The Impact of Skin Diseases in Hospital Care and the Contributions of Dermatology
Abstract
Introduction: Skin diseases show a high prevalence in hospital settings. Hospitalized patients with associated dermatoses present a higher mortality risk than individuals without skin conditions, reinforcing the importance of early diagnosis and treatment.
Methods: A systematic review was performed in five databases Medline, SciELO, LILACS, Web of Science and Scopus, using the keywords “Inpatients” AND “Dermatology”, covering the period from 2010 to 2020. Then a narrative review was conducted through the authors’ selection of relevant references about hospital dermatology, including review articles, books, and other publications.
Results: Based on search strategy, we found 166 publications of which 26 studies were eligible for inclusion in the study. From this literature review, we analysed dermatoses frequencies among hospitalized patients and the types of dermatological care. Dermatological diseases constitute important pathologies in hospitals, with infectious and drug eruptions as the most prevalent skin diseases.
Conclusion: This study demonstrates that dermatological diseases are highly frequent among hospitalized patients. Most studies corroborate the contribution of Dermatology for hospital care.
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References
Rosenbach M, Wanat KA, Michelleti RG. Inpatient Dermatology. First Edit. Springer London; 2018. 407 p.
Olmos Olmos E, Gómez Duque M, Angulo Moreno I, Castaño Ortiz L, Garzon Ocampo V, Vélez Ocampo S. Frecuencia de lesiones dermatológicas en pacientes adultos de cuidado intensivo. Acta Médica Colomb. 2019;44(1):25–30.
Pelloni L, Cazzaniga S, Naldi L, Borradori L, Mainetti C. Emergency Consultations in Dermatology in a Secondary Referral Hospital in Southern Switzerland: A Prospective Cross-Sectional Analysis. Dermatology. 2019;235(3):243–9.
Arnold JD, Yoon SJ, Kirkorian AY. The national burden of inpatient dermatology in adults. J Am Acad Dermatol [Internet]. 2018;80(2):425–32. Available at: https://doi.org/10.1016/j.jaad.2018.06.070
Mashayekhi S, Hajhosseiny R. Dermatology, an interdisciplinary approach between community and hospital care. JRSM Short Rep. 2013;4(7):1–4.
Wolf R, Davidovici BB, Parish JL, Parish LC. Emergency Dermatology. First edit. Cambridge University Press; 2010. 378 p.
Huang W, Chong WS. Patterns of inpatient dermatology referral and predictors of diagnostic accuracy in non-dermatologists in a Northern District hospital in Singapore. Int J Dermatol. 2015;55(5):546–52.
Biesbroeck LK, Shinohara MM. Inpatient Consultative Dermatology. Med Clin North Am [Internet]. 2015;99(6):1349–64. Available at: http://dx.doi.org/10.1016/j.mcna.2015.06.004
Alani A, Sadlier M, Uddin A, Hackett C, Ramsay B, Ahmad K. An analysis of inpatient dermatologic consultations at University Hospital Limerick: inadequate infrastructure leads to acute skin failure. Ir J Med Sci. 2016;186(2):305–7.
Chavez-Alvarez S, Herz-Ruelas M, Ocampo-Candiani J, Ayala-Cortes AS, Gomez-Flores M. Dermatology inpatient consultations in Latin America: 3-year experience in our University Hospital setting. Int J Dermatol. 2019;58(10):1172–4.
Pereira AR, Porro AM, Seque CA, Pasin VP, Tomimori J. Inpatient Dermatology Consultations in Renal Transplant Recipients. Actas Dermosifiliogr [Internet]. 2018;109(10):900–7. Available at: https://doi.org/10.1016/j.ad.2018.07.009
Soria Orozco M, Padron Salas A, Shiguetomi Sifuentes AL, Amezcua Gudiño S, Ramirez Padilla M, Huerta Rivera G, et al. Prevalence of skin diseases among hospitals in the public healthcare system of a developing country. Int J Dermatol. 2018;58(5):563–8.
Brito LDAR, do Nascimento ACM, De Marque C, Miot HA. Seasonality of the hospitalizations at a dermatologic ward (2007-2017). An Bras Dermatol. 2018;93(5):755–8.
Saka B, Gnassingbe W, Akakpo S, Mahamadou G, Teclessou J, Mouhari-Toure A, et al. Reasons for inpatient admissions to the dermatology department in Lomé, Togo : Trends between 1992 to 2005 and 2005 to 2016. Med Sante Trop [Internet]. julho de 2018;28(3):270–2. Available at: http://www.john-libbey-eurotext.fr/medline.md?doi=10.1684/mst.2018.0813
Cavero J. Características demográficas y clínicas de los pacientes evaluados en interconsulta dermatológica en un hospital nacional de Lima-Perú . Dermatol Peru. 2017;27(2):75–8.
Phillips GS, Freites-Martinez A, Hsu M, Skripnik Lucas A, Barrios DM, Ciccolini K, et al. Inflammatory dermatoses, infections, and drug eruptions are the most common skin conditions in hospitalized cancer patients. J Am Acad Dermatol [Internet]. 2017;78(6):1102–9. Available at: https://doi.org/10.1016/j.jaad.2017.12.031
Makrantonaki E, Steinhagen-Thiessen E, Nieczaj R, Zouboulis CC, Eckardt R. Prävalenz von Hautkrankheiten bei hospitalisierten geriatrischen Patienten: Assoziation mit Geschlecht, Hospitalisationsdauer und geriatrischem Assessment. Z Gerontol Geriatr. 2016;50(6):524–31.
Galimberti F, Guren L, Fernandez AP, Sood A. Dermatology consultations significantly contribute quality to care of hospitalized patients: a prospective study of dermatology inpatient consults at a tertiary care center. Int J Dermatol. 2016;55(10):e547–51.
Zhao CY, Ang RYN, George R, Tan MH, Murrell DF. The quality of dermatology consultation documentation in discharge summaries: a retrospective analysis. Int J Women’s Dermatology [Internet]. 2016;2(1):23–7. Available at: http://dx.doi.org/10.1016/j.ijwd.2015.12.003
Fournier A, Kaire YK, Roche-Kubler B, Laresche C, Dupond AS. Évaluation des caractéristiques médicoéconomiques des consultations de dermatologie interservices de l’hôpital Nord Franche-Comté : enquête prospective. Ann Dermatol Venereol. 2016;144(2):133–6.
Tracey EH, Forrestel A, Rosenbach M, Micheletti RG. Inpatient dermatology consultation in patients with hematologic malignancies. J Am Acad Dermatol [Internet]. 2016;75(4):835–6. Available at: http://dx.doi.org/10.1016/j.jaad.2016.05.014
Mehra T, Hoetzenecker W, Moos R, Volbracht J, Guenova E, French LE, et al. Inpatient Treatment for Severe Nonsurgical Dermatological Disorders: Prevalence, Care Infrastructure and Reimbursement in Switzerland. Dermatology. 2015;231(3):260–8.
Özyurt S, Kelekçi KH, Şeremet S, Özçelik S. Analysis of Inpatient Dermatologic Consultations. Actas Dermosifiliogr. 2014;105(8):799–800.
Can B, Zindanci I, Turkoğlu Z, Kavala M, Kocaturk E, Ft D. Dermatology In-Patients in a University Teaching Hospital. Clin Res Dermatology. 2014;1(1):2.
Storan ER, McEvoy MT, Wetter DA, El-Azhary RA, Camilleri MJ, Bridges AG, et al. Experience of a year of adult hospital dermatology consultations. Int J Dermatol. 2014;54(10):1150–6.
Bale J, Chee P. Inpatient dermatology: Pattern of admissions and patients’ characteristics in an Australian hospital. Australas J Dermatol. 2014;55(3):191–5.
De Paula Samorano-Lima L, Quitério LM, Sanches JA, Neto CF. Inpatient dermatology: Profile of patients and characteristics of admissions to a tertiary dermatology inpatient unit in São Paulo, Brazil. Int J Dermatol. 2014;53(6):685–91.
Hu L, Haynes H, Ferrazza D, Kupper T, Qureshi A. Impact of specialist consultations on inpatient admissions for dermatology-specific and related DRGs. J Gen Intern Med. 2013;28(11):1477–82.
Lorente-Lavirgen AI, Bernabeu-Wittel J, Pulpillo-Ruiz A, De La Torre-García JM, Conejo-Mir J. Interconsulta hospitalaria en Dermatología sobre una cohorte prospectiva en un hospital español de tercer nivel. Actas Dermosifiliogr [Internet]. 2013;104(2):148–55. Available at: http://dx.doi.org/10.1016/j.ad.2012.05.007
Mancusi S, Neto CF. Inpatient dermatological consultations in a university hospital. Clinics. 2010;65(9):851–5.
Fernandes IC, Velho G, Selores M. Dermatology inpatient consultation in a Portuguese university hospital. Dermatol Online J. 2012;18(6):16.
Tay LK, Lee HY, Thirumoorthy T, Pang SM. Dermatology referrals in an East Asian tertiary hospital: A need for inpatient medical dermatology. Clin Exp Dermatol. 2010;36(2):129–34.
Hay RJ, Johns NE, Williams HC, Bolliger IW, Dellavalle RP, Margolis DJ, et al. The global burden of skin disease in 2010: An analysis of the prevalence and impact of skin conditions. J Invest Dermatol [Internet]. 2014;134(6):1527–34. Available at: http://dx.doi.org/10.1038/jid.2013.446
Ko LN, Kroshinsky D. Dermatology hospitalists: a multicenter survey study characterizing the infrastructure of consultative dermatology in select American hospitals. Int J Dermatol. 2018;57(5):553–8.
Blakely K, Bahrani B, Doiron P, Dahlke E. Early Introduction of Dermatology Clinical Skills in Medical Training. J Cutan Med Surg [Internet]. January 15th, 2020;24(1):47–54. Available at: http://journals.sagepub.com/doi/10.1177/1203475419882341
Beshay A, Liu M, Fox L, Shinkai K. Inpatient dermatology consultative programs: A continued need, tools for needs assessment for curriculum development, and a call for new methods of teaching. J Am Acad Dermatol [Internet]. 2016;74(4):769–71. Available at: http://dx.doi.org/10.1016/j.jaad.2015.11.017
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