Analysis of Emergency Cases in the Clinic of Maxillofacial and Oral Surgery, Clinical Hospital “Dubrava”

Abstract

Analizirali smo hitne slučajeve da bismo utvrdili razloge dolaska pacijenata, njihovu dob i spol, razdoblja češćih posjeta za pojedine bolesti, te povezanost određenih bolesti s dobnim skupinama. U istraživanje je uključeno 2.766 hitnih pacijenata pregledanih u Klinici za kirurgiju lica, čeljusti i usta KB “Dubrava” u razdoblju od 1. siječnja do 31. prosinca 1998. godine. Pratili smo sljedeće parametre: spol, dob, dan, mjesec i razlog dolaska, te potrebu za hitnom hospitalizacijom. Od 2.766 pacijenata bilo je 58,10 % mušaraca, najčešće u dobi od 16 do 30 godina. Subota i nedjelja su dani, a svibanj je mjesec s najvećim brojem hitnih slučajeva. U svibnju je zabilježen najveći broj slučajeva s traumom zubi u dobi do petnaeste godine, te fraktura kostiju. Odontogene upale najčešće su u dobi od 16-te do 30-te godine i ne pokazuju učestaliju pojavu s obzirom na mjesece u godini. Odontogene upale koje po svojoj kliničkoj slici ne odgovaraju pravim kirurškim slučajevima najčešći su razlog dolaska pacijenata. S obzirom na to, nameće se potreba za zdravstvenom edukacijom pacijenata i boljim općim stomatološkim uslugama u smislu preventivnog djelovanja.We analyzed emergency cases in order to define the reasons for patient admittance age group and gender, the periods of more frequent arrivals for certain diseases and correlation of particular diseases with age groups. The investigation included 2.766 emergency cases, examined in the Department of Oral and Maxillofacial Surgery during the period from 1 January to 31 December 1998. We took into consideration the following parameters: gender, age, day, month, the reason for admission and the need for urgent hospitalization. Of the 2.766 patients 58,10 % were men, most frequently aged from 16 to 30 years. Saturday and Sunday are the days and May the mounth with the greatest number of emergency cases. The greatest number of dental trauma occur in patients yunger than 15 years and the greatest number of bone fractures occur in May. Odontogenic inflammation is most frequent from 16 to 30 years and their occurrence cannot be ralated to any specific time of the year. Odontogenic inflammation which is not a true surgical case according to the clinical appearance is the most common reason for admittance of patients. With regard to the aforementioned, the need for improvement of medical education of patients and general dental services in terms of prevention is required