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Paediatric dermatological conditions in an emergency department: a single-centre study in Thailand

BACKGROUND: Few studies have evaluated paediatric dermatological conditions and their associated factors that warrant admission at the emergency department. OBJECTIVES: The main objective of this study was to present the demographic information of paediatric dermatological conditions encountered in...

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Autores principales: Techasatian, Leelawadee, Uppala, Rattapon, Phungoen, Pariwat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8424843/
https://www.ncbi.nlm.nih.gov/pubmed/34595359
http://dx.doi.org/10.1136/bmjpo-2021-001215
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author Techasatian, Leelawadee
Uppala, Rattapon
Phungoen, Pariwat
author_facet Techasatian, Leelawadee
Uppala, Rattapon
Phungoen, Pariwat
author_sort Techasatian, Leelawadee
collection PubMed
description BACKGROUND: Few studies have evaluated paediatric dermatological conditions and their associated factors that warrant admission at the emergency department. OBJECTIVES: The main objective of this study was to present the demographic information of paediatric dermatological conditions encountered in the emergency department and identify possible associated factors for hospital admission. METHODS: This retrospective cross-sectional study included paediatric patients who visited the emergency department between 1 January 2016 and 31 December 2019. Data collection was performed using an authorised electronic medical records programme at Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Thailand. RESULTS: A total of 40 683 paediatric patients visited the emergency department during the study period, with 1701 cases presenting dermatological conditions. Infections were the most frequent conditions encountered in the emergency department (647, 38.0%), followed by urticaria/anaphylaxis (478, 28.1%), eczematous diseases (463, 27.2%), cutaneous drug eruptions (64, 3.7%) and miscellaneous (49, 2.9%). Among 1701 paediatric cases with dermatological conditions, only 182 cases (10.7%) were admitted to the hospital and required further management. Cases presenting cutaneous drug eruptions had the highest proportion of hospital admissions (60.9%) and were significantly different from cases in other dermatologic categories (p<0.001). The association of admission found an OR of 0.96 for every year of increase in age (95% CI 0.93 to 0.99, p=0.003). CONCLUSION: The present study found that the majority of patients with cutaneous conditions visiting the emergency department were non-urgent; however, dermatological emergencies exist and should not be underestimated. Younger paediatric patients presenting with dermatological condition is a population with a high risk for hospital admission. Cutaneous drug eruptions showed the highest proportion of hospital admissions compared with other dermatological categories. Therefore, physicians in the emergency department should always look for specific cutaneous signs of drug eruptions, such as target-like lesions and mucosal involvement in Steven-Johnsons syndrome/toxic epidermal necrolysis to prevent misdiagnosis of this dermatological condition.
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spelling pubmed-84248432021-09-29 Paediatric dermatological conditions in an emergency department: a single-centre study in Thailand Techasatian, Leelawadee Uppala, Rattapon Phungoen, Pariwat BMJ Paediatr Open Dermatology BACKGROUND: Few studies have evaluated paediatric dermatological conditions and their associated factors that warrant admission at the emergency department. OBJECTIVES: The main objective of this study was to present the demographic information of paediatric dermatological conditions encountered in the emergency department and identify possible associated factors for hospital admission. METHODS: This retrospective cross-sectional study included paediatric patients who visited the emergency department between 1 January 2016 and 31 December 2019. Data collection was performed using an authorised electronic medical records programme at Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Thailand. RESULTS: A total of 40 683 paediatric patients visited the emergency department during the study period, with 1701 cases presenting dermatological conditions. Infections were the most frequent conditions encountered in the emergency department (647, 38.0%), followed by urticaria/anaphylaxis (478, 28.1%), eczematous diseases (463, 27.2%), cutaneous drug eruptions (64, 3.7%) and miscellaneous (49, 2.9%). Among 1701 paediatric cases with dermatological conditions, only 182 cases (10.7%) were admitted to the hospital and required further management. Cases presenting cutaneous drug eruptions had the highest proportion of hospital admissions (60.9%) and were significantly different from cases in other dermatologic categories (p<0.001). The association of admission found an OR of 0.96 for every year of increase in age (95% CI 0.93 to 0.99, p=0.003). CONCLUSION: The present study found that the majority of patients with cutaneous conditions visiting the emergency department were non-urgent; however, dermatological emergencies exist and should not be underestimated. Younger paediatric patients presenting with dermatological condition is a population with a high risk for hospital admission. Cutaneous drug eruptions showed the highest proportion of hospital admissions compared with other dermatological categories. Therefore, physicians in the emergency department should always look for specific cutaneous signs of drug eruptions, such as target-like lesions and mucosal involvement in Steven-Johnsons syndrome/toxic epidermal necrolysis to prevent misdiagnosis of this dermatological condition. BMJ Publishing Group 2021-09-07 /pmc/articles/PMC8424843/ /pubmed/34595359 http://dx.doi.org/10.1136/bmjpo-2021-001215 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Dermatology
Techasatian, Leelawadee
Uppala, Rattapon
Phungoen, Pariwat
Paediatric dermatological conditions in an emergency department: a single-centre study in Thailand
title Paediatric dermatological conditions in an emergency department: a single-centre study in Thailand
title_full Paediatric dermatological conditions in an emergency department: a single-centre study in Thailand
title_fullStr Paediatric dermatological conditions in an emergency department: a single-centre study in Thailand
title_full_unstemmed Paediatric dermatological conditions in an emergency department: a single-centre study in Thailand
title_short Paediatric dermatological conditions in an emergency department: a single-centre study in Thailand
title_sort paediatric dermatological conditions in an emergency department: a single-centre study in thailand
topic Dermatology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8424843/
https://www.ncbi.nlm.nih.gov/pubmed/34595359
http://dx.doi.org/10.1136/bmjpo-2021-001215
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