Characterisation and diagnosis of ulcers in inpatient dermatology consultation services: A multi‐centre study.
Accurate and prompt diagnosis of skin ulcers is critical to optimise management; however, studies in hospitalised patients are limited. This retrospective review of dermatologic consultations included 272 inpatients with skin ulcers between July 2015 and July 2018 in four U.S. academic hospitals. Th...
| Publicado en: | International Wound Journal Vol. 16; no. 6; pp. 1440 - 1445 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139861778&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139861778 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17424801 1725 jtl: International Wound Journal issn: 17424801 maglogo: Y pubinfo: dt: Dec2019 vid: 16 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 139861778 139861778 139861778 10.1111/iwj.13211 139861778 ppf: 1440 ppct: 5 formats: tig: atl: Characterisation and diagnosis of ulcers in inpatient dermatology consultation services: A multi‐centre study. aug: au: Haynes, Dylan Hammer, Phoebe Malachowski, Stephen J. Kaffenberger, Benjamin Yi, Jonathan S. Vera, Nora Calhoun, Cody Shinohara, Michi M. Seminario‐Vidal, Lucia Trinidad, John C. Keller, Jesse J. Ortega‐Loayza, Alex G. affil: Oregon Health & Science University, Department of Dermatology, Portland Oregon sug: subj: Skin Ulcer Diagnosis Disease Attributes Skin Care Human Multicenter Studies Inpatients Pharmacy Service Dermatology Referral and Consultation Retrospective Design Record Review Academic Medical Centers United States Middle Age Female Male Patient Admission Lower Extremity Pathology Pyoderma Gangrenosum Diagnosis Infection Diagnosis Confidence Intervals Incidence Middle Aged: 45-64 years Female Male ab: Accurate and prompt diagnosis of skin ulcers is critical to optimise management; however, studies in hospitalised patients are limited. This retrospective review of dermatologic consultations included 272 inpatients with skin ulcers between July 2015 and July 2018 in four U.S. academic hospitals. The median age was 54 years and 45% were male. In 49.3% of the patients, skin ulcers were considered the primary reason for admission. Ulcers of 62% were chronic and 49.6% were located on the lower extremities. Pyoderma gangrenosum (17.3%), infection (12.5%), and exogenous causes (11.8%) were the leading aetiologies; 12% remained diagnostically inconclusive after consultation. Diagnostic agreements pre‐dermatology and post‐dermatology consult ranged from 0.104 (n = 77, 95% CI 0.051‐0.194) to 0.553 (n = 76, 95% CI 0.440‐0.659), indicating poor‐modest agreement. This study highlights the diagnostic complexity and relative incidences of skin ulcers in the inpatient setting. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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