Evaluation of The Relevance of Urgency in Dermatological Patients Admitted to The Emergency Department with The Relationship Between Anxiety, Depression Levels and Dermatological Quality of Life: A Prospective Observational Study

Hatice Kaya, Onur Karakayali
2019 Ankara Medical Journal  
Objectives: In this study, it was aimed to define the demographic data of the patients admitted to the emergency clinics with dermatological complaints, to determine the rate of the true dermatologic emergency cases, the dermatology life quality index, and to define the reasons why patients without dermatological emergencies admitted to Emergency clinics, their psycho-social backgrounds with Beck Anxiety and Depression Inventory. Materials and Methods: It was a single-center prospective
more » ... prospective observational and questionnairebased study. The patients older than 18 years of age who admitted to the emergency department due to dermatological emergencies were included in the study. In this study, the patients who were admitted to the emergency department were consulted by the dermatology specialist after their initial diagnosis and treatment was done by the emergency physicians. Demographic data, dermatology life quality index, scores of Beck Anxiety and Depression Inventory were recorded. Results: The average age of 200 patients was 40.5 (16.39) and 116 of the patients (58%) were female. The duration of the most frequent complaint was 1 month and over (n = 58, 29%). The true dermatological patient group was 29.5% of all patients. The most common reason for the hospital admission was that the patients thought that their condition was urgent (47.50%). The most common complaint for hospital admission was urticaria (24%). According to dermatology life quality index, 79 (39.5%) patients were affected moderately. The mean value of all patients was 15.22 +12.56 according to the Beck anxiety inventory, while the mean value was 12.88.9 according to the Beck depression inventory. When the patients were divided into two groups according to Beck depression-anxiety inventory and dermatology life quality index, there was no statistically significant difference between the two groups in terms of gender, age, marital status, education level, income level, duration of complaint, and the reason for admission. However, there was a statistically significant difference between groups in terms of gender according to Beck anxiety inventory (p = 0.029). Conclusion: In our study, the patients coming from the emergency department were evaluated by dermatology physician in a short time, so more accurate diagnosis and rapid treatment opportunities were provided and unnecessary medical approaches and costs were prevented. We believe that increased anxiety levels are an important factor in patients admitting to the emergency department. Therefore, awareness-raising campaigns should be beneficial in preventing frequent admission by social media and hospital-based studies focusing on this issue.
doi:10.17098/amj.576971 fatcat:4lswh6t6a5dq3fxa2vqvymblai