• Users Online: 351
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2020  |  Volume : 24  |  Issue : 2  |  Page : 116-121

Accuracy of diagnoses of skin diseases in a pediatric emergency room: A retrospective study


Department of Pediatrics, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam; Department of Pediatrics, King Fahad University Hospital, Al-Khobar, Saudi Arabia

Correspondence Address:
Dr. Suzan A AlKhater
Department of Pediatrics, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam; King Fahad University Hospital, P.O. Box: 2208, Al-Khobar 31952
Saudi Arabia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdds.jdds_72_19

Get Permissions

Background: Cutaneous disorders are common in children. Few studies have assessed the diagnostic accuracy of pediatricians in diagnosing skin disorders. Purpose: In this study, the accuracy of the diagnoses of skin diseases made in a pediatric emergency room (ER) was determined. Methods: Data were obtained from a retrospective study of children with dermatological disorders seeking emergency services in the pediatric ER in a teaching hospital in Saudi Arabia. Descriptive statistics were used to determine the distribution of patients and time characteristics. Crude and adjusted logistic regression models, controlling for demographic and time-associated characteristics, were used to determine the association between clinical and other characteristics and diagnostic accuracy of pediatricians. Results: There were statistically significant differences in the overall distribution of the study population by gender, season, time of week, shift, and referrals (P < 0.05). After adjusting for these factors, every unit increase in age (years) was associated with a 38% increase (odds ratio: 1.38; 95% confidence interval: 1.18–1.61) in the odds of pediatricians being likely to have the correct diagnosis. There were significant differences between the diagnosis made by pediatrician and the final diagnoses made by senior staff (P < 0.001). Infections and neonatal skin diseases were underdiagnosed, while overdiagnoses of allergic and hypersensitivity reactions were observed. Conclusion: The results emphasize the importance of orienting pediatric trainees on the dermatological aspects of diseases, particularly on the topics involving infectious, allergic and hypersensitivity reactions, and neonatal skin disorders. This points out the importance of making dermatology rotation as a core requirement during the residency training rather than just optional electives.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed113    
    Printed0    
    Emailed0    
    PDF Downloaded27    
    Comments [Add]    

Recommend this journal