| Revista: | Anais brasileiros de dermatologia |
| Base de datos: | |
| Número de sistema: | 000558053 |
| ISSN: | 0365-0596 |
| Autors: | Ferreira, Iago Gonçalves1 Almeida, Camila Saraiva3 Bulcão, Lucas Abascal2 Ferreira, Diego Gonçalves2 Weber, Magda Blessmann1 Bonamigo, Renan Rangel1 |
| Institucions: | 1Dermatology Service Santa Casa de Misericordia de Porto Alegre, Porto Alegre, RS. Brasil 2Federal University of Health Sciences of Porto Alegre, Department of Dermatology, Porto Alegre, RS. Brasil 3University of Caxias do Sul, Faculty of Medicine, Caxias do Sul, RS. Brasil 4Federal University of Rio Grande do Sul, Faculty of Medicine, Porto Alegre, RS. Brasil |
| Any: | 2023 |
| Volum: | 98 |
| Número: | 5 |
| Paginació: | 620-634 |
| País: | Brasil |
| Idioma: | Inglés |
| Resumen en inglés | 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. |
| Keyword: | Dermatology, Epidemiology, Health services research, Inpatients, Skin diseases, Skin and connective tissue diseases |
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