Original article
Dermatology Consultations in an Emergency Department Prior to Establishment of Emergency Dermatology Cover
Consultas dermatológicas en el Servicio de Urgencias: situación previa a la instauración de guardias de la especialidad
M.L. Martínez-Martínez
, E. Escario-Travesedo, M. Rodríguez-Vázquez, J.M. Azaña-Defez, M.C. Martín de Hijas-Santos, L. Juan-Pérez-García
Corresponding author
Servicio de Dermatología, Complejo Hospitalario Universitario de Albacete, Spain
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Ribera, E. Daudén, L. Puig, V. García-Patos Briones, J.M. Herranz, X. Bordas, F. Vanaclocha" "autores" => array:8 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Ribera" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Daudén" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Puig" ] 3 => array:2 [ "nombre" => "V." "apellidos" => "García-Patos Briones" ] 4 => array:2 [ "nombre" => "J.M." "apellidos" => "Herranz" ] 5 => array:2 [ "nombre" => "X." "apellidos" => "Bordas" ] 6 => array:2 [ "nombre" => "F." "apellidos" => "Vanaclocha" ] 7 => array:1 [ "colaborador" => "on behalf of the NEODERMA Study Group" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219011707508?idApp=UINPBA000044" "url" => "/15782190/0000010200000001/v1_201304241536/S1578219011707508/v1_201304241536/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Dermatology Consultations in an Emergency Department Prior to Establishment of Emergency Dermatology Cover" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "39" "paginaFinal" => "47" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M.L. Martínez-Martínez, E. Escario-Travesedo, M. Rodríguez-Vázquez, J.M. Azaña-Defez, M.C. Martín de Hijas-Santos, L. Juan-Pérez-García" "autores" => array:6 [ 0 => array:4 [ "nombre" => "M.L." "apellidos" => "Martínez-Martínez" "email" => array:1 [ 0 => "mlmartinezm@sescam.jccm.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Escario-Travesedo" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Rodríguez-Vázquez" ] 3 => array:2 [ "nombre" => "J.M." "apellidos" => "Azaña-Defez" ] 4 => array:2 [ "nombre" => "M.C." "apellidos" => "Martín de Hijas-Santos" ] 5 => array:2 [ "nombre" => "L." "apellidos" => "Juan-Pérez-García" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Complejo Hospitalario Universitario de Albacete, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Consultas dermatológicas en el Servicio de Urgencias: situación previa a la instauración de guardias de la especialidad" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-02-27" "fechaAceptado" => "2010-04-27" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec84833" "palabras" => array:5 [ 0 => "Dermatologic emergencies" 1 => "Hospital emergency services" 2 => "On-call dermatologist" 3 => "Dermatology training" 4 => "Epidemiology" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84832" "palabras" => array:5 [ 0 => "Urgencias Dermatológicas" 1 => "Urgencias hospitalarias" 2 => "Guardias de dermatología" 3 => "Formación en dermatología" 4 => "Epidemiología" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background and objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">An increasing number of patients seek emergency treatment for dermatologic complaints. The aim of this study was to assess the characteristics of skin complaints seen in an emergency department prior to establishment of specialist dermatology cover.</p> <span class="elsevierStyleSectionTitle">Materials and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A retrospective, descriptive study was undertaken using data on urgent dermatology cases seen by nonspecialist physicians in the emergency department of Hospital General Universitario de Albacete, Spain, in 2008.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A total of 3662 patients with skin diseases were seen (2.59% of all emergency cases; approximately 10 patients per day). The mean age was 27.73 years and there was a slight predominance of female patients. Children and adolescents accounted for 5.85% of cases. A total of 96 different conditions were diagnosed and 84% of cases corresponded to one of 21 different diagnostic entities, urticaria being the most frequent (19.27%). The 96 diagnoses were grouped into 16 categories to facilitate analysis. According to this classification, most patients had infectious diseases (47.49%), followed by urticaria and angioedema (20.13%), “nonspecific diagnosis” (11.93%), and “descriptive diagnosis” (6.49%). In 4.8% of cases, the patient was admitted, most frequently for cellulitis.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">In nonspecialist emergency services, the number of different diagnoses is small in relation to the number of patients seen and the proportion of nonspecific and descriptive diagnoses is relatively large. In our opinion, an on-call dermatologist should be made available within emergency departments in order to offer a higher quality of care to patients with skin conditions.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los pacientes que solicitan atención urgente por problemas dermatológicos suponen una demanda asistencial creciente y numerosa. El objetivo de nuestro trabajo fue evaluar las características de la patología dermatológica en el Servicio de Urgencias antes de la implantación de las guardias de la especialidad.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo y retrospectivo que recoge los datos referidos a la patología dermatológica urgente atendida, por médicos no especialistas, en el Servicio de Urgencias del Hospital General Universitario de Albacete durante el año 2008.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se atendió a un total de 3.662 pacientes con enfermedades dermatológicas (2,59% de urgencias dermatológicas, 10 pacientes/día). La edad media fue de 27,73 años, con un ligero predominio femenino. La población pediátrica supuso el 44,12%. Fueron diagnosticados 96 procesos diferentes, correspondiendo un 84% de toda la patología atendida a 21 entidades diagnósticas, siendo el diagnóstico más frecuente el de urticaria (19,27%). Los 96 procesos diagnósticos se agruparon en 15 patologías para su análisis, destacando en primer lugar la patología infecciosa (47,49%), seguida de urticaria y angioedema (20,13%), “diagnóstico inespecífico” (11,93%) y “diagnóstico descriptivo” (6,49%). Se realizaron 4,8% de ingresos, siendo la celulitis la causa más frecuente.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El número de diagnósticos diferentes se reduce en las consultas de urgencias generales, aumentando los diagnósticos inespecíficos y descriptivos. Consideramos necesaria la presencia de un dermatólogo de guardia para intentar ofrecer mayor calidad asistencial al paciente dermatológico.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Urgencias dermatológicas en un hospital de referencia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. González Ruiz" 1 => "A.I. Bernal Ruiz" 2 => "M. García Muñoz" 3 => "A. Miranda Romero" 4 => "J. Castrodeza Sanz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2001" "volumen" => "92" "paginaInicial" => "342" "paginaFinal" => "348" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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| 2016 October | 17 | 25 | 42 |
| 2016 September | 29 | 13 | 42 |
| 2016 August | 35 | 9 | 44 |
| 2016 July | 32 | 9 | 41 |
| 2016 June | 5 | 8 | 13 |
| 2016 May | 5 | 7 | 12 |
| 2016 April | 7 | 0 | 7 |
| 2016 March | 7 | 0 | 7 |
| 2016 February | 6 | 6 | 12 |
| 2016 January | 7 | 0 | 7 |
| 2015 December | 8 | 4 | 12 |
| 2015 November | 11 | 1 | 12 |
| 2015 October | 5 | 0 | 5 |
| 2015 September | 7 | 1 | 8 |
| 2015 August | 14 | 3 | 17 |
| 2015 July | 26 | 7 | 33 |
| 2015 June | 21 | 6 | 27 |
| 2015 May | 74 | 11 | 85 |
| 2015 April | 38 | 17 | 55 |
| 2015 March | 74 | 29 | 103 |
| 2015 February | 37 | 17 | 54 |
| 2015 January | 22 | 8 | 30 |
| 2014 December | 23 | 4 | 27 |
| 2014 November | 21 | 16 | 37 |
| 2014 October | 38 | 21 | 59 |
| 2014 September | 35 | 19 | 54 |
| 2014 August | 29 | 16 | 45 |
| 2014 July | 37 | 21 | 58 |
| 2014 June | 41 | 13 | 54 |
| 2014 May | 46 | 16 | 62 |
| 2014 April | 58 | 14 | 72 |
| 2014 March | 50 | 15 | 65 |
| 2014 February | 47 | 15 | 62 |
| 2014 January | 50 | 18 | 68 |
| 2013 December | 35 | 12 | 47 |
| 2013 November | 45 | 26 | 71 |
| 2013 October | 19 | 15 | 34 |
| 2013 September | 33 | 15 | 48 |
| 2013 August | 27 | 29 | 56 |
| 2013 July | 37 | 29 | 66 |
| 2013 June | 31 | 35 | 66 |
| 2013 May | 24 | 22 | 46 |
| 2013 April | 30 | 29 | 59 |
| 2013 March | 26 | 34 | 60 |
| 2013 February | 14 | 16 | 30 |
Show all
