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Dermatology inpatient consultations in a tertiary hospital - a retrospective analysis.
Joseph, Joseph; Truong, Kelvin; Smith, Annika; Fernandez-Penas, Pablo.
Afiliación
  • Joseph J; Department of Dermatology, Westmead Hospital, Westmead, NSW, Australia.
  • Truong K; Department of Dermatology, Westmead Hospital, Westmead, NSW, Australia.
  • Smith A; Department of Dermatology, Westmead Hospital, Westmead, NSW, Australia.
  • Fernandez-Penas P; University of Sydney, Westmead Clinical School, Westmead, NSW, Australia.
Int J Dermatol ; 61(1): 48-53, 2022 Jan.
Article en En | MEDLINE | ID: mdl-34242397
BACKGROUND: Dermatology consultation has been shown to have a significant beneficial impact on admitted hospital patients with concurrent or newly diagnosed skin conditions. This study aimed to determine the change in diagnosis and management after dermatology consultation in a tertiary Australian referral hospital. METHODS: A retrospective analysis of dermatology consultations for hospital inpatients from June 1, 2018, through November 11, 2019, was performed. Demographic and clinical data were extracted from electronic medical records, and a chi-squared test was used to analyze categorical variables. RESULTS: There were 306 consultations during the period of interest. The male to female ratio was 1:1 with a median age of 63. Consultations were most often requested by medical teams (69%), and the majority of patients seen in the emergency department were discharged home (86%). In 44% of cases, the requesting team did not provide a diagnosis; in the cases where it did provide a diagnosis, it was changed 57.9% of the time. The most commonly misdiagnosed conditions were dermatitis and skin infections. Dermatologists established or changed management in 82% of cases, and a total of 676 suggestions were made for management. CONCLUSION: The results of this review reinforce the value of dermatology input in the diagnosis and management of hospital in patients. Ensuring maintained presence of hospital-based dermatologists has the potential to improve diagnosis and management of cutaneous issues early on; by extension, this can minimize unnecessary investigations, improve the quality of healthcare, reduce hospital burden, and facilitate outpatient follow-up.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Piel / Dermatología Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: Int J Dermatol Año: 2022 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Piel / Dermatología Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: Int J Dermatol Año: 2022 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido