treatment in patients with mental disorders. Data of hospitalized patients with severe OI were evaluated retrospectively. The outcome variable was preceding health care visits prior to hospitalization. The primary predictor was patient's mental disorder. Explanatory variables were age, sex, smoking, heavy alcohol use, immunocompromised disease or medication, and time span from beginning of symptoms to hospitalization. Also, factors leading to intensive care unit (ICU) care were evaluated. Preceding visits prior to hospitalization were found in 61 (35.5%) out of 172 patients with OI. In total, 27 patients (15.7%) had a current mental disorder, more commonly in women (26.0%) than in men (8.1%) ( = .001). Patients with mental disorders had preceding health care visits related to the current infection notably more often than patients without recent psychiatric history (51.9% vs. 32.4%), = .053. Patient-related treatment delay remained nonsignificant. Heavy alcohol use ( = .010) and smoking ( = .025) predicted ICU treatment, but no association with patient's mental disorder was found. A patient's mental disorder can complicate diagnosis of OI. Effective and timely treatment requires the professional's ability to simultaneously identify the patient's mental health challenges and progressing OI.
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