Dermatology Service, Santa Casa de Misericordia de Porto Alegre, Porto Alegre, RS, Brazil; Department of Dermatology, Federal University of Health Sciences of Porto Alegre, Porto Alegre, RS, Brazil.
Faculty of Medicine, University of Caxias do Sul, Caxias do Sul, RS, Brazil.
An Bras Dermatol. 2023 Sep-Oct;98(5):620-634. doi: 10.1016/j.abd.2022.08.010. Epub 2023 May 8.
In hospital settings, dermatology can offer substantial clinical support for the diagnosis and management of skin conditions, reducing morbidity and mortality. Thus, the study aimed to analyze the profile of referrals and consultations performed by the Dermatology Service of the Santa Casa de Misericordia de Porto Alegre, from August 2018 to January 2020.
This study is descriptive, quantitative, and retrospective, conducted through data collection and review of medical records and referrals. The variables included were clinical data of referrals, in-patients profiles, dermatological diagnoses, complementary exams, therapeutic conduct, and recommended follow-ups.
A total of 1020 referrals were analyzed, which resulted in 641 consultations (328 men, 313 women). The most prevalent skin disease groups were 'Dermatitis and Eczema' (33.1%) and 'Other infectious skin diseases (21.8%), while the most frequent ICD-10 were 'Drug eruptions - L27' (9.9%) and 'Other and unspecified dermatitis - L30' (6.6%). Corticoids were the most recommended treatments (27.7%), followed by antifungals (13.1%). 'Consultation Discharge' (44%) and 'Outpatient' Dermatology follow-up (27%) were the most frequent causes for ending consultation.
Among the study limitations, the authors highlight its retrospective nature, with data analysis based on referrals and medical records, which may present inaccurate or incomplete information. In addition to this, the study may demonstrate a certain degree of subjectivity due to the review and interpretation process conducted by the researchers. However, the definition of objective criteria based on previous studies attenuates such possible bias. Furthermore, considering that the Dermatology teams are composed of a preceptor dermatologist and residents, the established diagnoses were not submitted to third-party verification, except in the cases of skin biopsies and cultures. Thus, the professional's experience and skills may have influenced the dermatological diagnoses.
These findings underlie the importance of Dermatology in hospital assistance, contributing to the management of a wide range of skin conditions.
在医院环境中，皮肤科可以为皮肤状况的诊断和管理提供大量临床支持，从而降低发病率和死亡率。因此，本研究旨在分析 2018 年 8 月至 2020 年 1 月期间，圣十字慈悲会（Porto Alegre）皮肤科的转诊和咨询情况。
这是一项描述性、定量和回顾性研究，通过数据收集和病历及转诊审查进行。所包括的变量包括转诊的临床数据、住院患者特征、皮肤科诊断、补充检查、治疗方法和推荐的随访。
共分析了 1020 份转诊，其中有 641 次咨询（328 名男性，313 名女性）。最常见的皮肤病组是“皮炎和湿疹”（33.1%）和“其他传染性皮肤病”（21.8%），而最常见的 ICD-10 是“药物疹-L27”（9.9%）和“其他和未特指的皮炎-L30”（6.6%）。皮质类固醇是最推荐的治疗方法（27.7%），其次是抗真菌药（13.1%）。“咨询出院”（44%）和“门诊”皮肤科随访（27%）是结束咨询的最常见原因。
在研究的局限性方面，作者强调其回顾性性质，数据分析基于转诊和病历，这可能导致信息不准确或不完整。除此之外，由于研究人员进行的审查和解释过程，该研究可能表现出一定程度的主观性。然而，基于先前研究定义客观标准可以减轻这种可能的偏差。此外，考虑到皮肤科团队由一名导师皮肤科医生和住院医生组成，除了皮肤活检和培养外，建立的诊断并未提交给第三方验证。因此，皮肤科医生的经验和技能可能会影响皮肤科诊断。
这些发现强调了皮肤科在医院援助中的重要性，有助于管理各种皮肤状况。
