Department of Dermatology, Seoul National University College of Medicine, Seoul National University Boramae Hospital, Seoul, Korea.
J Eur Acad Dermatol Venereol. 2013 Apr;27(4):479-85. doi: 10.1111/j.1468-3083.2012.04469.x. Epub 2012 Feb 20.
Dermatological patients do visit the emergency department (ED) while most skin problems are controllable in the outpatient clinic. However, there is paucity of data on skin conditions presenting in ED.
The aim of this study was to provide the demographic and clinical data on dermatological problems in the ED in a secondary hospital in Korea.
A retrospective study was conducted based on dermatological international classification of diseases (ICD) rendered in the emergency department of Seoul National University Boramae Hospital, Seoul, Korea, during an 8-year period from 2003 to 2010. Most skin conditions were diagnosed by emergency medicine specialist, not dermatologist.
A total of 8332 patients with skin problem were seen corresponding to 3.2% of total ED visits. The number of patients had increased 277% from 621 visits in 2003 to 1719 visits in 2010 with a peak incidence in the summer season annually. Urticaria and angioedema group was most common (68.1%), followed by infections group and nonspecific and descriptive diagnosis group. The mean length of stay was distributed preponderantly around one hour. In 6.2% cases, the patient was admitted, most frequently for infections.
During the eight-year period, dermatological ED patients increased at a steeper rate than total ED patients. However, the non-urgent dermatologic ED patients have increased with respect to admission rate, death rate, length of stay and visiting-admitting discordance. Health policy makers could utilize these basic data to amend the current health delivery system to reduce unnecessary expenditure of medical resources.
皮肤科患者确实会去急诊部（ED）就诊，而大多数皮肤问题在门诊即可控制。然而，有关在 ED 就诊的皮肤状况的数据却很少。
本研究旨在提供韩国一家二级医院 ED 中皮肤科问题的人口统计学和临床数据。
对 2003 年至 2010 年期间韩国首尔国立大学博雷马医院 ED 中根据国际疾病分类法（ICD）编码的皮肤科数据进行了回顾性研究。大多数皮肤状况由急诊医学专家而非皮肤科医生诊断。
共有 8332 例皮肤问题患者就诊，占 ED 总就诊人数的 3.2%。就诊人数从 2003 年的 621 例增加到 2010 年的 1719 例，增加了 277%，每年夏季就诊人数最多。荨麻疹和血管性水肿组最为常见（68.1%），其次是感染组和非特异性和描述性诊断组。平均住院时间主要集中在一小时左右。6.2%的患者需要住院治疗，最常见的原因是感染。
在八年期间，皮肤科 ED 患者的增长速度比 ED 总患者的增长速度更快。然而，非紧急皮肤科 ED 患者的就诊率、死亡率、住院时间和就诊-入院不符率均有所增加。卫生政策制定者可以利用这些基本数据来修正当前的医疗服务体系，以减少医疗资源的不必要支出。
