Patterns of dermatological emergencies at a tertiary hospital in Southwestern Saudi Arabia: A descriptive study.

IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Hamad A Alfahaad
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Abstract

Objectives: To examine the patterns and characteristics of dermatological emergencies managed at a tertiary hospital in the Southwest Region of Saudi Arabia.

Methods: This study employed a retrospective cross-sectional design conducted at King Khalid Hospital in Najran, Saudi Arabia. The study included patients who either visited the dermatology or emergency departments or were hospitalized due to dermatological conditions treated between January 2019 and December 2024.

Results: The study included 126 patients, with an almost equal distribution of males (50.8%) and females (49.2%), predominantly Saudi nationals (78.6%). Most patients were aged 18-60 (65.1%) years. The most common skin lesion was vesiculobullous (23.3%), and infectious diseases (42%) were the leading diagnoses. Lesions were mainly generalized (43.7%). Outcomes showed 31% full recovery, 59% recovery with complications, and 10% mortality. Complications included hepatitis (24%) and hyperpigmentation/hypopigmentation (23%). Most patients (77%) had no co-morbidities. All received supportive treatments, with 88.9% given systemic therapies, predominantly systemic steroids (42%).

Conclusion: This study highlights the diverse spectrum of dermatological emergencies at a tertiary hospital in Southwest Saudi Arabia, emphasizing the predominance of infectious diseases and significant complications faced by patients. The findings underscore the need for comprehensive management strategies and prompt interventions to improve patient outcomes. Enhanced understanding of demographic factors, common diagnoses, and treatment patterns can guide future healthcare policies and resource sallocation.

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沙特阿拉伯西南部一家三级医院皮肤科急诊的模式:一项描述性研究。
目的:研究沙特阿拉伯西南地区一家三级医院皮肤科急诊的模式和特点。方法:本研究采用回顾性横断面设计,在沙特阿拉伯纳吉兰的哈立德国王医院进行。该研究包括在2019年1月至2024年12月期间访问皮肤科或急诊科或因皮肤病住院治疗的患者。结果:该研究包括126例患者,男性(50.8%)和女性(49.2%)的分布几乎相等,主要是沙特国民(78.6%)。大多数患者年龄在18-60岁之间(65.1%)。最常见的皮肤病变为囊泡性(23.3%),主要诊断为感染性疾病(42%)。病变以全身性为主(43.7%)。结果显示,31%的患者完全康复,59%的患者有并发症,10%的患者死亡。并发症包括肝炎(24%)和色素沉着过多/色素沉着不足(23%)。大多数患者(77%)无合并症。所有患者均接受支持性治疗,其中88.9%接受全身治疗,主要是全身类固醇(42%)。结论:本研究突出了沙特阿拉伯西南部一家三级医院皮肤科急诊的多样性,强调了传染病的优势和患者面临的重大并发症。研究结果强调需要全面的管理策略和及时的干预措施来改善患者的预后。加强对人口因素、常见诊断和治疗模式的了解可以指导未来的医疗保健政策和资源配置。
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来源期刊
Saudi Medical Journal
Saudi Medical Journal 医学-医学:内科
CiteScore
2.30
自引率
6.20%
发文量
203
审稿时长
12 months
期刊介绍: The Saudi Medical Journal is a monthly peer-reviewed medical journal. It is an open access journal, with content released under a Creative Commons attribution-noncommercial license. The journal publishes original research articles, review articles, Systematic Reviews, Case Reports, Brief Communication, Brief Report, Clinical Note, Clinical Image, Editorials, Book Reviews, Correspondence, and Student Corner.
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