Hacettepe University, Department of Dermatology and Venereology, Ankara, Turkey; Uşak University Training and Research Hospital, Department of Dermatology and Venereology, Uşak, Turkey.
Hacettepe University, Department of Dermatology and Venereology, Ankara, Turkey.
Am J Emerg Med. 2022 Mar;53:112-117. doi: 10.1016/j.ajem.2021.12.068. Epub 2022 Jan 4.
Unnecessary dermatology consultation requests from emergency departments (EDs) are a common occurrence worldwide.
This study aimed to analyze the demographic and clinical characteristics of patients consulted to the dermatology department for dermatologic disorders by a university hospital's pediatric ED (PED) and adult ED (AED).
The electronic medical records of 2316 dermatology consultation requests from the PED and AED during a 5-year period were retrospectively reviewed. Patient demographic and clinical characteristics, dermatological diagnoses, and time of day of dermatology consultation requests from the PED and AED were retrospectively analyzed.
The electronic medical records of 1845 consultation requests with complete data were included in the study. There were 969 (52.5%) consultation requests from the PED and 876 (47.5%) from the AED. Mean time from onset of dermatological symptoms to ED presentation was 31.6 d. Herpes zoster infections (18.5%), adverse cutaneous drug reactions (8.1%), and urticaria with angioedema (7.9%) were the most common skin disorders resulting in consultation requests from the AED, versus non-specific viral infections (9.2%), insect bites (8.3%), and atopic dermatitis (8.2%) from the PED. In all, 11.5% of ED patients that received dermatology department consultation required hospitalization due to dermatologic disorders.
As patients commonly present to EDs with non-urgent dermatological diseases, ED physicians should receive training on common dermatological diseases so as to decrease the number of unnecessary dermatology consultation requests.
世界各地的急诊部（ED）经常会收到不必要的皮肤科咨询请求。
本研究旨在分析大学医院儿科 ED（PED）和成人 ED（AED）皮肤科咨询患者的人口统计学和临床特征。
回顾性分析了 5 年内 PED 和 AED 皮肤科咨询请求的 2316 份电子病历。回顾性分析了患者的人口统计学和临床特征、皮肤科诊断以及 PED 和 AED 皮肤科咨询请求的时间。
本研究共纳入了 1845 份完整数据的咨询记录。PED 有 969 次（52.5%）咨询请求，AED 有 876 次（47.5%）。从皮肤科症状出现到 ED 就诊的平均时间为 31.6 天。带状疱疹感染（18.5%）、药物不良反应（8.1%）和荨麻疹伴血管性水肿（7.9%）是导致 AED 咨询的最常见皮肤疾病，而非特异性病毒感染（9.2%）、昆虫叮咬（8.3%）和特应性皮炎（8.2%）是导致 PED 咨询的最常见皮肤疾病。总的来说，因皮肤科疾病而接受皮肤科会诊的 ED 患者中有 11.5%需要住院治疗。
由于患者常因非紧急的皮肤科疾病就诊于 ED，ED 医生应接受常见皮肤科疾病的培训，以减少不必要的皮肤科咨询请求。
