Dermatologic consultations in the hospital setting

V. Falanga, Lawrence A Schachner, V. Rae, P. I. Ceballos, A. Gonzalez, G. Liang, R. Banks

Research output: Contribution to journalArticle

89 Citations (Scopus)

Abstract

Background and Design: Dermatologic practice occurs mainly in the outpatient setting. The reasons for, frequency, and impact of inpatient dermatologic consultation are largely unstudied. In this report, we prospectively studied dermatologic consultation in the major teaching hospital complex of a medical school. Over a period of 8 months, we prospectively recorded the demographics of the patients for whom consultation was requested, the provisional dermatologic diagnosis of the referring service, the final diagnosis of the dermatologic service, and the tests necessary to arrive at a final diagnosis. Results: During a period of slightly over 8 months, dermatologic consultation was requested and delivered to 591 patients who were either hospitalized or being evaluated in the emergency department or other urgent care settings. The services requesting consultation most frequently were medicine (39%), pediatrics (14%), surgery (12%), psychiatry (6%), and neurology (3%). In 51% of consultations, the patients were younger than 45 years of age. Diagnostic tests, including Tzanck smear and potassium hydroxide preparation, confirmed the clinical diagnosis in up to 50% of cases. Dermatologic consultation changed dermatologic diagnosis and treatment in more than 60% of the patients. Generally, the dermatologic diagnoses most frequently missed by the referring service were common conditions with established treatment. Conclusions: Dermatologic consultation in the hospital setting improves dermatologic diagnosis and has an impact on treatment.

Original languageEnglish
Pages (from-to)1022-1025
Number of pages4
JournalArchives of Dermatology
Volume130
Issue number8
DOIs
StatePublished - Aug 25 1994

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Referral and Consultation
Ambulatory Care
Neurology
Medical Schools
Routine Diagnostic Tests
Teaching Hospitals
Psychiatry
Hospital Emergency Service
Inpatients
Outpatients
Therapeutics
Medicine
Demography
Pediatrics

ASJC Scopus subject areas

  • Dermatology

Cite this

Falanga, V., Schachner, L. A., Rae, V., Ceballos, P. I., Gonzalez, A., Liang, G., & Banks, R. (1994). Dermatologic consultations in the hospital setting. Archives of Dermatology, 130(8), 1022-1025. https://doi.org/10.1001/archderm.130.8.1022

Dermatologic consultations in the hospital setting. / Falanga, V.; Schachner, Lawrence A; Rae, V.; Ceballos, P. I.; Gonzalez, A.; Liang, G.; Banks, R.

In: Archives of Dermatology, Vol. 130, No. 8, 25.08.1994, p. 1022-1025.

Research output: Contribution to journalArticle

Falanga, V, Schachner, LA, Rae, V, Ceballos, PI, Gonzalez, A, Liang, G & Banks, R 1994, 'Dermatologic consultations in the hospital setting', Archives of Dermatology, vol. 130, no. 8, pp. 1022-1025. https://doi.org/10.1001/archderm.130.8.1022
Falanga V, Schachner LA, Rae V, Ceballos PI, Gonzalez A, Liang G et al. Dermatologic consultations in the hospital setting. Archives of Dermatology. 1994 Aug 25;130(8):1022-1025. https://doi.org/10.1001/archderm.130.8.1022
Falanga, V. ; Schachner, Lawrence A ; Rae, V. ; Ceballos, P. I. ; Gonzalez, A. ; Liang, G. ; Banks, R. / Dermatologic consultations in the hospital setting. In: Archives of Dermatology. 1994 ; Vol. 130, No. 8. pp. 1022-1025.
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