Vital signs of the emergency patient with pulpal necrosis and localized acute apical abscess.
J Endod
; 34(3): 264-7, 2008 Mar.
Article
em En
| MEDLINE
| ID: mdl-18291272
ABSTRACT
Vital signs aid in assessing patient health and the disease severity. The objectives of this study were to determine changes in vital signs of patients with pulpal necrosis (PN) and acute apical abscess (AAA). The vital signs measured at the emergency visit were blood pressure, heart rate, temperature, and lymphadenopathy. Visual analogue scales (VASs) were used to assess (1) pain and (2) malaise. Emergency treatment was rendered. At a subsequent (baseline) visit and with clinical symptoms resolved, systemic vital sign measurements and VASs were repeated. The presence or absence of swelling with vital signs and VASs of pain and swelling were compared. Compared with baseline, data showed no marked elevation in temperature, blood pressure, or lymphadenopathy, regardless of presence or absence of swelling. VAS measurements of pain and malaise did show statistically significant higher numbers at the emergency appointment, indicating a difference from baseline. Swelling versus no swelling did not differ. Vital signs were not impacted by localized AAA, although pain and malaise were greater. Vital signs might not be useful determinants of treatment or pharmacotherapeutic measures with localized AAA.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Abscesso Periapical
/
Necrose da Polpa Dentária
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article