血友病患者的牙科:试验一种安全和经济的管理变化
Pritam Daniel Sundaresan1,2,3, Estie Kruger1, Mathew Lim4,5,6
1School of Allied Health, The University of Western Australia, Perth, Australia.
Haemophilia : the official journal of the World Federation of Hemophilia
|February 21, 2024
概括
血友病患者可以在没有手术前因素支持的情况下安全地接受牙科手术,从而大大节省了成本. 这种方法减少了因子使用,同时保持了患者的安全,并实现了巨大的财务效益.
科学领域:
- 血液学 血液学 血液学
- 牙科手术 牙科手术
- 卫生经济学 卫生经济学
背景情况:
- 血友病患者的牙科管理已经进化,但在西澳大利亚,在所有手术中,术前因子支持仍然是常见的.
- 尽管血友病治疗方案的进步,这种做法仍在继续.
研究的目的:
- 评估牙科协议的有效性和安全性,以尽量减少血友病患者的因子使用.
- 估计与减少因素利用相关的潜在成本节约.
主要方法:
- 从试点项目中回顾11名血友病患者的病历.
- 对手术前使用的牙科和血液学笔记进行交叉引用.
- 使用澳大利亚国家血液局的产品清单估计成本节约.
主要成果:
- 9名患者患有A型血友病,2名患有B型血友病;平均年龄为45岁.
- 对于各种牙科治疗,没有使用术前因子.
- 估计节省了26,314澳元; 一名患者需要采用局部措施进行抽取后血液静止; 其他人没有出血并发症.
结论:
- 试点计划数据表明,血友病患者可以安全地接受各种牙科治疗,而无需手术前的因素.
- 通过这种协议可以实现显著的成本节约.
- 需要进一步的研究来验证这种方法对侵入性牙科手术的有效性.
相关概念视频
Disorders of Hemostasis
906
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
906
Anticoagulant Drugs: Low-Molecular-Weight Heparins
697
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
697
Tonsillitis II: Management
111
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
111
Teeth
417
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
417
Tooth Anatomy
470
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
470
Epistaxis
151
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
151


