Emergency accesses in Dermatology Department during the Covid-19 pandemic in a referral third level center in the north of Italy

Dermatologic Therapy
Eugenio IsolettaStefania Barruscotti

Abstract

During the lockdown period, most planned visits have been postponed and the number of accesses to emergency department (ED) has dramatically reduced. The aim of our study is to analyze the impact of the lockdown on the number, type, and severity of Dermatological ED diagnosis. We performed a retrospective review of all dermatological consultations in the ED of IRCSS San Matteo during the lockdown period in Italy (February 22-May 3 2020) and compared them with those from the same period in 2019. We noticed a sharply reduction in the number of dermatological consultations requested in the ED: from 164 patients in 2019 to 33 in 2020. Some diagnostic categories showed a significant difference with a higher incidence of vasculopathic lesions (0.6% vs 12.1%, P < .0001), urticarial rashes (8.5% vs 21.2%, P = .03), and scabies (3% vs 12.1%, P = .023). We observed an increase in the proportion of patients starting medications, before coming to the ED 26.2% in 2019 vs 66.7% in 2020 (P < .001). Furthermore, we noticed a significant increase in the average complexity of cases presenting to the ED in 2020, as proven by the increased need for biopsies and systemic therapy.

References

Apr 24, 2014·Journal of the European Academy of Dermatology and Venereology : JEADV·P RubegniM Fimiani
Mar 29, 2019·Dermatology : International Journal for Clinical and Investigative Dermatology·Lorenzo PelloniCarlo Mainetti
Mar 4, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Yubin CaoChunjie Li
Mar 25, 2020·The Journal of Hospital Infection·E AspergesUNKNOWN COVID-19 IRCCS San Matteo Pavia Task Force
Apr 16, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·D HenryE Esteve
Apr 28, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·J D BouazizM Rybojad
Apr 29, 2020·The New England Journal of Medicine·Ovidio De FilippoGaetano M De Ferrari
May 19, 2020·Journal of Cardiac Surgery·Saqib Masroor
Jun 6, 2020·International Journal of Dermatology·Serena GiacaloneGianluca Nazzaro

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Citations

May 11, 2021·Clinical and Experimental Dermatology·J Ortiz-ÁlvarezJ J Pereyra Rodriguez
Aug 3, 2021·Medical Journal, Armed Forces India·Ankur KhandelwalShaista Jamil
Aug 31, 2021·Neurological Research and Practice·Johannes A R PfaffMartin Bendszus
Sep 24, 2021·International Journal of Clinical Practice·Neslihan Demirel ÖğütSibel Ersoy Evans

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