{"title":"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。","authors":"Hamad A Alfahaad","doi":"10.15537/smj.2025.46.6.20250004","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To examine the patterns and characteristics of dermatological emergencies managed at a tertiary hospital in the Southwest Region of Saudi Arabia.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"46 6","pages":"629-637"},"PeriodicalIF":1.5000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199650/pdf/","citationCount":"0","resultStr":"{\"title\":\"Patterns of dermatological emergencies at a tertiary hospital in Southwestern Saudi Arabia: A descriptive study.\",\"authors\":\"Hamad A Alfahaad\",\"doi\":\"10.15537/smj.2025.46.6.20250004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To examine the patterns and characteristics of dermatological emergencies managed at a tertiary hospital in the Southwest Region of Saudi Arabia.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":21453,\"journal\":{\"name\":\"Saudi Medical Journal\",\"volume\":\"46 6\",\"pages\":\"629-637\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199650/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Saudi Medical Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.15537/smj.2025.46.6.20250004\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Saudi Medical Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.15537/smj.2025.46.6.20250004","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Patterns of dermatological emergencies at a tertiary hospital in Southwestern Saudi Arabia: A descriptive study.
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.
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.