Clinical Criteria For the Use Of a Decision-Making Framework For the Medically Compromised Patient: Hypertension and Diabetes Mellitus

In this article, clinical criteria for the staging of disease severity in patients with hypertension and diabetes mellitus are presented. This paper is intended to supplement a previous article by the authors on the use of clinical criteria for the classification of patients with ischemic heart disease and chronic obstructive pulmonary disease and the use of a decision-making framework for the medically compromised patient.1 Hypertension and diabetes mellitus are discussed in terms of pathophysiology, risk factors, clinical manifestations of disease and disease progression. The article will allow practitioners to stage patients with hypertension and diabetes mellitus and to apply this staging to the previously established clinical decision-making framework for medically compromised patients.

MeSH Key Words: decision making; dental care for chronically ill; diabetes mellitus; hypertension; severity of illness index.