Dermatologic Consultations in the Hospital Setting

Falanga, Vincent; Schachner, Lawrence A.; Rae, Virginia; Ceballos, Patricia I.; González, Ana Rodríguez; Liang, Grace; Banks, Ray

doi:10.1001/archderm.1994.01690080088013

Cited by 110 publications

(93 citation statements)

References 9 publications

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“…Therefore, it is important to promote education on dermatological conditions more frequently leading to urgent evaluation. It is noteworthy that previous studies found that one third of newly hospitalized patients have relevant cutaneous lesions, which in 50% of cases are either completely missed or in up to 80% of cases wrongly diagnosed [22, 23]. …”

Section: Discussionmentioning

confidence: 99%

Emergency Consultations in Dermatology in a Secondary Referral Hospital in Southern Switzerland: A Prospective Cross-Sectional Analysis

et al. 2019

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Background/Aims: The spectrum of dermatological emergencies is broad. Only a few studies have assessed the profile of dermatological conditions resulting in an emergency visit in a referral hospital. We sought to assess the conditions prompting an urgent dermatological visit and to compare the diagnoses with those made during the regular scheduled encounters. Methods: We performed a cross-sectional study of all patients with a cutaneous problem attending our emergency consultation during a 7-month period. The study variables were gender, age, duration of symptoms, diagnosis, need for hospitalization and/or follow-up. We further evaluated patients attending scheduled visits to compare the demographic characteristics and diagnoses between the two groups. Results: Six hundred fifty-two consecutive patients with an urgent dermatological consultation were included. Three hundred sixty (55.2%) were women and 292 (44.8%) were men. Infectious diseases (32.8%) as well as various forms of eczema (24.8%) constituted the most frequent causes for an emergency visit. Approximately 40% of emergency visits took place more than 1 week after the development of the cutaneous manifestations. The most frequent disorders seen in the 1,738 control patients included benign melanocytic and nonmelanocytic tumors (27.2%) and malignant skin lesions (11.5%). Conclusions: Our study indicates that the dermatological diagnoses in the emergency visits significantly differ from those of the routinely scheduled appointments. In a significant portion of patients, the use of an emergency consultation was not justified. This study provides support to the idea that a specific training is required to manage dermatological emergencies and that efforts should be made to reduce unjustified emergency visit use.

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Section: Discussionmentioning

confidence: 99%

Emergency Consultations in Dermatology in a Secondary Referral Hospital in Southern Switzerland: A Prospective Cross-Sectional Analysis

et al. 2019

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“…33,40,43,52,60,[65][66] To measure the effect of targeted, rel¬ evant education in secondary prevention of skin cancer on primary care residents' skills, we are conducting an intensive, multicomponent intervention with the pri¬ mary care residents from this study. Because in managed care this gatekeeper role for skin cancer is unlikely to diminish in the near future, we must set a course to provide PCPs with more or at least targeted education for skin cancer detection.…”

Section: Dermatologistsmentioning

confidence: 99%

Primary Care Physicians as Gatekeepers in Managed Care

Gerbert¹

1996

Arch Dermatol

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“…However, because of few departments specializing in dermatological emergencies (DE), reports of its assessment (i.e. epidemiology, motivations and diagnoses) are few 2,3 or have been integrated in the evaluation of all dermatological consultations 4 . Our dermatology department, comprised of an inpatient and 1‐day hospitalization units and an outpatient consultation, and also has an outpatient DE unit that is open 24 h a day, 7 days a week with a dedicated dermatologist (who also provides inpatient supervision in off‐duty hour).…”

Section: Introductionmentioning

confidence: 99%