N S Walia1, S Deb. 1. Dermatology & STD, Military Hospital, Secunderabad, India. slg_nitin@sancharnet.in
Abstract
BACKGROUND AND AIMS: Dermatology consultation occurs mainly in the outpatient setting. The reasons for inpatient dermatologic consultation by other specialties in a hospital, its frequency and its impact on health care are largely unrecorded. METHODS: We retrospectively studied the records of 971 hospitalized patients or patients being evaluated in emergency services for which a dermatologist's consultation was requested over a 5-year period in a medium sized military hospital. The demographic details, specialties requiring consultation, provisional diagnosis and dermatological investigations done were tabulated. RESULTS: Dermatologic consultation changed the dermatologic diagnosis and treatment in more than 2/3rd of the patients. Generally, the dermatologic diagnoses most frequently missed by the referring service were common conditions with established treatment. CONCLUSION: The overall impact of dermatologic consultation on health delivery to patients was substantial. Important recommendations to any health care system are offered.
BACKGROUND AND AIMS: Dermatology consultation occurs mainly in the outpatient setting. The reasons for inpatient dermatologic consultation by other specialties in a hospital, its frequency and its impact on health care are largely unrecorded. METHODS: We retrospectively studied the records of 971 hospitalized patients or patients being evaluated in emergency services for which a dermatologist's consultation was requested over a 5-year period in a medium sized military hospital. The demographic details, specialties requiring consultation, provisional diagnosis and dermatological investigations done were tabulated. RESULTS: Dermatologic consultation changed the dermatologic diagnosis and treatment in more than 2/3rd of the patients. Generally, the dermatologic diagnoses most frequently missed by the referring service were common conditions with established treatment. CONCLUSION: The overall impact of dermatologic consultation on health delivery to patients was substantial. Important recommendations to any health care system are offered.
Authors: Awadh Alamri; Mohammed Alshareef; Sarah B Aljoudi; Luai Assaedi; Sara Alkassimi; Abdulmohsin Algethami; Mazen S Dajam Journal: Cureus Date: 2022-02-11