الملخص
Background: Non-attendance at scheduled review visits remains a challenge that affects all aspects of health care. There is sparse information on prevalence and causes of non-attendance following extraction of teeth in our environment. The aim of this study was to determine the prevalence, patient’s characteristic and other determinants of default in follow-up review visit among adult patients following extraction of teeth.
Methods: Descriptive study of 280 consecutive adult patients who presented at the oral surgery clinic for tooth extraction. Clinical and socio-demographic data, phone number, information on whether appointment was kept or missed, if missed, reason for missing the appointment as well as pattern of previous appointment attendance were collected. Data analysis was done using SPSS version 19.0. Categorical variables were tested using the Pearson’s Chi-square test to examine the relationship between non-attendance and specific patients’ characteristics. Variables achieving a p
value of < 0.05 were considered statistically significant
Results: The study participants consisted of 119 males and 161 females (1:1.35) with a mean (SD) age of 43.3 (+ 16.8) years. One hundred and eighteen (42.1%) patients failed to attend the follow up appointments; main reasons given for non-attendance included “Being busy (54.9%)”, “forgetting appointment (10.8%)”. The presence of postoperative complaint (p= 0.0001) and the level of education (0.049) were the statistically significant factors predicting attendance at the review clinic appointments.
Conclusion: Non-attendance at review visit following tooth extraction was high among the study population. Most common reason given for non-attendance was being busy. Presence of symptom was a significant finding among those that attended review appointment.
Keywords: Post-extraction review, non-attendance, dental, post-operative complaint
Résumé
Contexte : L’absence aux visites d’examen prévues demeure un défi qui touche tous les aspects des soins de santé. Il existe peu d’informations sur la prévalence et les causes d’absence suite à l’extraction de dents dans notre environnement. Le but de cette étude était de déterminer la prévalence, les caractéristiques des patients et d’autres déterminants de l’absence lors de la visite de suivi chez les patients adultes après l’extraction des dents.
Méthodes : Une étude descriptive de 280 patients adultes consécutifs qui se sont présentés à la clinique de chirurgie buccale pour l’extraction dentaire. Les données cliniques et sociodémographiques, le numéro de téléphone, les informations sur le maintien ou le manquement du rendez-vous, le cas échéant, la raison du manquement au rendezvous ainsi que le schéma de la participation aux rendez-vous précédents ont été collectés. L’analyse des données a été effectuée à l’aide de SPSS version 19.0. Les variables catégorielles ont été testées à l’aide du test Pearson ÷2 pour examiner la relation entre l’absence et les caractéristiques spécifiques des patients. Les variables atteignant une valeur p d” 0,05 ont été considérées comme statistiquement significatives.
Résultats: Les participants à l’étude étaient constitués de 119 hommes et 161 femmes (1:1,35) avec un âge moyen (ET) de 43,3 (+ 16,8) ans. Cent dix-huit (42,1%) patients ont manqué les rendez-vous de suivi; les principales raisons invoquées pour l’absence étaient “Être occupé (54,9%)”, “oublier le rendez-vous (10,8%)”. La présence de plaintes postopératoires (p = 0,0001) et le niveau d’éducation (0,049) étaient les facteurs statistiquement significatifs prédisant la présence aux rendez-vous de la clinique d’examen.
Conclusion: L’absence à la visite d’examen après l’extraction dentaire était élevée parmi la population étudiée. La raison la plus souvent invoquée pour l’absence était le fait d’être occupé. La présence de symptômes était une constatation importante parmi ceux qui n’ont pas manqué au rendez-vous d’examen.
Mots - clés : examen post-extraction, absence, dentaire, plainte postopératoire
Correspondence: Dr. Olalere O. Gbolahan, Department of Oral and Maxillofacial Surgery, College of Medicine, Unversity of Ibadan, Ibadan, Nigeria. E-mail: gbolahanlere@yahoo.com
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