Inpatient dermatological consultations in a university hospital

Detalhes bibliográficos
Autor(a) principal: Mancusi, Suzana
Data de Publicação: 2010
Outros Autores: Festa Neto, Cyro
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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spelling 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
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