Sublingual Varis Prevalansı ve Olası Etiyolojik Faktörlerin Değerlendirilmesi
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Tarih
2022 Aralık
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı, sublingual varis (SLV) görülme
prevalansını değerlendirmek ve yaş, cinsiyet, hipertansiyon,
kardiyovasküler hastalıklar (KVH), kronik öksürük, diyabet ve
diğer sistemik hastalıklar, alt ekstremitelerde varis varlığı,
hareketli protez kullanımı, sigara kullanımı gibi SLV oluşumunun
daha önce belirtilen bazı potansiyel risk faktörleri ile arasındaki
ilişkiyi araştırmaktır.
Gereç ve Yöntemler: Bu araştırmaya 362’si kadın (%58.3), 259’u
erkek (%41.7) olmak üzere toplamda 621 birey dâhil edilmiştir.
Katılımcılar rutin klinik muayene için başvuran, sözlü ve yazılı
bilgilendirme sonucu çalışmaya katılmayı kabul eden ve
çalışmaya dâhil edilme kriterlerini sağlayan bireylerdir. Dilin
lateral ve ventral yüzeylerinden fotoğrafları alındıktan sonra
bireylerin demografik ve medikal bilgilerine kör iki ayrı gözlemci
tarafından SLV varlığı izlenemeyen ve az izlenenler 0, orta ve ileri
derecede izlenenler ise 1 olarak skorlanmıştır. Gözlemciler arası
uyumu değerlendirmek için Kappa testi, verilerin analizinde ise
pearson ki- kare ve lojistik regresyon analizi uygulanmıştır.
Bulgular: Gözlemciler arasındaki uyum Kappa testiyle analiz
edilmiş ve çok yüksek uyum tespit edilmiştir (κ=0.918).
Çalışmaya dâhil edilmiş 621 bireyin 155’inde (%24.9) orta ve ileri
derecede SLV olduğu görülmüştür. Cinsiyetler arasında SLV
görülme prevalansı açısından bir fark belirlenmezken (p=0.278),
yaşla birlikte artış gösterdiği tespit edilmiştir (p=0.000). SLV,
hipertansiyon (p=0.048), kronik öksürük varlığı (p=0.009) ve alt
ekstremitede varis varlığı (p<0.05) ile de ilişkili olarak tespit
edilmiştir.
Sonuç: Bu çalışmada SLV varlığının yaş, hipertansiyon, alt
ekstremitede varis varlığı ve kronik öksürükle ilişkili olduğu
sonucuna varılmıştır. SLV ile ilgili risk faktörlerinin daha iyi
anlaşılmasının altta yatan sistemik faktörlerin erken teşhisine
katkıda bulunabilmesi nedeniyle önemli olduğu
düşünülmektedir.
Background: The aim of this study was to evaluate the prevalence of sublingual varices (SLV) and to investigate the relationship between sublingual varice formation and some previously stated potential risk factors such as age, gender, hypertension, cardiovascular diseases, chronic cough, diabetes and other systemic diseases, varices in the lower extremities, use of removable prosthesis and smoking. Methods: A total of 621 individuals, 362 women (%58.3) and 259 men (%41.7), were included in this study. Participants are individuals who applied for routine clinical examination, agreed to participate in the study as a result of verbal and written information, and met the inclusion criteria. After the photographs were taken from the lateral and ventral surfaces of the tongue, non-visible and few visible sublingual varices were scored as 0, moderate and severe visible sublingual varices were scored as 1 by two different observers blinded to the demographic and medical information of the individuals. Kappa test was used to evaluate interobserver agreement, and pearson chi-square and logistic regression analysis were used for data analysis. Results: Inter-observer reliability was analyzed by Kappa test and very high consistency was found (κ=0.918). Moderate and severe SLV was observed in 155 (24.9%) of 621 individuals included in the study. While there was no difference in the prevalence of SLV between the sexes (p=0.278), it was found to increase with age (p=0.000). SLV was also found to be associated with hypertension (p=0.048), presence of chronic cough (p=0.009) and presence of varicose veins in the lower extremity (p<0.05). Conclusion: In this study, it was concluded that SLV was associated with age, hypertension, presence of varices in the lower extremities and chronic cough. A better understanding of SLV related risk factors is considered important as it may contribute to the early diagnosis of underlying systemic factors.
Background: The aim of this study was to evaluate the prevalence of sublingual varices (SLV) and to investigate the relationship between sublingual varice formation and some previously stated potential risk factors such as age, gender, hypertension, cardiovascular diseases, chronic cough, diabetes and other systemic diseases, varices in the lower extremities, use of removable prosthesis and smoking. Methods: A total of 621 individuals, 362 women (%58.3) and 259 men (%41.7), were included in this study. Participants are individuals who applied for routine clinical examination, agreed to participate in the study as a result of verbal and written information, and met the inclusion criteria. After the photographs were taken from the lateral and ventral surfaces of the tongue, non-visible and few visible sublingual varices were scored as 0, moderate and severe visible sublingual varices were scored as 1 by two different observers blinded to the demographic and medical information of the individuals. Kappa test was used to evaluate interobserver agreement, and pearson chi-square and logistic regression analysis were used for data analysis. Results: Inter-observer reliability was analyzed by Kappa test and very high consistency was found (κ=0.918). Moderate and severe SLV was observed in 155 (24.9%) of 621 individuals included in the study. While there was no difference in the prevalence of SLV between the sexes (p=0.278), it was found to increase with age (p=0.000). SLV was also found to be associated with hypertension (p=0.048), presence of chronic cough (p=0.009) and presence of varicose veins in the lower extremity (p<0.05). Conclusion: In this study, it was concluded that SLV was associated with age, hypertension, presence of varices in the lower extremities and chronic cough. A better understanding of SLV related risk factors is considered important as it may contribute to the early diagnosis of underlying systemic factors.
Açıklama
Anahtar Kelimeler
Ağız Tabanı, Etiyoloji, Varisler, Variköz Venler, Etiology, Sublingual Region, Varices, Varicose Veins
Kaynak
Selçuk Üniversitesi Diş Hekimliği Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
9
Sayı
3
Künye
İçöz, D., Özlü Uçan, G., Apaydın, B. K., Karakurt, R., (2022). Sublingual Varis Prevalansı ve Olası Etiyolojik Faktörlerin Değerlendirilmesi. Selçuk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 9(3), 763-768.
DOI: 10.15311/selcukdentj.1039369