Inpatient Dermatology Consultation in a Spanish Tertiary Care Hospital: A Prospective Cohort Study

Lorente-Lavirgen, A.I.; Bernabéu‐Wittel, José; Pulpillo-Ruiz, Águeda; Torre-García, J.M. de la; Conejo‐Mir, Julián

doi:10.1016/j.adengl.2012.05.024

Cited by 17 publications

(31 citation statements)

References 11 publications

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“…Other studies described that the common cutaneous disorders encountered in the inpatient population included infections (fungal, viral, and bacterial), drug eruptions (morbilliform, fixed drug eruption, linear IgA dermatosis, DRESS, AGEP, TEN, erythema multiforme, and Stevens‐Johnson syndrome), dermatitis (atopic, stasis, contact, generalized, asteatotic, seborrheic, psoriasiform, and neurodermatitis), and bullous/autoimmune dermatoses (psoriasis, vasculitis, autoimmune panniculitis, pemphigoid, subacute lupus erythematosus) …”

Section: Dermatology Consultations At the University Hospital “Dr Jmentioning

confidence: 99%

“…Other studies shared this trend in having most consultations requested by the Internal Medicine Department, which may be secondary to the polymedication and multiple coexisting health issues in these patients. Another possibility is immunosuppression from medications, diseases, or transplants …”

Section: Dermatology Consultations At the University Hospital “Dr Jmentioning

confidence: 99%

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Dermatology inpatient consultations in Latin America: 3‐year experience in our University Hospital setting

et al. 2019

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Background Dermatology patients are mostly seen in outpatient clinics; however, there is a significant need for consultations within the hospital setting. Methods Here we describe the hospital consultations received by the Dermatology Service during a 3‐year period. Results Most of the requested consultations came from the Internal Medicine Department and the surgical departments. The most common encountered dermatoses were drug eruptions and adnexal diseases, followed by viral dermatoses. Conclusions In hospital dermatology may pose a challenge for other clinicians; therefore, dermatologists should be adequately trained to confront a wide variety of clinical scenarios.

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Section: Dermatology Consultations At the University Hospital “Dr Jmentioning

confidence: 99%

Section: Dermatology Consultations At the University Hospital “Dr Jmentioning

confidence: 99%

Dermatology inpatient consultations in Latin America: 3‐year experience in our University Hospital setting

et al. 2019

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“…1,2 The dermatology lesions in such inpatients could be detected as a coincidental finding during examination or develop during their stay in the hospital; the development of adverse cutaneous drug reaction being one typical example of the latter. 6 Approximately 20% of the general population have been shown to have skin diseases that are treated by local or systemic therapies, and therefore, it seems clear that inpatients would suffer numerous skin complaints regardless of the disease that led to hospitalization and at times require dermatologist opinion. 7 Suffice to say that, the interdepartmental referral may not only help in patient care but also improve the diagnostic acumen and clinical knowledge of the clinician.…”

Section: Introductionmentioning

confidence: 99%

Study of cross-referrals to the dermatology department in an inpatient setting at a tertiary care centre

Bakhtar¹,

Pandey

Pandey³

et al. 2020

Int J Res Med Sci

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Background: Till recently, dermatology was primarily being considered to be an outpatient focused discipline. However, several inpatient admissions to other specialties require dermatologic consultation for optimum management. This study was conducted to analyse the incidence and indications for inpatient dermatology referrals and the impact of dermatology consultation on patient management.Methods: A cross-sectional study was undertaken by analyzing the records of 243 patients referred to dermatology department over a 2-year period. Descriptive analysis was conducted in the form of study of presumptive diagnoses by the referring clinicians, causes of referral, distribution of referrals across specialties and the dermatological opinions with respect to diagnosis and management etc.Results: Clinically significant change was documented in the course of skin lesions management of almost two-thirds of referred patients. Maximum referrals were from the department of general medicine with “skin rash” being the most common cause for seeking 2nd opinion. Concordance for diagnosis between the referring clinician and the dermatologist was observed in only 30.2% of the cases.Conclusions: Dermatologic referral does lead to improved patient care. But there is need for better training of non-dermatologists enabling them to recognize and treat common skin lesions.

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“…These inpatients with dermatoses often require expert dermatology consultation. The interdepartmental referral not only helps in patient care but also improves the diagnostic acumen and clinical knowledge of the clinician [6,[7][8][9][10][11]. …”

mentioning

confidence: 99%

To study the relevance of inpatient dermatology referrals in a Teaching Hospital of North India

Chojer¹,

Malhotra²,

Kaur³

2018

Our Dermatol Online

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INTRODUCTIONDermatology practice takes place mainly in the outpatient setting. However, several inpatient referrals are made to dermatology departments by other specialties on a daily basis for proper patient management in the hospital settings [1]. The knowledge of dermatology among non-dermatologists is believed to be very poor [2][3][4][5]. Patients admitted to non-dermatology units may often have numerous skin lesions besides the systemic disease for which they are hospitalized [5,6]. The dermatoses may be associated with significant morbidity and at times mortality [7]. These inpatients with dermatoses often require expert dermatology consultation. The interdepartmental referral not only helps in patient care but also improves the diagnostic acumen and clinical knowledge of the clinician [6,[7][8][9][10][11]. MATERIALS AND METHODSThis retrospective observational study, after obtaining approval from Institutional Ethics Committee, was carried out at tertiary hospital in North India assessing data over a period of 2 years. The Department of Dermatology at the hospital is responsible for all dermatological consultations for inpatients.The data thus obtained has been statistically analyzed with respect to patient demography, frequency of referrals made by different specialties, causes of referrals (presumptive diagnoses made by non dermatologists), diagnostic accuracy of referring departments by comparing with the final dermatological diagnoses made by senior faculty members as the gold standard, and impact of dermatology consultations on the management. ABSTRACTBackground: Dermatology is primarily considered to be an outpatient-centered specialty. However, several inpatient admissions to other specialties require dermatologic consultation for optimum management. Aims: The aim of this study was to evaluate the pattern of referrals sent to the dermatology department by other Departments and impact of dermatology consultation on patient management. Materials and Methods: The study included all inpatients referred to dermatology department of a tertiary care centre of North India during a two year period. The demographic details, specialties requesting consultation, cause of referral, and dermatological advice have been recorded and analyzed. Results: Dermatology consultation changed the dermatologic diagnosis and treatment. General medicine requested the maximum number of referrals, skin rash being the most common cause for referral. Accurate diagnosis on referrals was provided by only 25.23 % of non dermatologists. Common dermatological disorders were often misdiagnosed by these physicians, and dermatology referrals had significant impact on the diagnosis and subsequent management of these patients. Conclusion: While dermatologic referral leads to improved patient care, there is a need for better training of non dermatologists enabling them to recognize and treat common dermatoses.

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Inpatient Dermatology Consultation in a Spanish Tertiary Care Hospital: A Prospective Cohort Study

Cited by 17 publications

References 11 publications

Dermatology inpatient consultations in Latin America: 3‐year experience in our University Hospital setting

Dermatology inpatient consultations in Latin America: 3‐year experience in our University Hospital setting

Study of cross-referrals to the dermatology department in an inpatient setting at a tertiary care centre

To study the relevance of inpatient dermatology referrals in a Teaching Hospital of North India

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