Williams Abhilasha, Bhatia Anuradha, Kanish Bimal, Chaudhary Paulina Rose, Samuel Clarence James
Associate Professor, Department of Dermatology, CMC and Hospital , Ludhiana, Punjab, India .
Professor, Department of Dermatology, CMC and Hospital , Ludhiana, Punjab, India .
J Clin Diagn Res. 2016 Dec;10(12):WC07-WC10. doi: 10.7860/JCDR/2016/21182.8968. Epub 2016 Dec 1.
The importance of dermatology inpatient consultation is of significant importance yet is not well documented.
To retrospectively analyse the spectrum of dermatology inpatient consultations from the various departments and to document the most commonly occurring dermatological disorders from each speciality.
This study was done in an 800 bedded premier teaching hospital in Ludhiana, Punjab, North Western India. It was an audit of inpatient referrals to the dermatology department from January 2014 to August 2014. We analysed the spectrum of dermatological disorders in relation to the various specialities, demographic profile and age groups.
The data was entered in Microsoft Excel and analysed using SPSS Version 21. Descriptive statistics, frequency and proportions were used.
Of the 559 in-patients, 60% were males. The majority of the patients belonged to age group 51-60 years (25.9%). The departments most commonly requesting for dermatology consultations were Medicine (27.7%), Neurology (9.7%), Cardiology (8.8%), Urology (7%), Haematology (6.4%), Nephrology (6.1%), Intensive Care Unit (ICU) (5.4%), General Surgery (5.2%), Orthopaedics (5%), Gynaecology and Neurosurgery (2.9%) and Paediatrics (2.7%). The commonest dermatological diagnoses for which consultations were sought were eczematous dermatitis (12.9%), superficial dermatophytosis (12.3%), drug reactions (8.9%) and viral skin infections (8.5%).
Dermatology consultations offer a significant role in diagnosis and management of the in-patients from various clinical speciality departments. There is a significant need of inter-departmental dermatology consultations which help to decrease morbidity and improve the quality of the patient's hospital stay. Knowledge about the pattern of dermatoses in the inpatients can help the primary clinician to recognize when to seek dermatology consultation on a priority basis.
皮肤科住院会诊的重要性至关重要，但记录并不完善。
回顾性分析各科室皮肤科住院会诊的范围，并记录每个专科中最常见的皮肤病。
本研究在印度西北部旁遮普邦卢迪亚纳一家拥有800张床位的一流教学医院进行。这是一项对2014年1月至2014年8月转诊至皮肤科的住院患者的审计。我们分析了与各专科、人口统计学特征和年龄组相关的皮肤病谱。
数据录入Microsoft Excel并使用SPSS 21版进行分析。使用描述性统计、频率和比例。
在559名住院患者中，60%为男性。大多数患者属于51 - 60岁年龄组（25.9%）。最常请求皮肤科会诊的科室是内科（27.7%）、神经科（9.7%）、心脏病科（8.8%）、泌尿科（7%）、血液科（6.4%）、肾科（6.1%）、重症监护病房（ICU）（5.4%）、普通外科（5.2%）、骨科（5%）、妇科和神经外科（2.9%）以及儿科（2.7%）。寻求会诊的最常见皮肤科诊断为湿疹性皮炎（12.9%）、浅表皮肤癣菌病（12.3%）、药物反应（8.9%）和病毒性皮肤感染（8.5%）。
皮肤科会诊在各临床专科住院患者的诊断和管理中发挥着重要作用。非常需要跨科室的皮肤科会诊，这有助于降低发病率并提高患者住院期间的质量。了解住院患者皮肤病的模式有助于初级临床医生识别何时应优先寻求皮肤科会诊。
