Format

Send to

Choose Destination
Actas Dermosifiliogr. 2013 May;104(4):316-24. doi: 10.1016/j.adengl.2013.03.003. Epub 2013 Apr 11.

Dermatologic emergencies: descriptive analysis of 861 patients in a tertiary care teaching hospital.

[Article in English, Spanish]

Author information

1
Departamento de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain. doctorgrillo85@hotmail.com

Abstract

INTRODUCTION AND OBJECTIVES:

Most Spanish hospitals do not have an on-call dermatologist. The primary objective of our study was to determine the profile of patients visiting our hospital's emergency department for dermatologic conditions; our secondary objective was to analyze the case-resolving capacity of the on-call dermatologist.

MATERIAL AND METHODS:

Prospective study that included patients with dermatologic conditions treated in the emergency department of a hospital with an on-call dermatology resident during a 2-month period. We collected data on sex, age, diagnosis, days since onset, whether or not the emergency visit was justified, referral (self-referral or other), continued care, and the main reason for the visit. To analyze the case-resolving capacity of the on-call dermatologist we assessed the percentage of direct discharges, the diagnostic tests performed, and the percentage of revisits.

RESULTS:

The on-call dermatologist attended 861 patients (14.4 patients per day), of whom 58% were women and 42% men. In total, 131 different diagnoses were made; the most common were infectious cellulitis, acute urticaria, and herpes zoster. Only half of the visits were justifiable as emergencies (95% of patients <30 years of age had conditions that did not justify emergency care, compared to 6% of patients >65 years, P<.005). The on-call dermatologist discharged 58% of the patients directly and the revisit rate was 1%. In 4 of 5 emergency visits no diagnostic tests were required.

CONCLUSIONS:

The profile of patients seeking emergency dermatologic care is variable. Half of the emergency visits were not justified, and unjustified visits were especially common in younger patients. The case-resolving capacity of the on-call dermatologist was high.

PMID:
23582734
DOI:
10.1016/j.adengl.2013.03.003
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Ediciones Doyma, S.L.
Loading ...
Support Center