Sen Arpita, Chowdhury Satyendranath, Poddar Indrasish, Bandyopadhyay Debabrata
Department of Dermatology, Venereology and Leprosy, Medical College and Hospital, Kolkata, West Bengal, India.
Indian J Dermatol. 2016 Sep-Oct;61(5):561-4. doi: 10.4103/0019-5154.190104.
Dermatology is primarily a non-acute, outpatient-centered clinical specialty, but substantial number of patients need indoor admission for adequate management. Over the years, the need for inpatient facilities in Dermatology has grown manifold; however, these facilities are available only in some tertiary centers.
To analyze the characteristics of the diseases and outcomes of patients admitted in the dermatology inpatient Department of a tertiary care facility in eastern India.
We undertook a retrospective analysis of the admission and discharge records of all patients, collected from the medical records department, admitted to our indoor facility from 2011 to 2014. The data thus obtained was statistically analyzed with special emphasis on the patient's demographic profile, clinical diagnosis, final outcome, and duration of stay.
A total of 375 patients were admitted to our indoor facility during the period. Males outnumbered females, with the median age in the 5th decade. Immunobullous disorders (91 patients, 24.27%) were the most frequent reason for admissions, followed by various causes of erythroderma (80 patients, 21.33%) and infective disorders (73 patients, 19.47%). Other notable causes included cutaneous adverse drug reactions, psoriasis, vasculitis, and connective tissue diseases. The mean duration of hospital stay was 22.2±15.7 days; ranging from 1 to 164 days. Majority of patients (312, 83.2%) improved after hospitalization; while 29 (7.73%) patients died from their illness. About 133 patients (35.64%) required referral services during their stay, while 8 patients (2.13%) were transferred to other departments for suitable management.
Many dermatoses require inpatient care for their optimum management. Dermatology inpatient services should be expanded in India to cater for the large number of cases with potentially highly severe dermatoses.
皮肤病学主要是一门非急性、以门诊为中心的临床专科，但相当多的患者需要住院以便进行充分治疗。多年来，皮肤科对住院设施的需求成倍增长；然而，这些设施仅在一些三级医疗中心才有。
分析印度东部一家三级医疗设施的皮肤科住院部收治患者的疾病特征及治疗结果。
我们对2011年至2014年期间收治到我院住院部的所有患者的入院和出院记录进行了回顾性分析，这些记录从病历科收集而来。对由此获得的数据进行了统计分析，特别关注患者的人口统计学特征、临床诊断、最终治疗结果及住院时间。
在此期间，共有375名患者入住我院住院部。男性患者多于女性，年龄中位数在50多岁。免疫性大疱性疾病（91例患者，占24.27%）是最常见的入院原因，其次是各种红皮病病因（80例患者，占21.33%）和感染性疾病（73例患者，占19.47%）。其他显著病因包括皮肤药物不良反应、银屑病、血管炎和结缔组织病。平均住院时间为22.2±15.7天；范围从1天至164天。大多数患者（312例，占83.2%）住院后病情好转；而29例（占7.73%）患者因病死亡。约133例患者（占35.64%）在住院期间需要转诊服务，而8例患者（占2.13%）被转至其他科室进行适当治疗。
许多皮肤病需要住院治疗以实现最佳管理。印度应扩大皮肤科住院服务，以满足大量患有潜在严重皮肤病病例的需求。
