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Analysis of Patients Consulted to the Dermatology Unit from the Emergency Department

Year 2023, Volume: 3 Issue: 2, 9 - 13, 31.08.2023

Abstract

Objective: Nowadays, individuals seeking medical help for dermatologic problems frequently visit emergency departments due to many factors. According to clinical studies, dermatologic problems account for 3-8% of all emergency department visits. Dermatologic diseases are not only caused by the skin itself; they can also be a symptom of different systemic diseases. Therefore, it is important for emergency physicians to have a comprehensive understanding of dermatologic emergencies. In most cases, skin diseases do not pose a serious risk to life, but patients present to the emergency department when they experience sudden onset with severe symptoms.

Materials and Methods: This study included patients aged 18 years and older who presented with dermatologic complaints to the emergency department of a university hospital in a city with a population of 4 million between 01.08.2021 and 01.07.2023. A total of 205 patients were analyzed. Sociodemographic data, clinical characteristics, and outcomes of patients with dermatologic complaints were recorded. Data were analyzed using the IBM SPSS Statistics program for statistical analysis.

Results: The ages of the patients in the study ranged from 13 to 98 years, with a median age of 49 years. The patients' female/male ratio was 57.1% to 42.9%. The most common reason for the presentation was a rash with 45.4%. 97.1% of patients presented as outpatients and 88.3% were discharged. Dermatitis was the most common diagnosis (22.9%). Length of hospitalization ranged from 0 to 77 days.

Conclusion: This study reveals the profile and diagnoses of patients presenting to the emergency department with dermatologic complaints. The findings may contribute to the development of more effective strategies for emergency departments to deal with dermatologic emergencies. However, the limitations of the study should also be considered and further research is needed.

References

  • Peart JM, Sharma P, Kovarik CL, Carr BG, Rosenbach M, Lipoff JB. Prevalence of dermatologic disease in an urban emergency department: a cross-sectional study. J Am Acad Dermatol. 2015 May;72(5):920-1. doi: 10.1016/j.jaad.2015.02.1093. PMID: 25890465.
  • Freiman A, Borsuk D, Sasseville D. Dermatologic emergencies. CMAJ. 2005 Nov 22;173(11):1317-9. doi: 10.1503/cmaj.050783. PMID: 16301696; PMCID: PMC1283494.
  • Kedia A, Ranugha PSS, Chethana GS, Kanthraj GR. Severity grading of dermatological emergencies based on comorbidities and systemic involvement: An observational study. Arch Dermatol Res. 2023 Apr 8:1–6. doi: 10.1007/s00403-023-02615-4. Epub ahead of print. PMID: 37031345; PMCID: PMC10098235.
  • Alamri A, Alshareef M, Aljoudi SB et al. Patterns of Dermatological Diseases in Inpatient Consultations at King Abdulaziz Medical City, Jeddah, Saudi Arabia: An Underexploited Opportunity for Dermatology Clinical Training. Cureus. 2022 Feb 11;14(2):e22132. doi: 10.7759/cureus.22132. PMID: 35308658; PMCID: PMC8920823.
  • Arabi YE, Hali F, Skali HD, Chiheb S. Dermatological emergencies: a Moroccan retrospective case series over a period of two years. Pan Afr Med J. 2022 Apr 29;41:348. doi: 10.11604/pamj.2022.41.348.28801. PMID: 35909426; PMCID: PMC9279459.
  • Longowal M, Woo TE, D'Mello J, Ramien M. The treatment and management of atopic dermatitis in the pediatric emergency department: Highlighting physician practices and the desire for patient-centered resources. Pediatr Dermatol. 2021 Sep;38(5):1372-1373. doi: 10.1111/pde.14720. Epub 2021 Aug 13. PMID: 34390032.
  • Kilic D, Yigit O, Kilic T, Buyurgan CS, Dicle O. Epidemiologic Characteristics of Patients Admitted to Emergency Department with Dermatological Complaints; a Retrospective Cross sectional Study. Arch Acad Emerg Med. 2019 Aug 19;7(1):e47. PMID: 31602430; PMCID: PMC6785214.

Acil Servisten Dermatoloji Birimine Konsulte Edilen Hastaların Analizi

Year 2023, Volume: 3 Issue: 2, 9 - 13, 31.08.2023

Abstract

Amaç: Günümüzde, dermatolojik sorunlar için tıbbi yardım arayan bireylerin, pek çok faktör nedeniyle acil servisleri sıklıkla ziyaret ettiği bilinmektedir. Klinik araştırmalara göre, dermatolojik sorunlar acil servise yapılan tüm ziyaretlerin %3-8'ini oluşturmaktadır. Dermatolojik hastalıklar sadece derinin kendisinden kaynaklanmaz; aynı zamanda farklı sistemik hastalıkların da belirtisi olabilir. Bu nedenle, acil servis hekimlerinin dermatolojik acil durumlar hakkında kapsamlı bir anlayışa sahip olmaları önemlidir. Çoğu durumda, deri hastalıkları yaşam için ciddi bir risk oluşturmaz, ancak hastalar şiddetli belirtilerle ani semptomlar yaşadığında acil servise başvururlar.

Gereç ve Yöntemler: Bu çalışma, 01.08.2021 ile 01.07.2023 tarihleri arasında 4 milyon nüfuslu bir şehirde bulunan bir üniversite hastanesinin acil servisine dermatolojik şikayetlerle başvuran 18 yaş ve üzeri hastaları içermektedir. Toplam 205 hasta incelenmiştir. Dermatolojik şikayetle başvuran hastaların sosyodemografik verileri, klinik özellikleri ve sonlanımları kayıt altına alınmıştır. Veriler, istatistiksel analiz için IBM SPSS Statistics programında değerlendirilmiştir.

Bulgular: Çalışmadaki hastaların yaşları 13 ila 98 arasında değişmekte olup, ortanca yaş 49'dur. Kadın hastaların oranı %57,1 iken, erkek hastaların oranı %42,9'dur. En sık başvuru sebebi %45,4 ile döküntüdür. Hastaların %97,1'i ayaktan başvuru yapmıştır ve %88,3'ü taburcu edilmiştir. Dermatit en yaygın tanı (%22,9) olarak saptanmıştır. Hastanede yatış süreleri 0 ila 77 gün arasında değişmektedir.

Sonuç: Bu çalışma, acil servise dermatolojik şikayetlerle başvuran hastaların profilini ve tanılarını ortaya koymaktadır. Bulgular, acil servislerin dermatolojik acil durumlarla ilgilenmesine yönelik daha etkili stratejilerin geliştirilmesine katkı sağlayabilir. Ancak, çalışmanın sınırlamaları da göz önünde bulundurulmalı ve daha fazla araştırmaya ihtiyaç duyulmaktadır.

References

  • Peart JM, Sharma P, Kovarik CL, Carr BG, Rosenbach M, Lipoff JB. Prevalence of dermatologic disease in an urban emergency department: a cross-sectional study. J Am Acad Dermatol. 2015 May;72(5):920-1. doi: 10.1016/j.jaad.2015.02.1093. PMID: 25890465.
  • Freiman A, Borsuk D, Sasseville D. Dermatologic emergencies. CMAJ. 2005 Nov 22;173(11):1317-9. doi: 10.1503/cmaj.050783. PMID: 16301696; PMCID: PMC1283494.
  • Kedia A, Ranugha PSS, Chethana GS, Kanthraj GR. Severity grading of dermatological emergencies based on comorbidities and systemic involvement: An observational study. Arch Dermatol Res. 2023 Apr 8:1–6. doi: 10.1007/s00403-023-02615-4. Epub ahead of print. PMID: 37031345; PMCID: PMC10098235.
  • Alamri A, Alshareef M, Aljoudi SB et al. Patterns of Dermatological Diseases in Inpatient Consultations at King Abdulaziz Medical City, Jeddah, Saudi Arabia: An Underexploited Opportunity for Dermatology Clinical Training. Cureus. 2022 Feb 11;14(2):e22132. doi: 10.7759/cureus.22132. PMID: 35308658; PMCID: PMC8920823.
  • Arabi YE, Hali F, Skali HD, Chiheb S. Dermatological emergencies: a Moroccan retrospective case series over a period of two years. Pan Afr Med J. 2022 Apr 29;41:348. doi: 10.11604/pamj.2022.41.348.28801. PMID: 35909426; PMCID: PMC9279459.
  • Longowal M, Woo TE, D'Mello J, Ramien M. The treatment and management of atopic dermatitis in the pediatric emergency department: Highlighting physician practices and the desire for patient-centered resources. Pediatr Dermatol. 2021 Sep;38(5):1372-1373. doi: 10.1111/pde.14720. Epub 2021 Aug 13. PMID: 34390032.
  • Kilic D, Yigit O, Kilic T, Buyurgan CS, Dicle O. Epidemiologic Characteristics of Patients Admitted to Emergency Department with Dermatological Complaints; a Retrospective Cross sectional Study. Arch Acad Emerg Med. 2019 Aug 19;7(1):e47. PMID: 31602430; PMCID: PMC6785214.
There are 7 citations in total.

Details

Primary Language English
Subjects Epidemiological Modelling
Journal Section Research Articles
Authors

Elif Eryurt Öz 0009-0009-7319-3548

Deniz Çınaroğlu 0009-0009-4349-9116

Süleyman Kardaş 0009-0000-3258-3878

Efe Kanter 0000-0002-0208-950X

Süleyman Kırık 0000-0003-1477-6363

Osman Sezer Çınaroğlu 0000-0002-3860-2053

Publication Date August 31, 2023
Submission Date August 1, 2023
Published in Issue Year 2023 Volume: 3 Issue: 2

Cite

APA Öz, E. E., Çınaroğlu, D., Kardaş, S., Kanter, E., et al. (2023). Analysis of Patients Consulted to the Dermatology Unit from the Emergency Department. Güncel Tıbbi Araştırmaları Dergisi, 3(2), 9-13.
AMA Öz EE, Çınaroğlu D, Kardaş S, Kanter E, Kırık S, Çınaroğlu OS. Analysis of Patients Consulted to the Dermatology Unit from the Emergency Department. CJMR. August 2023;3(2):9-13.
Chicago Öz, Elif Eryurt, Deniz Çınaroğlu, Süleyman Kardaş, Efe Kanter, Süleyman Kırık, and Osman Sezer Çınaroğlu. “Analysis of Patients Consulted to the Dermatology Unit from the Emergency Department”. Güncel Tıbbi Araştırmaları Dergisi 3, no. 2 (August 2023): 9-13.
EndNote Öz EE, Çınaroğlu D, Kardaş S, Kanter E, Kırık S, Çınaroğlu OS (August 1, 2023) Analysis of Patients Consulted to the Dermatology Unit from the Emergency Department. Güncel Tıbbi Araştırmaları Dergisi 3 2 9–13.
IEEE E. E. Öz, D. Çınaroğlu, S. Kardaş, E. Kanter, S. Kırık, and O. S. Çınaroğlu, “Analysis of Patients Consulted to the Dermatology Unit from the Emergency Department”, CJMR, vol. 3, no. 2, pp. 9–13, 2023.
ISNAD Öz, Elif Eryurt et al. “Analysis of Patients Consulted to the Dermatology Unit from the Emergency Department”. Güncel Tıbbi Araştırmaları Dergisi 3/2 (August 2023), 9-13.
JAMA Öz EE, Çınaroğlu D, Kardaş S, Kanter E, Kırık S, Çınaroğlu OS. Analysis of Patients Consulted to the Dermatology Unit from the Emergency Department. CJMR. 2023;3:9–13.
MLA Öz, Elif Eryurt et al. “Analysis of Patients Consulted to the Dermatology Unit from the Emergency Department”. Güncel Tıbbi Araştırmaları Dergisi, vol. 3, no. 2, 2023, pp. 9-13.
Vancouver Öz EE, Çınaroğlu D, Kardaş S, Kanter E, Kırık S, Çınaroğlu OS. Analysis of Patients Consulted to the Dermatology Unit from the Emergency Department. CJMR. 2023;3(2):9-13.