Bale Jessica, Chee Paul
Department of Medicine, John Hunter Hospital, Newcastle, New South Wales, Australia.
Australas J Dermatol. 2014 Aug;55(3):191-5. doi: 10.1111/ajd.12097. Epub 2013 Aug 29.
To report the pattern of dermatology admissions and inpatient characteristics at a tertiary Australian hospital and compare the data with international studies.
The study was conducted at a tertiary referral hospital in New South Wales, Australia. Clinical databases were searched retrospectively to include all inpatient admissions under dermatology from 1 January to 31 December 2011. The medical records were reviewed to gather data on age, sex, ethnicity, length of stay, referral and follow-up source, diagnosis and other consultations obtained during the admission.
In all, 97 patients were admitted during the 12-month period, of whom 44% were female and 56% male. The most frequent reasons for admission were dermatitis or eczema and ulcers. The average length of stay was 10 days, with a median of 5 days. A total of 80% of patients had a stay duration of 10 days or less, and 6% were in hospital for more than 30 days. The diagnosis that accounted for the longest length of stay was ulcers. A large proportion of patients required consultation from another medical specialty during their admission with 91 specialist consultations taking place for the study group.
Inpatient treatment plays a fundamental role in the management of complex and severe dermatological disease and comparison of these results to future studies in other dermatology units around Australia and internationally may be a valuable area of further work.
报告澳大利亚一家三级医院皮肤科住院情况及住院患者特征，并将数据与国际研究进行比较。
该研究在澳大利亚新南威尔士州的一家三级转诊医院开展。对临床数据库进行回顾性检索，纳入2011年1月1日至12月31日期间皮肤科的所有住院患者。查阅病历以收集患者年龄、性别、种族、住院时间、转诊及随访来源、诊断以及住院期间获得的其他会诊等数据。
在这12个月期间，共收治97例患者，其中女性占44%，男性占56%。最常见的住院原因是皮炎或湿疹以及溃疡。平均住院时间为10天，中位数为5天。共有80%的患者住院时间为10天或更短，6%的患者住院时间超过30天。住院时间最长的诊断是溃疡。很大一部分患者在住院期间需要其他医学专科的会诊，研究组共进行了91次专科会诊。
住院治疗在复杂和严重皮肤病的管理中起着重要作用，将这些结果与澳大利亚其他皮肤科单位以及国际上未来的研究进行比较，可能是进一步开展工作的一个有价值的领域。
