Dağdaş Ahmet Doğukan, Fettahlioglu Karaman Bilge, Aksungur Varol Lütfü
Department of Dermatology, Çukurova University, Faculty of Medicine, Adana, Turkey.
Clin Cosmet Investig Dermatol. 2025 Jan 7;18:37-45. doi: 10.2147/CCID.S500827. eCollection 2025.
Although dedicated dermatology wards have been closed in some countries, they continue to exist in others. Inpatient consultations requested from dermatologists have been investigated widely. However, those requested by dermatologists have been taken into consideration only in a few studies.
This study aimed to investigate such consultations, particularly in the context of diagnoses, reasons, and consulting specialties.
Patients admitted to the dermatology ward of a tertiary hospital in Turkey between January 2019 and August 2021 were retrospectively analyzed.
The most common diagnoses were non-pustular psoriasis (11.5%), pruritus (10.9%), and urticaria (10.6%) in 548 admissions with a median length of stay of 15.1 days. There were 1712 consultations. Their number per admission was positively correlated with patient's age and length of stay. Highest numbers were observed in admissions with a diagnosis of bullous pemphigoid, leg ulcers, lupus erythematosus, pustular psoriasis, hidradenitis suppurativa, and pemphigus. Reasons for consultation were management of comorbidity (53.8%), evaluation for drug precaution (19.1%), investigation for etiology (12.8%), evaluation for systemic involvement (6.0%), taking treatment advice (5.4%), obtaining biopsy (3.0%), and differential diagnosis (1.9%).
Our findings showed that the number of consultations per admission was high, and the most common reason for consultation was comorbidity, indicating that, practically, there are no more pure dermatological patients. Therefore, if dedicated dermatology wards will continue to exist, in order to lower the number of consultations so length of stay, dermatologist should be trained in a manner so that they have more knowledge about common comorbidities.
尽管在一些国家专门的皮肤科病房已关闭，但在其他国家仍存在。皮肤科医生请求的住院会诊已得到广泛研究。然而，只有少数研究考虑了皮肤科医生请求的会诊。
本研究旨在调查此类会诊，特别是在诊断、原因和会诊专科方面。
回顾性分析2019年1月至2021年8月期间入住土耳其一家三级医院皮肤科病房的患者。
在548例住院患者中，最常见的诊断是非脓疱型银屑病（11.5%）、瘙痒症（10.9%）和荨麻疹（10.6%），中位住院时间为15.1天。共进行了1712次会诊。每次住院的会诊次数与患者年龄和住院时间呈正相关。在诊断为大疱性类天疱疮、腿部溃疡、红斑狼疮、脓疱型银屑病、化脓性汗腺炎和天疱疮的住院患者中观察到的会诊次数最多。会诊原因包括合并症管理（53.8%）、药物预防评估（19.1%）、病因调查（12.8%）、全身受累评估（6.0%）、寻求治疗建议（5.4%）、获取活检（3.0%）和鉴别诊断（1.9%）。
我们的研究结果表明，每次住院的会诊次数较高，最常见的会诊原因是合并症，这表明实际上不再有纯粹的皮肤科患者。因此，如果专门的皮肤科病房继续存在，为了减少会诊次数和住院时间，皮肤科医生应以使其对常见合并症有更多了解的方式进行培训。
