Dermatological Emergency Cases in Geriatric Patients: A 3-year Multicenter Study of Three National Referral Hospitals in Indonesia

Shannaz Nadia Yusharyahya; Dewi Lestarini; Euis Mutmainnah; Lili Legiawati; Rinadewi Astriningrum; Ratih Wulan Kusumahapsari

doi:10.3889/oamjms.2022.9324

Authors

Shannaz Nadia Yusharyahya Department of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, National General Hospital Dr. Cipto Mangunkusumo, Jakarta, Indonesia https://orcid.org/0000-0003-4786-3375
Dewi Lestarini Department of Dermatology and Venereology, Fatmawati Central General Hospital, Jakarta, Indonesia
Euis Mutmainnah Department of Dermatology and Venereology, Persahabatan Central General Hospital, Jakarta, Indonesia
Lili Legiawati Department of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, National General Hospital Dr. Cipto Mangunkusumo, Jakarta, Indonesia
Rinadewi Astriningrum Department of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, National General Hospital Dr. Cipto Mangunkusumo, Jakarta, Indonesia
Ratih Wulan Kusumahapsari Department of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, National General Hospital Dr. Cipto Mangunkusumo, Jakarta, Indonesia https://orcid.org/0000-0003-4786-3375

DOI:

https://doi.org/10.3889/oamjms.2022.9324

Keywords:

Dermatology emergency, Emergency medicine, Dermatological condition, Geriatric

Abstract

BACKGROUND: Dermatological emergency is a condition requiring immediate identification and treatment to reduce mortality and morbidity. There are several dermatoses resulting in emergency room (ER) visits frequently demonstrated by the geriatric population. However, there is a lack of data about elderly with dermatological presentation seen at the ER in Indonesia.

AIM: This retrospective study aims to identify the prevalence of dermatological emergency cases in the elderly at three national referral hospitals in Indonesia within 3 years.

METHODS: The sample was geriatric patients who came and/or were consulted by the ER to dermatology and venereology (DV) department. The data (e.g., age, sex, history taking, physical findings, and diagnoses) were collected from medical record from each hospital and presented as a descriptive data.

RESULTS: This study showed that there were only 37% of all geriatric emergency dermatological consultations from 2017 to 2020.

CONCLUSION: This study concluded that there were more than half non-emergent cases of 3-year period consultation. This condition may raise the need of better training about true emergency and standardized curricula of emergency dermatological presentations in geriatric patients.

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References

Kim E, Kim H, Park YM, Park CJ, Yu DS, Lee JY. Prevalence and risk factors of depression in geriatric patients with dermatological diseases. Ann Dermatol. 2013;25(3):278-84. https://doi.org/10.5021/ad.2013.25.3.278 PMid:24003268 DOI: https://doi.org/10.5021/ad.2013.25.3.278

Ragunatha S, Inadamar AC. Neonatal dermatological emergencies. Indian J Dermatol Venereol Leprol. 2010;76(4):328-40. https://doi.org/10.4103/0378-6323.66575 PMid:20657112 DOI: https://doi.org/10.4103/0378-6323.66575

World Health Organization. Ageing and Health. Geneva: World Health Organization. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health [Last accessed on 2021 Oct 14].

Makrantonaki E, Steinhagen-thiessen E, Nieczaj R, Zouboulis CC, Eckardt R. Prevalence of skin diseases in hospitalized geriatric patients: Association with gender, duration of hospitalization and geriatric assessment. Z Gerontol Geriatr. 2017;50(6):524-31. https://doi.org/10.1007/s00391-016-1084-3 PMid:27351558 DOI: https://doi.org/10.1007/s00391-016-1084-3

Martinez ML, Escario-travesedo E, Rodriguez-vazquez M, Azaña-Defez JM, Martín de Hijas-Santos MC, Juan-Pérez- García L. Dermatology consultation in an emergency department prior to establishment of emergency dermatology cover. Acta dermatofisiolgr. 2010;102(1):39-47. https://doi.org/10.1016/j.ad.2010.04.011 PMid:21315860 DOI: https://doi.org/10.1016/S1578-2190(11)70751-X

Gupta S, Sandhu K, Kumar B. Evaluation of emergency dermatological consultations in a tertiary care centre in north india. J Eur Acad Dermatol Venereol. 2013;17(3):303-5. https://doi.org/10.1046/j.1468-3083.2003.00690.x PMid:12702071 DOI: https://doi.org/10.1046/j.1468-3083.2003.00690.x

Grillo E, Vano-Galvan S, Jimenez-Gomez N, Ballester A, Munoz-Zato E, Jaén P. Dermatologic emergencies: Descriptive analysis of 861 patients in a tertiary care teaching hospital. Actas Dermosifisiolgr. 2013;104(4):316-24. https://doi.org/10.1016/j.adengl.2013.03.003 DOI: https://doi.org/10.1016/j.adengl.2013.03.003

Sher ML, Yakir O, Bitterman-deutsch O. Dermatological diseases in elderly hospitalized patients in the galilee medical center-comparison between two age groups. Harefuah. 2017;156(5):285-8. PMid:28551909

Abedini R, Matinfar A, Sasani P, Salehi A, Daneshpazhooh M. Evaluation of patients visiting the dermatology emergency unit of a university dermatology hospital in tehran, iran. Acta Med Iran. 2018;55(11):705-11. Available from: https://www.acta.tums.ac.ir/index.php/acta/article/view/6122 [Last accessed on 2021 Oct 14].

Falanga V, Schachner LA, Rae V, Ceballos PI, Gonzalez A, Liang G, et al. Dermatologic consultations in the hospital settings. Arch Dermatol. 1994;130(8):1022-5. https://doi.org/10.1001/archderm.1994.01690080088013 PMid:8053699 DOI: https://doi.org/10.1001/archderm.1994.01690080088013

Nayak S, Acharjya B. Adverse cutaneous drug reaction. Indian J Dermatol. 2008;53(1):2-8. https://doi.org/10.4103/0019-5154.39732 PMid:19967009 DOI: https://doi.org/10.4103/0019-5154.39732

Bigby M. Rates of cutaneous reactions to drugs. Arch Dermatol. 2001;137(6):765-70. PMid:11405768 DOI: https://doi.org/10.1001/archderm.137.12.1639

Jack AR, Spence AA, Nichols BJ, Chong S, Williams DT, Swadron SP, et al. Cutaneous conditions leading to dermatology consultations in the emergency department. West J Emerg Med. 2011;12(4):551-5. https://doi.org/10.5811/westjem.2010.4.1653 PMid:22224158 DOI: https://doi.org/10.5811/westjem.2010.4.1653

Wang E, Lim BL, Than KY. Dermatological conditions presenting at an emergency department in Singapore. Sing Med J. 2009;50(9):881-4. PMid:19787176

Alpalaho M, Uva L, Soromenho G, Filipe P. Dermatological emergencies: One-year data analysis of 8620 patients from the largest portuguese tertiary teaching hospital. Eur J Dermatol. 2016;26(5):460-4. https://doi.org/10.1684/ejd.2016.2825 PMid:27297693 DOI: https://doi.org/10.1684/ejd.2016.2825

Ruzza N, Itin PH, Beltraminelli H. Urgent consultations at the dermatology department of basel university hospital, Switzerland: Characterization of patients and setting -a 12 month study with 2222 patients data and review of the literature. Dermatology. 2014;228:177-82. https://doi.org/10.1159/000357532 DOI: https://doi.org/10.1159/000357532

Wakosa A, Roussel A, Delaplace M, Le Bidre E, Binois R, Valéry A, et al. Interest of emergency dermatological consultation in a regional hospital. Presse Med. 2013;42(12):e409-15. https://doi.org/10.1016/j.lpm.2013.07.017 PMid:24210641 DOI: https://doi.org/10.1016/j.lpm.2013.07.017

Symvoulakis EK, Krasagakis K, Komninos ID, Kastrinakis I, Lyronis I, Philalithis A, et al. Primary care and pattern of skin diseases in meditterranean Island. BMC Fam Pract. 2016;7:6. https://doi.org/10.1186/1471-2296-7-6 PMid:16448566 DOI: https://doi.org/10.1186/1471-2296-7-6

Bancalari-Diaz D, Gimeno-Mateos LI, Canueto J, Andrés- Ramos I, Fernández-López E, Román-Curto C. Dermatologic emergencies in a tertiary hospital: A descriptive study. Actas Dermosifiliogr. 2016;107(8):666-73. https://doi.org/10.1016/j.ad.2016.05.001 PMid:27238743 DOI: https://doi.org/10.1016/j.adengl.2016.07.014

Kottner J, Lichterfeld A, Blume-Peytavi U. Maintaining skin integrity in the aged: A systematic review. Br J Dermatol. 2013;169(3):528-42. https://doi.org/10.1111/bjd.12469 PMid:23773110 DOI: https://doi.org/10.1111/bjd.12469

Ozyurt S, Kelekci KH, Seremet S, Ozcelik S. Analysis of inpatient dermatologic consultations. Acta Dermo- Sifiliog. 2014;105(8):799-800. https://doi.org/10.1016/j.adengl.2013.12.007 DOI: https://doi.org/10.1016/j.ad.2013.12.016

Liay MM, Yang SS, Derrick CW, Chandran NS. Teledermatology in the emergency department: Real-time remote consults. J Am Acad Dermatol. 2016;74(3):2917. https://doi.org/10.1016/j.jaad.2016.02.423 DOI: https://doi.org/10.1016/j.jaad.2016.02.423

Villa L, Matz O, Dague KO, Kluwig D, Rossaint R, Brokmann JC. The assessment of dermatological emergencies in the emergency department via telemedicine is safe: A prospective pilot study. Int J Emerg Med. 2020;15(7):1275-9. https://doi.org/10.1007/s11739-020-02323-1 PMid:32248403 DOI: https://doi.org/10.1007/s11739-020-02323-1