皮肤科医生在病房中的工作：8 年皮肤科会诊研究。

Dermatologists in hospital wards: an 8-year study of dermatology consultations.

机构信息

Department of Dermatology, Hospital Universitario Insular, Las Palmas de Gran Canaria, Spain.

出版信息

Dermatology. 2009;219(3):225-31. doi: 10.1159/000232390. Epub 2009 Jul 31.

DOI:10.1159/000232390

PMID:19648729

Abstract

BACKGROUND

The value of dermatologists as consultants is increasing.

OBJECTIVE

To evaluate the activity of dermatologists as inpatient consultants.

METHODS

Retrospective study of consultations to Dermatology of inpatients, visits per consultation, referral service, procedures performed, delay until visit and diagnoses based on ICD-9.

RESULTS

3,144 requests generated 4,824 visits, 200 biopsies, 107 cultures and other procedures. The mean delay between request and visit was 0.75 days. The requesting service was recorded in 3,097 cases: 21.5% by Internal Medicine, 11.4% by Pediatrics, 8.3% by Neurology and 6.2% by the Infectious Diseases Unit. Follow-up was recommended in 12.4% by the Dermatology Service and in 8% by a dermatologist. Reliable diagnoses were recorded for 2,832 consultations. The most frequent diagnostic groups were diseases of the skin and subcutaneous tissue (ICD-9: 680-709) in 58%, infectious and parasitic diseases (ICD-9: 001-139) in 20%, and neoplasm (ICD-9: 140-239) in 5.7%. The most frequent diagnoses were contact dermatitis (ICD-9: 692.X) in 8.9%, drug reactions (ICD-9: 693.0) in 7.4%, candidiasis (ICD-9:112.X) in 7.1% and seborrheic dermatitis (ICD-9: 690) in 5.3%.

CONCLUSIONS

Most diagnoses were of a specific cutaneous disease and the dermatologist would be in the best position to evaluate those that inpatients acquire.

摘要

背景

皮肤科医生作为顾问的价值正在增加。

目的

评估皮肤科医生作为住院患者顾问的活动。

方法

对皮肤科住院患者的咨询进行回顾性研究，每次咨询的就诊次数、转诊服务、进行的程序、从请求到就诊的延迟时间以及基于 ICD-9 的诊断。

结果

3144 次请求产生了 4824 次就诊、200 次活检、107 次培养和其他程序。请求和就诊之间的平均延迟时间为 0.75 天。请求服务记录在 3097 例中：内科占 21.5%，儿科占 11.4%，神经内科占 8.3%，传染病科占 6.2%。皮肤科服务建议进行随访的占 12.4%，皮肤科医生建议的占 8%。记录了 2832 次咨询的可靠诊断。最常见的诊断组是皮肤和皮下组织疾病（ICD-9：680-709），占 58%，传染病和寄生虫病（ICD-9：001-139），占 20%，肿瘤（ICD-9：140-239），占 5.7%。最常见的诊断是接触性皮炎（ICD-9：692.X），占 8.9%，药物反应（ICD-9：693.0），占 7.4%，念珠菌病（ICD-9：112.X），占 7.1%，脂溢性皮炎（ICD-9：690），占 5.3%。