皮肤科的死亡率:细看

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
Prachi C. Bhandare, A. Navya, R. Ghodge, P. Shukla, Taruna Gupta
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引用次数: 0

摘要

引言:与皮肤科很少遇到管理危重患者和处理死亡率的普遍看法相反,在缺乏及时干预的情况下,严重和广泛的皮肤病可能是致命的。目的和目标:目的是详细研究10年期间在三级保健中心住院的皮肤病患者的死亡情况及其相关的各种因素。材料和方法:这是一项回顾性的、基于记录的观察性研究,为期10年(2011-2021),在一家三级保健医院进行,包括49例病例。在获得机构伦理许可后,从医疗记录科获得了这些信息。病人的相关细节被记录在一份特制的表格中。结果:2011年1月至2021年8月10年间,果阿医学院皮肤内科共收治3491例患者。其中49例患者死于皮肤病,总死亡率为1.4%。最常见的诊断是药物反应(17例,占34.69%),其次是囊泡性疾病(14例,占28.57%)和感染(10例,占20.40%)。结论:药物反应、囊泡性疾病和感染是本组患者死亡的主要原因。广泛的皮肤和粘膜受累,多系统受累,年龄下降,接受治疗的延迟和脓毒症的发作是导致死亡的一些主要因素。在我们的研究中,46.93%的患者年龄在60岁以上,其中56.52%的患者患有囊泡性疾病。因此,特别关注老年皮肤病值得注意,特别是在三级保健中心。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mortality in dermatology: A closer look
Introduction: Contrary to the general perception that the field of dermatology rarely encounters managing critical patients and dealing with mortality, severe and extensive dermatological conditions can be lethal in the absence of timely intervention. Aims and Objectives: The aim was to study in detail regarding the deaths and the various factors associated with it in patients admitted with dermatological conditions in a tertiary care center over a period of 10 years. Materials and Methods: It was a retrospective, record-based, observational study over a period of 10 years (2011–2021) in a tertiary care hospital consisting of 49 cases. After obtaining institutional ethical clearance, the information was obtained from medical records section. The relevant details of patients were entered in a specially formulated proforma. Results: A total of 3491 patients were admitted to the Department of Dermatology, Goa Medical College, during the study period of 10 years from January 2011 to August 2021. Among these, 49 patients succumbed to their skin condition, with an overall mortality percentage of 1.4%. Drug reactions were the most commonly encountered diagnosis in 17 patients (34.69%) which was closely followed by vesiculobullous disorders with 14 (28.57%) cases and infections in 10 (20.40%) cases. Conclusion: Drug reactions, vesiculobullous disease, and infections were the main causes of mortality in our series of patients. Extensive skin and mucosal involvement, multisystem involvement, declining age, delay in treatment received, and onset of sepsis were some of the major factors contributing to mortality. In our study, a high proportion of 46.93% of the patients were above the age of 60 years, out of which 56.52% had vesiculobullous disease. Hence, a special focus on geriatric dermatology deserves attention, especially in tertiary care centers.
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来源期刊
Indian Journal of Medical Specialities
Indian Journal of Medical Specialities MEDICINE, GENERAL & INTERNAL-
自引率
16.70%
发文量
51
期刊介绍: The Indian Journal of Medical Specialities is an all-encompassing peer-reviewed quarterly journal. The journal publishes scholarly articles, reviews, case reports and original research papers from medical specialities specially pertaining to clinical patterns and epidemiological profile of diseases. An important highlight is the emphasis on undergraduate and postgraduate medical education including various aspects of scientific paper-writing. The journal gives priority to research originating from the developing world, including from the tropical regions of the world. The journal also publishes special issues on health topics of current interest. The Indian Journal of Medical Specialities is one of the very few quality multispeciality scientific medical journals.
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