Alamri Awadh, Alshareef Mohammed, Aljoudi Sarah B, Assaedi Luai, Alkassimi Sara, Algethami Abdulmohsin, Dajam Mazen S
Dermatology Department, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Jeddah, SAU.
Dermatology Department, King Abdulaziz Medical City, Jeddah, SAU.
Cureus. 2022 Feb 11;14(2):e22132. doi: 10.7759/cureus.22132. eCollection 2022 Feb.
Background Inpatient dermatological care represents an opportunity to improve dermatological care among the population as well as to enhance clinical exposure for residents and medical trainees. Objective We conducted this study to analyze the pattern of dermatological conditions encountered in inpatient settings and the modalities of management at a tertiary care hospital. Method We retrospectively reviewed and analyzed electronic records of all inpatient consultations carried out by the dermatology consultants and specialists between January 1, 2020 and December 31, 2020. Demographic and specific and non-specific clinical data were collected and analyzed by dividing the skin disorders and treatments into categories, where relevant. Result Five hundred and seventy-one inpatient dermatological consultations were carried out, involving 453 patients. Older age groups were predominant, including 50-70 years (27.4%) and >70 years (21.0%). The female to male ratio was 1.19. The majority of the consultations (388/571, 68.1%) were requested from the adult medical wards; internal medicine (23.8%), hematology (13.7%), and oncology (9.1%) being the most frequented wards. A biopsy was carried out in 57 (10.0%) of the cases. The most prevalent diagnoses included dermatitis (16.3%), intertrigo (8.1%), and xerosis (6.8%). Besides, 10 cases of skin cancer or metastasis were diagnosed by the dermatologist. The diagnosed skin condition was drug-induced in 57 (10.0%) of the cases, and nine of them were due to chemotherapy. Pharmaceutical treatments consisted of more frequently used corticosteroids (51.5%), antibiotics (36.4%), and antifungal agents (20.8%), with the majority of these by topical route. Conclusion A broad range of dermatological conditions are diagnosed in our inpatient setting, representing a good educational opportunity for trainee dermatologists. The implementation of digital photography could enhance the documentation of dermatological conditions, which would have beneficial effects on both care quality and education.
住院皮肤科护理为改善人群的皮肤科护理以及增加住院医师和医学实习生的临床接触机会提供了契机。
我们开展这项研究，以分析一家三级护理医院住院患者中所遇到的皮肤病状况模式及管理方式。
我们回顾性审查并分析了皮肤科顾问和专家在2020年1月1日至2020年12月31日期间进行的所有住院会诊的电子记录。收集人口统计学以及特定和非特定临床数据，并在相关情况下将皮肤疾病和治疗方法分类进行分析。
共进行了571次住院皮肤科会诊，涉及453名患者。年龄较大的群体占主导，包括50 - 70岁（27.4%）和70岁以上（21.0%）。男女比例为1.19。大多数会诊（388/571，68.1%）来自成人内科病房；内科（23.8%）、血液科（13.7%）和肿瘤科（9.1%）是会诊最频繁的病房。57例（10.0%）病例进行了活检。最常见的诊断包括皮炎（16.3%）、擦烂（8.1%）和皮肤干燥（6.8%）。此外，皮肤科医生诊断出10例皮肤癌或转移病例。57例（10.0%）病例的诊断皮肤状况是药物引起的，其中9例是化疗所致。药物治疗中更常用的是皮质类固醇（51.5%）、抗生素（36.4%）和抗真菌剂（20.8%），其中大多数通过局部途径给药。
在我们的住院患者中诊断出了广泛的皮肤病状况，这对皮肤科实习医生来说是一个很好的教育机会。数字摄影的应用可以加强皮肤病状况的记录，这将对护理质量和教育都产生有益影响。
