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其他专科要求皮肤科住院会诊的原因:葡萄牙一所三级教学医院的 1052 例患者五年数据分析。

Reasons for inpatient dermatological consultation requested by other specialities: a five-year data analysis of 1,052 patients from a Portuguese tertiary teaching hospital.

机构信息

Dermatology and Venereology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, EPE, Av. Prof. Egas Moniz, 1649-028 Lisboa, Portugal

Dermatology and Venereology University Clinic Faculty of Medicine, University of Lisbon, Alameda da Universidade, 1649-013 Lisboa, Portugal

出版信息

Eur J Dermatol. 2022 Apr 1;32(2):214-219. doi: 10.1684/ejd.2022.4224.

DOI:10.1684/ejd.2022.4224
PMID:35866901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9463971/
Abstract

BACKGROUND

The involvement of a dermatologist in inpatient care can result in accurate diagnosis and prescription of appropriate treatment more promptly.

OBJECTIVES

We aimed to analyse the main reasons for dermatological inpatient consultation in a tertiary centre.

MATERIALS & METHODS: A retrospective analysis was performed based on clinical registries that included inpatients observed in emergency dermatology consultation between January 1st 2016 to December 31st 2020 at the Hospital de Santa Maria, a tertiary teaching hospital in Lisbon, Portugal.

RESULTS

In our dermatology emergency department, we performed 1,052 inpatient consultations during this five-year period. The most frequent diagnostic groups were infections and parasitic diseases (31.1%), inflammatory skin disorders (18.1%) and reactive erythemas (17.7%). Requests were most commonly (85.1%) made by medical specialities.

CONCLUSION

Inpatient dermatological consultations grant access to expert management of drug-induced dermatoses, flares of chronic skin diseases, skin manifestations of systemic diseases and cutaneous infections. Prompt dermatological evaluation is essential for early diagnosis, thus enabling a better prognosis.

摘要

背景

皮肤科医生参与住院治疗可以更迅速地做出准确诊断并开出适当的治疗方案。

目的

我们旨在分析在一家三级中心进行皮肤科住院会诊的主要原因。

材料与方法

本研究基于临床病历进行回顾性分析,包括 2016 年 1 月 1 日至 2020 年 12 月 31 日期间在葡萄牙里斯本圣玛丽亚医院(一家三级教学医院)急诊皮肤科就诊的住院患者。

结果

在我们的皮肤科急诊室,在这五年期间进行了 1052 次住院会诊。最常见的诊断类别是感染和寄生虫病(31.1%)、炎症性皮肤病(18.1%)和反应性红斑(17.7%)。大多数会诊请求(85.1%)来自内科专业。

结论

住院皮肤科会诊可获得药物性皮肤病、慢性皮肤病发作、全身性疾病的皮肤表现和皮肤感染的专家管理。及时的皮肤科评估对于早期诊断至关重要,从而改善预后。

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