Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital



Título del documento: Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital
Revue: Anais brasileiros de dermatologia
Base de datos: PERIÓDICA
Número de sistema: 000460465
ISSN: 0365-0596
Autores: 1
3
2
2
1
1
Instituciones: 1Santa Casa de Misericordia de Porto Alegre, Servico de Dermatologia, Porto Alegre, Rio Grande do Sul. Brasil
2Universidade Federal de Ciencias da Saude de Porto Alegre, Departamento de Dermatologia, Porto Alegre, Rio Grande do Sul. Brasil
3Universidade de Caxias do Sul, Faculdade de Medicina, Caxias do Sul, Rio Grande do Sul. Brasil
Año:
Volumen: 98
Número: 5
Paginación: 620-634
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
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
Disciplinas: Medicina
Palabras clave: Hospitales,
Dermatología,
Enfermedades dermatológicas,
Epidemiología,
Servicios de salud
Keyword: Hospitals,
Dermatology,
Skin diseases,
Epidemiology,
Health services
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