Validation of Universal Scale in Oral Surgery (USOS) for Patient's Psycho-emotional Status Rating

Abstract

ObjectivesThere aren’t any objective methods that may help in standard evaluation of oral surgery patient’s psycho-emotional status. Without any standardized evaluation, two main problems appear: heterogeneity between studies and ineffective patient’s evaluation. Therefore, Universal Scale in Oral Surgery (USOS) for patient’s psycho-emotional status rating has previously been proposed by authors. The aim of present study is to assess the clinical effectivity and validate the Universal Scale in Oral Surgery in case of outpatient tooth extraction for adult healthy patients.Material and MethodsClinical trial to validate the USOS for patient’s psycho-emotional status rating was performed. In total 90 patients, that came for outpatient dental extraction to Lithuanian University of Health Sciences Oral and Maxillofacial Surgery Department ambulatory, were enrolled in clinical trial. Patients filled self-reported questionnaires before the procedure. Operating surgeon rated USOS for patient’s psycho-emotional status rating doctor’s part questionnaire after the procedure. 4 - 6 weeks later all patients were asked to fill USOS for patient’s psycho-emotional status rating questionnaire retrospectively. ResultsAccording to the statistical analysis, the final composition of USOS for patient’s psycho-emotional status rating that would fit to reliability coefficient should be composed from 6 patient part questions and 3 general doctor part questions.ConclusionsUniversal Scale in Oral Surgery for patient’s psycho-emotional status rating is a novel, doctor and patient rated scale which is suitable for clinical and scientific usage.

The influence of sedation and general anesthesia to patients' psycho-emotional status undergoing wisdom teeth extraction: a pilot clinical trial

“…The research questionnaire consisted of three parts [6,10]: -General part. Patients' information: gender, age, place of residence, education, local anesthesia applied, harmful habits: smoking, previous oral surgery experience, and procedures performed in the past such as tooth extraction, implantation, oral tumor removal, mucosal incision.…”

“…These questionnaires were selected as the most popular and useful in similar studies, also the questions seem to suit the study well; -The physician's part. Three generalized USOS three-point questions about the patient's sensitivity to pain, stress, and fear, based on the patient's pre-or postoperative reactions: from 1 (lowest) to 3 (highest), (Appendix A) [10].…”

“…However, it should be noted, that not all the questionnaires are clearly adapted to oral surgery. It is important to mention that in oral surgery there is a special questionnaire called the Universal Scale in Oral Surgery for Psycho-Emotional Rating (USOS), designed to assess the level of anxiety [9,10].…”