Dermatology consultations significantly contribute quality to care of hospitalized patients: a prospective study of dermatology inpatient consults at a tertiary care center — UC Davis
Dermatology consultations significantly contribute quality to care of hospitalized patients: a prospective study of dermatology inpatient consults at a tertiary care center
Fabrizio Galimberti, Lauren Guren, Anthony P. Fernandez, Apra Sood
Background: Cutaneous abnormalities are common in hospitalized patients but are frequently missed or misdiagnosed by admitting teams. Inpatient dermatology consultations provide important information to help diagnose and manage these patients. However, few studies have analyzed dermatology inpatient consultations and their effect. Methods: We prospectively collected information for 691 consecutive dermatology consultations from November 2013 to November 2014. Results: Patients ranged in age from newborns to 97 years old. The internal medicine service requested the most consultations (45%). Only 6.5% of consultations were requested within 24 hours of appearance of cutaneous findings. Before consultation, 70.3% of patients did not receive treatment for or based on their cutaneous findings. Dermatology consultation resulted in treatment change in 81.9% of patients. The most common diagnoses were drug rash and contact dermatitis. Biopsies confirmed 71.7% of the initial bedside diagnoses by the dermatology consultation team. Conclusions: Common skin diseases were responsible for the majority of dermatology consultations. Most patients were not treated for their cutaneous conditions before the dermatology consultation. Dermatology consultations resulted in treatment changes in the majority of cases.
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Galimberti, F., Guren, L., Fernandez, A. P., & Sood, A. (2016). Dermatology consultations significantly contribute quality to care of hospitalized patients: a prospective study of dermatology inpatient consults at a tertiary care center. International Journal of Dermatology, 55(10), e547-e551. https://doi.org/10.1111/ijd.13327
Dermatology consultations significantly contribute quality to care of hospitalized patients : a prospective study of dermatology inpatient consults at a tertiary care center. / Galimberti, Fabrizio; Guren, Lauren; Fernandez, Anthony P.; Sood, Apra.
Galimberti, F, Guren, L, Fernandez, AP & Sood, A 2016, 'Dermatology consultations significantly contribute quality to care of hospitalized patients: a prospective study of dermatology inpatient consults at a tertiary care center', International Journal of Dermatology, vol. 55, no. 10, pp. e547-e551. https://doi.org/10.1111/ijd.13327
Galimberti F, Guren L, Fernandez AP, Sood A. Dermatology consultations significantly contribute quality to care of hospitalized patients: a prospective study of dermatology inpatient consults at a tertiary care center. International Journal of Dermatology. 2016 Oct 1;55(10):e547-e551. https://doi.org/10.1111/ijd.13327
Galimberti, Fabrizio ; Guren, Lauren ; Fernandez, Anthony P. ; Sood, Apra. / Dermatology consultations significantly contribute quality to care of hospitalized patients : a prospective study of dermatology inpatient consults at a tertiary care center. In: International Journal of Dermatology. 2016 ; Vol. 55, No. 10. pp. e547-e551.
@article{7a933c5122ed485aaee5486068eeeda0,
title = "Dermatology consultations significantly contribute quality to care of hospitalized patients: a prospective study of dermatology inpatient consults at a tertiary care center",
abstract = "Background: Cutaneous abnormalities are common in hospitalized patients but are frequently missed or misdiagnosed by admitting teams. Inpatient dermatology consultations provide important information to help diagnose and manage these patients. However, few studies have analyzed dermatology inpatient consultations and their effect. Methods: We prospectively collected information for 691 consecutive dermatology consultations from November 2013 to November 2014. Results: Patients ranged in age from newborns to 97 years old. The internal medicine service requested the most consultations (45%). Only 6.5% of consultations were requested within 24 hours of appearance of cutaneous findings. Before consultation, 70.3% of patients did not receive treatment for or based on their cutaneous findings. Dermatology consultation resulted in treatment change in 81.9% of patients. The most common diagnoses were drug rash and contact dermatitis. Biopsies confirmed 71.7% of the initial bedside diagnoses by the dermatology consultation team. Conclusions: Common skin diseases were responsible for the majority of dermatology consultations. Most patients were not treated for their cutaneous conditions before the dermatology consultation. Dermatology consultations resulted in treatment changes in the majority of cases.",
author = "Fabrizio Galimberti and Lauren Guren and Fernandez, {Anthony P.} and Apra Sood",
T1 - Dermatology consultations significantly contribute quality to care of hospitalized patients
T2 - a prospective study of dermatology inpatient consults at a tertiary care center
AU - Guren, Lauren
N2 - Background: Cutaneous abnormalities are common in hospitalized patients but are frequently missed or misdiagnosed by admitting teams. Inpatient dermatology consultations provide important information to help diagnose and manage these patients. However, few studies have analyzed dermatology inpatient consultations and their effect. Methods: We prospectively collected information for 691 consecutive dermatology consultations from November 2013 to November 2014. Results: Patients ranged in age from newborns to 97 years old. The internal medicine service requested the most consultations (45%). Only 6.5% of consultations were requested within 24 hours of appearance of cutaneous findings. Before consultation, 70.3% of patients did not receive treatment for or based on their cutaneous findings. Dermatology consultation resulted in treatment change in 81.9% of patients. The most common diagnoses were drug rash and contact dermatitis. Biopsies confirmed 71.7% of the initial bedside diagnoses by the dermatology consultation team. Conclusions: Common skin diseases were responsible for the majority of dermatology consultations. Most patients were not treated for their cutaneous conditions before the dermatology consultation. Dermatology consultations resulted in treatment changes in the majority of cases.
AB - Background: Cutaneous abnormalities are common in hospitalized patients but are frequently missed or misdiagnosed by admitting teams. Inpatient dermatology consultations provide important information to help diagnose and manage these patients. However, few studies have analyzed dermatology inpatient consultations and their effect. Methods: We prospectively collected information for 691 consecutive dermatology consultations from November 2013 to November 2014. Results: Patients ranged in age from newborns to 97 years old. The internal medicine service requested the most consultations (45%). Only 6.5% of consultations were requested within 24 hours of appearance of cutaneous findings. Before consultation, 70.3% of patients did not receive treatment for or based on their cutaneous findings. Dermatology consultation resulted in treatment change in 81.9% of patients. The most common diagnoses were drug rash and contact dermatitis. Biopsies confirmed 71.7% of the initial bedside diagnoses by the dermatology consultation team. Conclusions: Common skin diseases were responsible for the majority of dermatology consultations. Most patients were not treated for their cutaneous conditions before the dermatology consultation. Dermatology consultations resulted in treatment changes in the majority of cases.