[Paediatric dermatology emergencies in a tertiary hospital].
BACKGROUND
In recent years, the increasing demand for dermatological consultations in the Emergency department has resulted in the publication of a variety of studies on this subject. However, most of them deal with the general population, without taking into account the changes in frequencies found in young children (ages 0-14).


OBJECTIVE
To determine the frequency of various dermatological diagnoses made by the on-call paediatrician in the Emergency Department, and after referral to Paediatric Dermatology.


METHODS
Firstly, a descriptive retrospective study was performed that included all patients aged between 0 and 14 years old who were seen after being referred to the emergency paediatric dermatologist by the on-call paediatrician from June 2010 to December 2013. Secondly, an analytical study was carried by calculating the kappa index calculus, in order to establish the diagnostic concordance between the emergency paediatrician and the paediatric dermatologist.


RESULTS
A total of 861 patients, with a mean age of 4.5 years were included. More than half of the skin disorders analysed were eczema (27%) and infections (26%). The 5 main diagnoses were: atopic dermatitis (16%), acute prurigo simplex (5%), tinea (5%), pyogenic granuloma (4%), and molluscum contagiosum (4%). Additional tests were only required in 16% of the cases. The kappa index obtained was 0.206 (95% CI: 0.170-0.241).


CONCLUSIONS
The dermatology consultations in the Emergency Department were shown to be frequent and mostly involved minor diseases. Collaboration between paediatricians and dermatologists resulted in a high treatment success rate, leading to a low percentage of additional tests required and a high rate of discharges.
Servicio de Dermatología, Hospital Universitario Virgen del Rocío, Sevilla, España. Electronic address: elena_baquero@hotmail.com.
E
E
Baquero-Sánchez
Servicio de Dermatología, Hospital Universitario Virgen del Rocío, Sevilla, España.
J
J
Bernabéu-Wittel
Servicio de Dermatología, Hospital Universitario Virgen del Rocío, Sevilla, España.
J J
JJ
Dominguez-Cruz
Servicio de Dermatología, Hospital Universitario Virgen del Rocío, Sevilla, España.
J
J
Conejo-Mir
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003880:Dermatology / Q000706:statistics & numerical data*; D004630:Emergencies; D004636:Emergency Service, Hospital; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012017:Referral and Consultation; D012189:Retrospective Studies; D012871:Skin Diseases / Q000175:diagnosis*; D062606:Tertiary Care Centers
Dermatología pediátrica; Emergencies; Epidemiology; Epidemiología; Paediatric dermatology; Urgencias