O Impacto das Doenças Dermatológicas no Cuidado Hospitalar e as Contribuições da Dermatologia

Palavras-chave: Dermatologia, Doenças da Pele/epidemiologia, Doentes Internados, Encaminhamento e Consulta

Resumo

Introdução: As doenças de pele apresentam alta prevalência em ambientes hospitalares. Pacientes hospitalizados com dermatoses associadas apresentam maior risco de mortalidade do que indivíduos sem doenças de pele, reforçando a importância do diagnóstico e tratamento precoces.

Métodos: Foi realizada uma revisão sistemática em cinco bases de dados Medline, SciELO, LILACS, Web of Science e Scopus, utilizando as palavras- chave “Inpatients” AND “Dermatology”, abrangendo o período de 2010 a 2020. Em seguida, foi realizada uma revisão narrativa por meio dos autores 'seleção de referências relevantes sobre dermatologia hospitalar, incluindo artigos de revisão, livros e outras publicações.

Resultados: Com base na estratégia de busca, foram encontradas 166 publicações, das quais 26 estudos foram elegíveis para inclusão no estudo. A partir desta revisão da literatura, analisamos as frequências de dermatoses em pacientes hospitalizados e os tipos de cuidados dermatológicos. As doenças dermatológicas constituem patologias importantes nos hospitais, sendo as erupções infecciosas e medicamentosas as dermatoses mais prevalentes.

Conclusão: Este estudo demonstra que as doenças dermatológicas são altamente frequentes entre os pacientes hospitalizados. A maioria dos estudos corrobora a contribuição da dermatologia para a assistência hospitalar.

Downloads

Não há dados estatísticos.

Biografias Autor

Iago Gonçalves Ferreira, Dermatology Service, Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brazil

Dermatology Service of Santa Casa de Misericórdia of Porto Alegre

Federal University of Health Sciences of Porto Alegre

Master in Health Education (on going) – Federal University of Health Sciences of Porto Alegre

Magda Blessmann Weber, Dermatology Service, Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brazil

Dermatology Service of Santa Casa de Misericórdia of Porto Alegre.

Professor of Dermatology of Federal University of Health Sciences of Porto Alegre

PhD in Medical Sciences – Federal University of Rio Grande do Sul

Renan Rangel Bonamigo, Dermatology Service, Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brazil

Head of Dermatology Service of Santa Casa de Misericórdia of Porto Alegre.

Professor of Dermatology of Federal University of Rio Grande do Sul

PhD in Medical Sciences – Federal University of Rio Grande do Sul

Referências

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

Publicado
2021-04-05
Como Citar
Gonçalves Ferreira, I., Blessmann Weber, M., Abascal Bulcão, L., & Rangel Bonamigo, R. (2021). O Impacto das Doenças Dermatológicas no Cuidado Hospitalar e as Contribuições da Dermatologia. Revista Da Sociedade Portuguesa De Dermatologia E Venereologia, 79(1), 41-46. https://doi.org/10.29021/spdv.79.1.1294
Secção
Artigos Originais