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Vol. 108. Num. 10.December 2017
Pages 889-970
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Vol. 108. Num. 10.December 2017
Pages 889-970
Original Article
DOI: 10.1016/j.ad.2017.07.001
Impact on Quality of Life in Dermatology Patients Attending an Emergency Department
Calidad de vida en pacientes dermatológicos valorados en urgencias
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A. Alegre-Sáncheza,
Corresponding author
adrian.alegresanchez@gmail.com

Corresponding author.
, D. de Perosanz-Loboa, A. Pascual-Sánchezb, C. Pindado-Ortegaa, P. Fonda-Pascuala, Ó.M. Moreno-Arronesa, P. Jaén-Olasoloa
a Dermatology Service, Ramon y Cajal Hospital, Madrid, Spain
b Psichiatry Service, Ramon y Cajal Hospital, Madrid, Spain
Related content
Actas Dermosifiliogr 2017;108:89210.1016/j.ad.2017.08.004
E. Martínez García
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Figures (2)
Tables (4)
Table 1. Clinical and demographical features of the patients included in the study.
Table 2. Association between DLQI scores (global and subscales) and clinical variables of dermatology patients attending the emergency department.
Table 3. DLQI score groups and number of patients in each group.
Table 4. SF 12 mean scores in each dimension of the test.
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Abstract
Introduction

Dermatological complaints have been estimated to represent up to 5–10% of all the visits to emergency departments. The main objective of our study was to determine how affected is the Health related Quality of Life (HRQL) in a series of patients attending an emergency department due to skin symptoms.

Patients and methods

A prospective study during one month (July 2016) was conducted in a hospital with full-time on-call dermatologists. The Short-Form SF-12v2 Health Survey and the Dermatology Life Quality Index (DLQI) were offered to all the patients over 18 years old attending the emergency department with cutaneous complaints. Clinical and epidemiological characteristics were also collected.

Results

In total 108 patients completed the study. Mean age found was 45.1±16.1 years. Mean DLQI score found was 10.56±6.12. Fifty-three patients (49%) had a score of 11 or higher in the DLQI questionnaire. Most affected subscales were “Symptoms and Feelings” in DLQI scale and “Overall Health” and “Vitality” for the SF-12. A very significant difference (p<0.0001) was found between women's (12.4±5.7) and men's (7.5±5.6) DLQI mean score (mean difference of 4.9; 95% confidence interval of the difference: 2.7–7.1).

Conclusions

Patients visiting emergency units with cutaneous complaints seem to feel a moderate-large impact on their quality of life which is mainly related to the symptoms and feelings that they are experiencing. This impact is significantly higher among women.

Keywords:
Dermatological emergencies
Quality of life
Health Related Quality of Life
DLQI
Emergencies
Resumen
Introducción

Los problemas dermatólogicos suponen hasta un 5-10% de todas las visitas a los servicios de urgencias. El principal objetivo de nuestro estudio fue determinar la calidad de vida relacionada con la salud en una serie amplia de pacientes que acudieron a un servicio de urgencias por sintomatología cutánea.

Pacientes y métodos

Se realizó un estudio prospectivo de un mes de duración (julio de 2016) en un hospital terciario con dermatólogo de guardia a tiempo completo. La versión corta del Cuestionario de Salud SF-12v2 y del cuestionario DLQI fueron entregados a todos los pacientes mayores de edad que acudieron al servicio de urgencias con problemas dermatológicos. Se recogió información clínica y epidemiológica de todos los pacientes.

Resultados

En total, 108 pacientes completaron el estudio. La edad media de nuestra muestra fue de 45,1±16,1 años. La puntuación media del DLQI fue 10,56±6,12. Del total, 33 pacientes (49%) tuvieron una puntuación de 11 o más en el DLQI. Las subescalas más afectadas fueron la de «síntomas y sentimientos» para el DLQI y las de «salud general» y «vitalidad» para el SF-12. Se encontró una diferencia muy significativa (p<0,0001) entre las puntuaciones totales del DLQI en mujeres (12,4±5,7) y hombres (7,5±5,6), con una diferencia media de 4,9 (intervalo de confianza al 95%: 2,7-7,1).

Conclusiones

Los pacientes que acuden a los servicios de urgencias con problemas dermatológicos parecen tener una afectación moderada-grave en su calidad de vida, debido principalmente a los síntomas que están experimentando. Este impacto es significativamente mayor en las mujeres.

Palabras clave:
Urgencias dermatológicas
Calidad de vida
Calidad de vida relacionada con la salud
DLQI
Urgencias
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