Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital
Abstract Background 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...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Dermatologia
2023-08-01
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| Series: | Anais Brasileiros de Dermatologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962023000500620&lng=en&tlng=en |
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| author | Iago Gonçalves Ferreira Camila Saraiva Almeida Lucas Abascal Bulcão Diego Gonçalves Ferreira Magda Blessmann Weber Renan Rangel Bonamigo |
| author_facet | Iago Gonçalves Ferreira Camila Saraiva Almeida Lucas Abascal Bulcão Diego Gonçalves Ferreira Magda Blessmann Weber Renan Rangel Bonamigo |
| author_sort | Iago Gonçalves Ferreira |
| collection | DOAJ |
| description | Abstract Background 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. Methods 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. Results 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. Study limitations 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. Conclusions These findings underlie the importance of Dermatology in hospital assistance, contributing to the management of a wide range of skin conditions. |
| first_indexed | 2024-03-12T12:32:35Z |
| format | Article |
| id | doaj.art-202a551bcd40408f996a51d3bf0a91ef |
| institution | Directory Open Access Journal |
| issn | 0365-0596 |
| language | English |
| last_indexed | 2024-03-12T12:32:35Z |
| publishDate | 2023-08-01 |
| publisher | Sociedade Brasileira de Dermatologia |
| record_format | Article |
| series | Anais Brasileiros de Dermatologia |
| spelling | doaj.art-202a551bcd40408f996a51d3bf0a91ef2023-08-29T07:43:00ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962023-08-0198562063410.1016/j.abd.2022.08.010Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospitalIago Gonçalves Ferreirahttps://orcid.org/0000-0002-4695-1982Camila Saraiva Almeidahttps://orcid.org/0000-0002-5801-1736Lucas Abascal Bulcãohttps://orcid.org/0000-0002-2190-0986Diego Gonçalves FerreiraMagda Blessmann Weberhttps://orcid.org/0000-0001-5885-5851Renan Rangel Bonamigohttps://orcid.org/0000-0003-4792-8466Abstract Background 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. Methods 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. Results 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. Study limitations 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. Conclusions These findings underlie the importance of Dermatology in hospital assistance, contributing to the management of a wide range of skin conditions.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962023000500620&lng=en&tlng=enDermatologyEpidemiologyHealth services researchInpatientsSkin diseasesSkin and connective tissue diseases |
| spellingShingle | Iago Gonçalves Ferreira Camila Saraiva Almeida Lucas Abascal Bulcão Diego Gonçalves Ferreira Magda Blessmann Weber Renan Rangel Bonamigo Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital Anais Brasileiros de Dermatologia Dermatology Epidemiology Health services research Inpatients Skin diseases Skin and connective tissue diseases |
| title | Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital |
| title_full | Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital |
| title_fullStr | Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital |
| title_full_unstemmed | Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital |
| title_short | Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital |
| title_sort | hospital dermatology analysis of dermatological consultations in a tertiary teaching hospital |
| topic | Dermatology Epidemiology Health services research Inpatients Skin diseases Skin and connective tissue diseases |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962023000500620&lng=en&tlng=en |
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