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Investigation of Consultations Requested by Dermatology Inpatient
Ahmet Doğukan Dağdaş1, Bilge Fettahlioglu Karaman1, Varol Lütfü Aksungur1
1Department of Dermatology, Çukurova University, Faculty of Medicine, Adana, Turkey.
Clinical, Cosmetic and Investigational Dermatology
|January 13, 2025
Summary
Dermatology wards see many consultations for comorbidities, not just skin conditions. Dermatologists need more training in managing common comorbidities to reduce hospital stays and consultations.
Area of Science:
- Dermatology
- Hospital Medicine
- Internal Medicine
Background:
- Dedicated dermatology wards remain operational in some countries, despite closures elsewhere.
- While inpatient consultations *to* dermatologists are well-studied, consultations *from* dermatologists are less explored.
- This study addresses the gap by examining consultations initiated by dermatologists.
Purpose of the Study:
- To investigate dermatologists' consultations, focusing on patient diagnoses, reasons for consultation, and consulting specialties.
- To analyze the frequency and patterns of consultations requested by dermatologists from other medical services.
Main Methods:
- Retrospective analysis of patients admitted to a tertiary hospital's dermatology ward in Turkey.
- Data collected from January 2019 to August 2021, encompassing 548 admissions and 1712 consultations.
Main Results:
- Common diagnoses included psoriasis, pruritus, and urticaria. Consultations were frequent, correlating with patient age and length of stay.
- Bullous pemphigoid, leg ulcers, and lupus erythematosus admissions had the highest consultation numbers.
- Comorbidity management (53.8%) was the primary reason for consultation, followed by drug precautions (19.1%) and etiological investigations (12.8%).
Conclusions:
- High consultation rates, primarily for comorbidities, suggest few purely dermatological patients in wards.
- To optimize care and reduce length of stay in dermatology wards, dermatologists require enhanced training in managing common comorbidities.
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