Lahav Sher Maayan, Yakir Orly, Bitterman-Deutsch Ora
Bar Ilan University Faculty of Medicine, Final thesis.
Statistics Unit, Galilee Medical Center.
Harefuah. 2017 May;156(5):285-288.
Although dermatologic conditions bring relatively few people to the Emergency Department, hospitalized patients, especially older people, often suffer from skin problems that contribute to their morbidity.
We wanted to identify the frequency, clinical course, treatment and influence on hospitalization of dermatologic conditions in patients hospitalized in internal and geriatric departments in Galilee Medical Center. We concentrated on two groups of adults, aged 40-65 years (adult group) and above 65 years (elderly group), in order to understand differences in the cause of referral, type of diagnosis and mode of treatment.
We performed a retrospective review of 82 hospitalized patients who were referred for dermatological consultation between May-September 2013. Of the 82 patients, 47.6% made up the 'adult' group and 52.4% the 'elderly' group; 62.2% of patients were independent, 18.3% partially independent and 19.5% needed nursing care.
Skin infections (38.3%), allergy (mostly drug induced) (23.5%) and trophic disorders (18.5%) were the most common diagnoses. 'Elderly' were less often referred to dermatological consultation than 'adults' (44.3% vs. 55.7%, respectively); skin infections were more common in the 'elderly' (44.8% vs. 55.7%). Nursing care patients (19.5%) were least referred to dermatological consultation, but severity of skin condition (the number of diagnoses and number of treatments per patient) was greater in nursing care patients.
The clinical course between the independent and nursing care patients varies in the number of requests, the different type of diagnoses, the severity of the conditions and the number of treatments provided.
Our study emphasizes the importance of skin examination by a dermatologist, considering the high number of referrals for dermatological consultations. On the other hand, there was a significant difference between the 'elderly' and 'adult' groups, with fewer referrals for dermatological consultations by the medical staff in the 'elderly' group. Our results resemble those in the literature, having identified the most common skin problems in two groups of hospitalized patients.
尽管皮肤病患者前往急诊科就诊的人数相对较少，但住院患者，尤其是老年人，经常患有导致其发病的皮肤问题。
我们希望确定加利利医疗中心内科和老年科住院患者皮肤病的发病频率、临床病程、治疗方法及其对住院治疗的影响。我们重点关注两组成年人，年龄在40 - 65岁之间（成年组）和65岁以上（老年组），以了解转诊原因、诊断类型和治疗方式的差异。
我们对2013年5月至9月间因皮肤科会诊而住院的82例患者进行了回顾性研究。在这82例患者中，47.6%构成“成年”组，52.4%构成“老年”组；62.2%的患者为独立生活，18.3%部分独立，19.5%需要护理。
皮肤感染（38.3%）、过敏（主要是药物引起的）（23.5%）和营养障碍（18.5%）是最常见的诊断。“老年人”被转诊至皮肤科会诊的频率低于“成年人”（分别为44.3%和55.7%）；皮肤感染在“老年人”中更为常见（44.8%和55.7%）。需要护理的患者（19.5%）被转诊至皮肤科会诊的次数最少，但这类患者的皮肤病情严重程度（每位患者的诊断数量和治疗数量）更高。
独立生活患者和需要护理的患者在会诊请求数量、诊断类型、病情严重程度以及提供的治疗数量方面的临床病程有所不同。
我们的研究强调了皮肤科医生进行皮肤检查的重要性，考虑到皮肤科会诊的转诊人数众多。另一方面，“老年人”和“成年人”组之间存在显著差异，老年组医务人员转诊至皮肤科会诊的人数较少。我们的研究结果与文献中的结果相似，已确定了两组住院患者中最常见的皮肤问题。
