Implications of medical screenings of patients arriving for dental treatment: The results of a comprehensive laboratory screening |
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Affiliation: | 1. Department of Surgical, Oncological and Oral Sciences, Sector of Oral Medicine “V. Margiotta”, University of Palermo, Via del Vespro 129, 90127 Palermo, Italy;2. Unit of Oncology, Department of Oncology and Haematology, Azienda Ospedaliera di Alessandria (City Hospital), Via Venezia n. 16, 15100 Alessandria, Italy;3. Department of Health Sciences “G. D''Alessandro”, University of Palermo, Via del Vespro 143, 90127 Palermo, Italy;4. Section of Maxillofacial Surgery, ARNAS Ospedale Civico, Piazza N. Leotta 4, 90127 Palermo, Italy;5. Section of Oral Surgery, Department of Surgery, University of Pisa, Via Roma 67, 56126 Pisa, Italy;6. Department of Odontostomatologic, Orthodontic and Surgical Disciplines, Second University of Naples, Via Cotugno1, 80135 Naples, Italy;7. Department of Odontostomatology and Surgery, University of Bari, Piazza Giulio Cesare 11, 70124 Bari, Italy;8. Department of Clinical Medicine and Emerging Diseases, University of Palermo, Via del Vespro 143, 90127 Palermo, Italy;9. Unit of Maxillofacial Surgery and Odontostomatology, San Sebastiano Hospital, Via F. Palasciano, 81100 Caserta, Italy;10. Department of Head and Neck Surgery, Second University of Naples, Piazza L. Miraglia 1, 80138 Naples, Italy;11. Department of Otolaryngologic/Dental/Ophthalmological and Cervicofacial Sciences, University of Parma, Via Gramsci 14, 43100 Parma, Italy |
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Abstract: | BackgroundThe authors conducted medical laboratory screenings in a dental setting to determine the relationships between the laboratory test results and self-reported medical health findings.MethodsThe authors collected serum, urine and medical histories from 171 patients (116 [68 percent] women; mean age, 43.4 years) who arrived for dental treatment as a component of a clinical trial and performed complete blood cell counts, standard blood chemistry panels and urinalysis on the samples.ResultsThe authors found 414 abnormal laboratory test results (an average of 2.42 per patient). Eighty-three percent of participants had one or more abnormal test results, 83 percent had abnormal test results and did not indicate a relevant disease in their medical history, and 18 percent had laboratory test results outside the 99 percent reference range (that is, > three standard deviations from the mean). Abnormal test results were significantly associated with sex, age, race and medical history (P < .05). Abnormal test results associated with kidney disease were related to patients with cardiovascular disease and diabetes, as well as those who tended to be on average older than 50 years.ConclusionsThe high frequency of significant abnormal laboratory test results detected in this study suggests that many patients may be unaware of their medical statuses.Practical ImplicationsAbnormal laboratory test results are detected frequently in the serum and urine of patients arriving for dental treatment, which could indicate undiagnosed disease and less than optimal medical management. |
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Keywords: | Mass screening clinical laboratory techniques laboratory screening medical history taking blood serum urine ALP" },{" #name" :" keyword" ," $" :{" id" :" cekeyw90" }," $$" :[{" #name" :" text" ," _" :" Alkaline phosphatase AST" },{" #name" :" keyword" ," $" :{" id" :" cekeyw110" }," $$" :[{" #name" :" text" ," _" :" Aspartate aminotransferase CVD" },{" #name" :" keyword" ," $" :{" id" :" cekeyw130" }," $$" :[{" #name" :" text" ," _" :" Cardiovascular disease F" },{" #name" :" keyword" ," $" :{" id" :" cekeyw150" }," $$" :[{" #name" :" text" ," _" :" Female GI" },{" #name" :" keyword" ," $" :{" id" :" cekeyw170" }," $$" :[{" #name" :" text" ," _" :" Gastrointestinal HCT" },{" #name" :" keyword" ," $" :{" id" :" cekeyw190" }," $$" :[{" #name" :" text" ," _" :" Hematocrit HGB" },{" #name" :" keyword" ," $" :{" id" :" cekeyw210" }," $$" :[{" #name" :" text" ," _" :" Hemoglobin HSV" },{" #name" :" keyword" ," $" :{" id" :" cekeyw230" }," $$" :[{" #name" :" text" ," _" :" Herpes simplex virus M" },{" #name" :" keyword" ," $" :{" id" :" cekeyw250" }," $$" :[{" #name" :" text" ," _" :" Male RBC" },{" #name" :" keyword" ," $" :{" id" :" cekeyw270" }," $$" :[{" #name" :" text" ," _" :" Red blood cell WBC" },{" #name" :" keyword" ," $" :{" id" :" cekeyw290" }," $$" :[{" #name" :" text" ," _" :" White blood cell |
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