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Inpatient Dermatology: Characteristics of Patients and Admissions in a Tertiary Level Hospital in Eastern India

INTRODUCTION: Dermatology is primarily a non-acute, outpatient-centered clinical specialty, but substantial number of patients need indoor admission for adequate management. Over the years, the need for inpatient facilities in Dermatology has grown manifold; however, these facilities are available o...

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Autores principales: Sen, Arpita, Chowdhury, Satyendranath, Poddar, Indrasish, Bandyopadhyay, Debabrata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5029246/
https://www.ncbi.nlm.nih.gov/pubmed/27688450
http://dx.doi.org/10.4103/0019-5154.190104
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author Sen, Arpita
Chowdhury, Satyendranath
Poddar, Indrasish
Bandyopadhyay, Debabrata
author_facet Sen, Arpita
Chowdhury, Satyendranath
Poddar, Indrasish
Bandyopadhyay, Debabrata
author_sort Sen, Arpita
collection PubMed
description INTRODUCTION: Dermatology is primarily a non-acute, outpatient-centered clinical specialty, but substantial number of patients need indoor admission for adequate management. Over the years, the need for inpatient facilities in Dermatology has grown manifold; however, these facilities are available only in some tertiary centers. AIMS AND OBJECTIVES: To analyze the characteristics of the diseases and outcomes of patients admitted in the dermatology inpatient Department of a tertiary care facility in eastern India. MATERIALS AND METHODS: We undertook a retrospective analysis of the admission and discharge records of all patients, collected from the medical records department, admitted to our indoor facility from 2011 to 2014. The data thus obtained was statistically analyzed with special emphasis on the patient's demographic profile, clinical diagnosis, final outcome, and duration of stay. RESULTS AND ANALYSIS: A total of 375 patients were admitted to our indoor facility during the period. Males outnumbered females, with the median age in the 5th decade. Immunobullous disorders (91 patients, 24.27%) were the most frequent reason for admissions, followed by various causes of erythroderma (80 patients, 21.33%) and infective disorders (73 patients, 19.47%). Other notable causes included cutaneous adverse drug reactions, psoriasis, vasculitis, and connective tissue diseases. The mean duration of hospital stay was 22.2±15.7 days; ranging from 1 to 164 days. Majority of patients (312, 83.2%) improved after hospitalization; while 29 (7.73%) patients died from their illness. About 133 patients (35.64%) required referral services during their stay, while 8 patients (2.13%) were transferred to other departments for suitable management. CONCLUSION: Many dermatoses require inpatient care for their optimum management. Dermatology inpatient services should be expanded in India to cater for the large number of cases with potentially highly severe dermatoses.
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spelling pubmed-50292462016-09-29 Inpatient Dermatology: Characteristics of Patients and Admissions in a Tertiary Level Hospital in Eastern India Sen, Arpita Chowdhury, Satyendranath Poddar, Indrasish Bandyopadhyay, Debabrata Indian J Dermatol Short Communication INTRODUCTION: Dermatology is primarily a non-acute, outpatient-centered clinical specialty, but substantial number of patients need indoor admission for adequate management. Over the years, the need for inpatient facilities in Dermatology has grown manifold; however, these facilities are available only in some tertiary centers. AIMS AND OBJECTIVES: To analyze the characteristics of the diseases and outcomes of patients admitted in the dermatology inpatient Department of a tertiary care facility in eastern India. MATERIALS AND METHODS: We undertook a retrospective analysis of the admission and discharge records of all patients, collected from the medical records department, admitted to our indoor facility from 2011 to 2014. The data thus obtained was statistically analyzed with special emphasis on the patient's demographic profile, clinical diagnosis, final outcome, and duration of stay. RESULTS AND ANALYSIS: A total of 375 patients were admitted to our indoor facility during the period. Males outnumbered females, with the median age in the 5th decade. Immunobullous disorders (91 patients, 24.27%) were the most frequent reason for admissions, followed by various causes of erythroderma (80 patients, 21.33%) and infective disorders (73 patients, 19.47%). Other notable causes included cutaneous adverse drug reactions, psoriasis, vasculitis, and connective tissue diseases. The mean duration of hospital stay was 22.2±15.7 days; ranging from 1 to 164 days. Majority of patients (312, 83.2%) improved after hospitalization; while 29 (7.73%) patients died from their illness. About 133 patients (35.64%) required referral services during their stay, while 8 patients (2.13%) were transferred to other departments for suitable management. CONCLUSION: Many dermatoses require inpatient care for their optimum management. Dermatology inpatient services should be expanded in India to cater for the large number of cases with potentially highly severe dermatoses. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC5029246/ /pubmed/27688450 http://dx.doi.org/10.4103/0019-5154.190104 Text en Copyright: © Indian Journal of Dermatology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Short Communication
Sen, Arpita
Chowdhury, Satyendranath
Poddar, Indrasish
Bandyopadhyay, Debabrata
Inpatient Dermatology: Characteristics of Patients and Admissions in a Tertiary Level Hospital in Eastern India
title Inpatient Dermatology: Characteristics of Patients and Admissions in a Tertiary Level Hospital in Eastern India
title_full Inpatient Dermatology: Characteristics of Patients and Admissions in a Tertiary Level Hospital in Eastern India
title_fullStr Inpatient Dermatology: Characteristics of Patients and Admissions in a Tertiary Level Hospital in Eastern India
title_full_unstemmed Inpatient Dermatology: Characteristics of Patients and Admissions in a Tertiary Level Hospital in Eastern India
title_short Inpatient Dermatology: Characteristics of Patients and Admissions in a Tertiary Level Hospital in Eastern India
title_sort inpatient dermatology: characteristics of patients and admissions in a tertiary level hospital in eastern india
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5029246/
https://www.ncbi.nlm.nih.gov/pubmed/27688450
http://dx.doi.org/10.4103/0019-5154.190104
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