Epidemiologic Characteristics of Patients Admitted to Emergency Department with Dermatological Complaints; a Retrospective Cross sectional Study
Archives of Academic Emergency Medicine,
Vol. 7 No. 1 (2019),
1 January 2019
,
Page e47
https://doi.org/10.22037/aaem.v7i1.371
Abstract
Introduction: Dermatological diseases constitute 5-8% of all emergency department (ED) visits. However, little is known about these patients. The aim of this study is to determine the epidemiologic characteristics of patients admitted to ED with dermatological complaints.
Methods: This is a retrospective cross-sectional study conducted in the ED of a university hospital. Patients over 18 years of age who presented to ED with the following complaints were included in the study: rash, pruritus, and edema sensation in the throat or shortness of breath due to an allergic reaction. Demographics, chief complaints, final diagnoses, triage categories, consultations and hospitalization rates were obtained through computerized database of the hospital.Â
Results: 859 patients were included in the final analysis. 511 (59.5%) patients were female and the mean age of patients was 39.03±15 years. The most common complaint and final diagnosis were skin rash with pruritus (50.9%) and urticaria with drug eruptions (84.5%), respectively. Two patients (0.2%) had an emergent triage category. 804 (93.6%) patients were discharged from ED, while 55 (6.4%) received consultations, resulting in 19 (34.5%) hospitalizations.
Conclusion: Most of the patients admitted to ED with dermatological complaints are non-urgent and can be treated as outpatients. However, physicians should be alert for emergent causes, as well.
- Emergency medicine
- urticaria
- Referral and Consultation
- Exanthema
- Anaphylaxis
How to Cite
References
Cydulka RK GB. Dermatological presentations. . In: John A. Marx M, editor. Rosen’s Emergency Medicine: Concepts and Clinical Practice 7nd Ed. 7nd ed. Philadelphia: Mosby Elsevier; 2010. p. 1529.
Feldman SR FA, McConnell RC. Most common dermatologic problems identified by internists, 1990-1994. Arch Intern Med 1998;158(7):726-30.
Isnard C I-H-OS, Fardet L, Matteodo E, Duval S, Hemery F. Dermatological emergencies: evolution from 2008 to 2014 and perspectives. . J Eur Acad Dermatol Venereol. 2016;31(2):274-9.
Francés RodrÃguez L L-SM. Las urgencias en dermatologÃa. Actas Dermosifiliogr. 2015;106(4):322-3.
MartÃnez-MartÃnez ML E-TE, RodrÃguez-Vázquez M, Azaña-Defez JM, MartÃn de Hijas-Santos MC, Juan-Pérez-GarcÃa L. Dermatology consultations in an emergency department prior to establishment of emergency dermatology cover. . Actas Dermosifiliogr. 2011;102(1):39-47.
Rubegni P CG, Lamberti A, Bruni F, Tiezzi R, Verzuri A. Dermatological conditions presenting at the Emergency Department in Siena University Hospital from 2006 to 2011. . J Eur Acad Dermatol Venereol 2015;29(1):164-8.
Grillo E ea. Urgencias dermatológicas: análisis descriptivo de 861 pacientes en un hospital terciario-Dermatologic emergencies: descriptive analysis of 861 patients in a tertiary care teaching hospital. . Actas Dermosifiliogr. 2013;104(4):316-24.
Kim JY CH, Hong JS, Jin SP, Park HS, Lee JH. Skin conditions presenting in emergency room in Korea: an eight-year retrospective analysis. J Eur Acad Dermatol Venereol 2012;27(4):479-85.
Bancalari-DÃaz D G-ML, Canueto J, Andrés-Ramos I, Fernández-López E, Román-Curto C. . Dermatologic Emergencies in a Tertiary Hospital: A Descriptive Study. Actas Dermo-Sifiliográficas (English Edition). 2016;107(8):666-73.
Dertlioğlu SM ÇD, Bozdemir MN. Evaluation of dermatological disorders in Fırat University emergency department. J Kartal TR. 2010;12(2):84-8.
Drago F GG, Signori A, Campisi C, Cozzani E, Parodi A. Dermatological consultations in an observation unit of an emergency department in Italy. J Eur Acad Dermatol Venereol. 2015;29(5):973-80.
Durand AC PS, Tanti-Hardouin N, Gerbeaux P, Sambuc R, Gentile S. . Nonurgent patients in emergency departments: rational or irresponsible consumers? Perceptions of professionals and patients. BMC Res Notes. 2012;25(5):525.
Chen CL FL, Kamel H. . Who uses the emergency department for dermatologic care? A statewide analysis. J Am Acad Dermatol. 2014;71(2):308-13.
Legoupil D DA-C, Karam A, Peu Duvallon P, Dupré D, Greco M. Assessment of dermatological emergencies in a French university hospital. . Ann Dermatol Venereol. 2005;132(11 Pt 1):857-9.
Jack AR SA, Nichols BJ, Chong S, Williams DT, Swadron SP. Cutaneous conditions leading to dermatology consultations in the emergency department. . West J Emerg Med. 2011;12(4):551-5.
Gupta S SK, Kumar B. . Evaluation of emergency dermatological consultations in a tertiary care centre in North India. J Eur Acad Dermatol Venereol. 2003;17(3):303-5.
Murr D BH, Bachot N, Bagot M, Revuz J, Roujeau JC. . Medical activity in a emergency outpatient department dermatology. . Ann Dermatol Venereol. 2003;130(2 Pt 1):167-70.
Kiellberg Larsen H SC. Referral pattern of skin diseases in an acute outpatient dermatological clinic in Copenhagen. Acta Derm Venereol. 2005;85(6):509-11.
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