Profile of dermatology consultations for inpatients: The scope for telemedicine during the COVID-19 pandemic and beyond

R. Pangti, Somesh Gupta
{"title":"Profile of dermatology consultations for inpatients: The scope for telemedicine during the COVID-19 pandemic and beyond","authors":"R. Pangti, Somesh Gupta","doi":"10.4103/cdr.cdr_20_22","DOIUrl":null,"url":null,"abstract":"Background: Attending dermatology consultations for inpatients is an integral part of the role of dermatologists inpatient care. Materials and Methods: A retrospective study was conducted at a large tertiary care hospital when the country, particularly the city, was severely affected by the COVID-19 pandemic. The aim was to study the profile of dermatology referrals for inpatients at the time of the COVID-19 pandemic and assessing the need for telemedicine in these inpatients. Results: A total of 341 dermatology consultations for 288 patients were received. Most of the consultations were from internal medicine (15.3%) and obstetrics and gynecology (8.7%). Around 65% of consultations were for new-onset (≤30 days) skin conditions while around 35% were for chronic (>30 days) conditions. The most commonly seen conditions were superficial fungal infections (14.9%) followed by eczematous disorders (13.2%). On grading the level of urgency of the referrals, 34.4% required an immediate consultation, 41% required it within a week, 12.8% within 2–4 weeks, 8% within 1–3 months, and 3.8% after the pandemic settles. The need for urgent consultation was more in acute cases than in chronic cases (P = 0.00). 62.5% of the consultations could have been done by telemedicine. Conclusion: As a majority of the consultations were for common and straightforward skin conditions and could mostly be done on telemedicine, this study underlines the need for strengthening the telemedicine services for inpatients referrals during this COVID-19 pandemic and even beyond.","PeriodicalId":34880,"journal":{"name":"Clinical Dermatology Review","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Dermatology Review","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/cdr.cdr_20_22","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Attending dermatology consultations for inpatients is an integral part of the role of dermatologists inpatient care. Materials and Methods: A retrospective study was conducted at a large tertiary care hospital when the country, particularly the city, was severely affected by the COVID-19 pandemic. The aim was to study the profile of dermatology referrals for inpatients at the time of the COVID-19 pandemic and assessing the need for telemedicine in these inpatients. Results: A total of 341 dermatology consultations for 288 patients were received. Most of the consultations were from internal medicine (15.3%) and obstetrics and gynecology (8.7%). Around 65% of consultations were for new-onset (≤30 days) skin conditions while around 35% were for chronic (>30 days) conditions. The most commonly seen conditions were superficial fungal infections (14.9%) followed by eczematous disorders (13.2%). On grading the level of urgency of the referrals, 34.4% required an immediate consultation, 41% required it within a week, 12.8% within 2–4 weeks, 8% within 1–3 months, and 3.8% after the pandemic settles. The need for urgent consultation was more in acute cases than in chronic cases (P = 0.00). 62.5% of the consultations could have been done by telemedicine. Conclusion: As a majority of the consultations were for common and straightforward skin conditions and could mostly be done on telemedicine, this study underlines the need for strengthening the telemedicine services for inpatients referrals during this COVID-19 pandemic and even beyond.
住院患者皮肤科咨询简介:新冠肺炎大流行期间及以后的远程医疗范围
背景:参加住院患者的皮肤科会诊是皮肤科医生住院护理不可或缺的一部分。材料和方法:当国家,特别是城市受到新冠肺炎大流行的严重影响时,在一家大型三级护理医院进行了回顾性研究。目的是研究新冠肺炎大流行时住院患者的皮肤科转诊情况,并评估这些住院患者对远程医疗的需求。结果:共接受了341次皮肤科会诊,共288名患者。大多数咨询来自内科(15.3%)和妇产科(8.7%)。约65%的咨询是针对新发(≤30天)皮肤病,约35%的咨询是关于慢性(>30天)疾病。最常见的情况是浅表真菌感染(14.9%),其次是湿疹性疾病(13.2%)。在对转诊的紧急程度进行分级时,34.4%的患者需要立即会诊,41%的患者需要在一周内会诊,12.8%的患者在2-4周内会诊、8%的患者在1-3个月内会诊,3.8%的患者在疫情结束后会诊。急性病例比慢性病例更需要紧急会诊(P=0.00)。62.5%的会诊可以通过远程医疗完成。结论:由于大多数咨询是针对常见和直接的皮肤状况,并且大多数可以通过远程医疗进行,本研究强调了在新冠肺炎大流行期间甚至之后加强住院转诊的远程医疗服务的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
审稿时长
45 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信