Inpatient dermatological consultations in a university hospital
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/18541 |
Resumo: | INTRODUCTION: Dermatology is primarily an outpatient specialty, but it also plays an important role in the care of inpatients. METHODS: We conducted a prospective study that recorded data from inpatient dermatology consultation request forms over a period of four months. The study evaluated 313 requests that led to 566 visits, 86 biopsies, 35 laboratory exams, 41 direct microscopic studies, 18 direct immunofluorescence analyses, 14 skin cultures and a few other exams. RESULTS: The most frequent requesting service was internal medicine (24%), followed by neurology (12%), cardiology (11%), infectious diseases and pediatrics (8% each) and psychiatry and general surgery (6% each). The most frequent diagnostic groups were infectious diseases (25%, divided into fungal infections (13%), bacterial infections (7%) and viral infections (5%)), eczemas (15%) and drug reactions (14%). To our knowledge, this is the first study to attempt to evaluate the impact of the consultations by asking multiple-choice questions that were analyzed by the authors. In 31% of the cases, the consultation was considered extremely relevant because it aided in managing the disease that led to admission or treated a potentially severe dermatological disease. In 58% of the cases, the consultation was considered important because it facilitated diagnosis and/or treatment of a dermatological disease that was unrelated to the reason for admission. |
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Inpatient dermatological consultations in a university hospital DermatologyHospitalsGeneral^i1^sstatistics and numerical dInpatients^i1^sstatistics and numerical dDiagnosisDifferentialReferral and Consultation^i1^sstatistics and numerical d INTRODUCTION: Dermatology is primarily an outpatient specialty, but it also plays an important role in the care of inpatients. METHODS: We conducted a prospective study that recorded data from inpatient dermatology consultation request forms over a period of four months. The study evaluated 313 requests that led to 566 visits, 86 biopsies, 35 laboratory exams, 41 direct microscopic studies, 18 direct immunofluorescence analyses, 14 skin cultures and a few other exams. RESULTS: The most frequent requesting service was internal medicine (24%), followed by neurology (12%), cardiology (11%), infectious diseases and pediatrics (8% each) and psychiatry and general surgery (6% each). The most frequent diagnostic groups were infectious diseases (25%, divided into fungal infections (13%), bacterial infections (7%) and viral infections (5%)), eczemas (15%) and drug reactions (14%). To our knowledge, this is the first study to attempt to evaluate the impact of the consultations by asking multiple-choice questions that were analyzed by the authors. In 31% of the cases, the consultation was considered extremely relevant because it aided in managing the disease that led to admission or treated a potentially severe dermatological disease. In 58% of the cases, the consultation was considered important because it facilitated diagnosis and/or treatment of a dermatological disease that was unrelated to the reason for admission. Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2010-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/1854110.1590/S1807-59322010000900007Clinics; Vol. 65 No. 9 (2010); 851-855 Clinics; v. 65 n. 9 (2010); 851-855 Clinics; Vol. 65 Núm. 9 (2010); 851-855 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/18541/20604Mancusi, SuzanaFesta Neto, Cyroinfo:eu-repo/semantics/openAccess2012-05-23T11:31:32Zoai:revistas.usp.br:article/18541Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-05-23T11:31:32Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Inpatient dermatological consultations in a university hospital |
title |
Inpatient dermatological consultations in a university hospital |
spellingShingle |
Inpatient dermatological consultations in a university hospital Mancusi, Suzana Dermatology Hospitals General^i1^sstatistics and numerical d Inpatients^i1^sstatistics and numerical d Diagnosis Differential Referral and Consultation^i1^sstatistics and numerical d |
title_short |
Inpatient dermatological consultations in a university hospital |
title_full |
Inpatient dermatological consultations in a university hospital |
title_fullStr |
Inpatient dermatological consultations in a university hospital |
title_full_unstemmed |
Inpatient dermatological consultations in a university hospital |
title_sort |
Inpatient dermatological consultations in a university hospital |
author |
Mancusi, Suzana |
author_facet |
Mancusi, Suzana Festa Neto, Cyro |
author_role |
author |
author2 |
Festa Neto, Cyro |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Mancusi, Suzana Festa Neto, Cyro |
dc.subject.por.fl_str_mv |
Dermatology Hospitals General^i1^sstatistics and numerical d Inpatients^i1^sstatistics and numerical d Diagnosis Differential Referral and Consultation^i1^sstatistics and numerical d |
topic |
Dermatology Hospitals General^i1^sstatistics and numerical d Inpatients^i1^sstatistics and numerical d Diagnosis Differential Referral and Consultation^i1^sstatistics and numerical d |
description |
INTRODUCTION: Dermatology is primarily an outpatient specialty, but it also plays an important role in the care of inpatients. METHODS: We conducted a prospective study that recorded data from inpatient dermatology consultation request forms over a period of four months. The study evaluated 313 requests that led to 566 visits, 86 biopsies, 35 laboratory exams, 41 direct microscopic studies, 18 direct immunofluorescence analyses, 14 skin cultures and a few other exams. RESULTS: The most frequent requesting service was internal medicine (24%), followed by neurology (12%), cardiology (11%), infectious diseases and pediatrics (8% each) and psychiatry and general surgery (6% each). The most frequent diagnostic groups were infectious diseases (25%, divided into fungal infections (13%), bacterial infections (7%) and viral infections (5%)), eczemas (15%) and drug reactions (14%). To our knowledge, this is the first study to attempt to evaluate the impact of the consultations by asking multiple-choice questions that were analyzed by the authors. In 31% of the cases, the consultation was considered extremely relevant because it aided in managing the disease that led to admission or treated a potentially severe dermatological disease. In 58% of the cases, the consultation was considered important because it facilitated diagnosis and/or treatment of a dermatological disease that was unrelated to the reason for admission. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/18541 10.1590/S1807-59322010000900007 |
url |
https://www.revistas.usp.br/clinics/article/view/18541 |
identifier_str_mv |
10.1590/S1807-59322010000900007 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/18541/20604 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 65 No. 9 (2010); 851-855 Clinics; v. 65 n. 9 (2010); 851-855 Clinics; Vol. 65 Núm. 9 (2010); 851-855 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222755825647616 |