Dermatology referral of inpatients from other disciplines : pattern and impact on managent of patients in a tertiary care hospital
Journal Title: Journal of the Indian Medical Association - Year 2019, Vol 117, Issue 3
Abstract
Although dermatology has traditionally been practiced through outpatient consultation, hospitalized patients often have dermatologic problems. Along with common dermatological diseases hospitalized patients may have a wider spectrum of severe and serious dermatological conditions, associated with significant morbidity within hospitals which demands dermatological expertise. These often provide a clue to the future diagnosis, prognosis and treatment of patients. To analyze the causes of inpatient dermatology referrals, departments sending referrals, and impact of dermatology consultation on patient management. In this year-long prospective observational study of 398 patients we used a specific data collection form to record information on consultations for patients admitted between February 2017 and December 2017. The demographic details, specialties requesting consultation, cause of referral, and dermatological advice have been recorded and analyzed. General medicine requested the maximum number of referrals, and infections (43.46%) are the most common cause for referral. Most variable and interestng cases were referred from the department of Paediatrics, followed by General Medicine. Accurate diagnosis on referrals was provided by only 34.01% of nondermatologists. Common dermatological disorders were often misdiagnosed by these physicians. Our study revealed the importance of inpatient medical dermatology referral in terms of both service and education. While dermatologic referral leads to improved patient care, there is a need for better training of nondermatologists enabling them to recognize and treat common dermatoses. Apart from that, dermatologist also get enriched by evaluating different dermatological findings in patients suffering from systemic disease
Authors and Affiliations
Dayamay Pal, Projna Biswas, Sudip Das, Abhishek De, Pijush Kanti Das, Asad Ansari, Nidhi Sharma
Keywords
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