To study the relevance of inpatient dermatology referrals in a Teaching Hospital of North India
Journal Title: Nasza Dermatologia Online - Year 2018, Vol 9, Issue 3
Abstract
Background: Dermatology is primarily considered to be an outpatient-centered specialty. However, several inpatient admissions to other specialties require dermatologic consultation for optimum management. Aims: The aim of this study was to evaluate the pattern of referrals sent to the dermatology department by other Departments and impact of dermatology consultation on patient management. Materials and Methods: The study included all inpatients referred to dermatology department of a tertiary care centre of North India during a two year period. The demographic details, specialties requesting consultation, cause of referral, and dermatological advice have been recorded and analyzed. Results: Dermatology consultation changed the dermatologic diagnosis and treatment. General medicine requested the maximum number of referrals, skin rash being the most common cause for referral. Accurate diagnosis on referrals was provided by only 25.23 % of non dermatologists. Common dermatological disorders were often misdiagnosed by these physicians, and dermatology referrals had significant impact on the diagnosis and subsequent management of these patients. Conclusion: While dermatologic referral leads to improved patient care, there is a need for better training of non dermatologists enabling them to recognize and treat common dermatoses.
Authors and Affiliations
Parul Chojer
Keywords
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