COVID-19 pandemisinin dermatoloji polikliniğinde tanı dağılımına etkisi

Year 2022, Volume: 6 Issue: 1, 34 - 40, 30.04.2022

Nur Cihan Coşansu , Mahizer Yaldız , Bahar Sevimli Dikicier , Ünal Erkorkmaz

https://doi.org/10.34084/bshr.1038404

Cited By: 1

Abstract

Giriş: COVID-19 salgını sonrası dermatolojik hastalıklar da dahil olmak üzere hastalıkların başvuru sıklığı değişmişdir. Bu çalışmanın amacı, COVID-19 salgını sırasında dermatoloji polikliniklerinin tanı dağılımındaki değişimini önceki yılın aynı dönemi ile karşılaştırarak değerlendirmektir.

Yöntem: Uluslararası Hastalık Kodları (ICD-10) kategorileri ve hastaların tanıları pandemi öncesi ve sonrası değerlendirildi. 1 Haziran 2020 - 1 Eylül 2020 tarihleri ​​arasında dermatoloji polikliniğine başvuran tüm hastalar çalışmamıza dahil edildi. Bu bilgiler bir önceki yılın aynı dönemi ile karşılaştırılmıştır.

Sonuçlar: Hastane başvuruları %42.6 oranında azalmış bulundu. Dermatofitoz, anogenital siğiller, uyuz, seboreik keratoz, ürtiker ve kserozis kutisi olan hastaların oranı anlamlı olarak artarken (p < 0.05), aktinik keratoz, nasır ve kornu, alerjik kontakt dermatit, liken simpleks, melazma, mikozis fungoides, tırnak bozuklukları, nevus, prurigo nodularis, kaşıntı, sedef hastalığı ve siğiller COVID-19 pandemisinden sonra önemli ölçüde azaldı (p < 0.05).

Tartışma: Bu, koronavirüs pandemisinden 3-6 ay sonra kısıtlamaların azaltılması döneminde ayaktan dermatoloji ziyaretlerinin sıklığı ve en yaygın türleri hakkında ilk çalışmadır. Yaşam kalitesini etkileyen kısıtlamalar ve hijyen uygulamaları gibi birçok faktör dermatolojinin tanısal dağılımında değişikliklere neden olabilir.

Keywords

Covid-19, sık görülen cilt hastalıkları, tanı dağılımı

The impact of COVID-19 pandemic on the diagnostic distribution in dermatology outpatient clinic

Abstract

Objective
The admission frequency of diseases, including dermatological diseases, has changed after the COVID-19 outbreak. The aim of this study was to evaluate the change in the diagnosis distribution of dermatology outpatient clinics during the COVID-19 outbreak by comparing it with the same period of the last year.
Materials and Methods
The International Codes of Diseases (ICD-10) categories and patient's diagnoses were evaluated before and after the pandemic. All patients, who applied to the dermatology outpatient clinic between June 1, 2020, and September 1, 2020, were included in our study. This information was compared with the same period of the previous year.
Results
The hospital admissions were found reduced by 42.6%. The ratio of the patients with dermatophytosis, anogenital warts, scabies, seborrheic keratosis, urticaria, and xerosis cutis was significantly increased (p < 0.05), while the ratio of patients with actinic keratosis, callosities and corns, allergic contact dermatitis, lichen simplex, melasma, mycosis fungoides, nail disorders, nevi, prurigo nodularis, pruritus, psoriasis, and warts were significantly decreased after the COVID-19 pandemic (p < 0.05).
Conclusions
This is the first study on the frequency and most common types of outpatient dermatology visits, during the period of restriction reduction 3-6 months after the coronavirus pandemic. Many factors such as restrictions and hygiene practices, that affecting the quality of life, may cause changes in the diagnostic distribution of dermatology.

Keywords

Covid-19, common skin diseases, diagnosis distribution

References

• Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet; 2020; 395:497–506.
• Turkish Republic Ministry of Health. New Coronavirus Disease (COVID-19). Turkish Republic Ministry of Health. April 6, 2020. https://covid19bilgi.saglik.gov.tr/tr. Accessed April 7, 2020.
• Gupta M, Abdelmaksuoud A, Jafferany M, Lotti T, Sadoughifar R, Goldust M. COVID-19, and economy. Dermatol Ther. 2020 Jul;33(4): e13329. doi: 10.1111/dth.13329.
• Białynicki-Birula R, Siemasz I, Otlewska A, Łukasz Matusiak, Jacek C Szepietowski. Influence of COVID-19 pandemic on hospitalizations at the tertiary dermatology department in south-West Poland. Dermatol Ther. 2020 Jul;33(4): e13738. doi: 10.1111/dth.13738.
• Gisondi P, Piaserico S, Conti A, Naldi L. Dermatologists, and SARS‐CoV‐2: The impact of the pandemic on daily practice. J Eur Acad Dermatol Venereol. 2020; 34:1196-201.
• Ni MY, Yang L, Leung CM, Li N, Yao XI, Wang Y, et al. Mental health, risk factors, and social media use during the COVID-19 epidemic and cordon sanitaire among the community and health professionals in Wuhan, China: Cross-sectional survey. JMIR Ment Health 2020;7: e19009.
• Ozamiz-Etxebarria N, Dosil-Santamaria M, Picaza-Gorrochategui M, Idoiaga- Mondragon N. Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in northern Spain. Cad Saude Publica 2020;36: e00054020.
• Kutlu Ö, Metin A. A case of exacerbation of psoriasis after oseltamivir and hydroxychloroquine in a patient with COVID-19: will cases of psoriasis increase after COVID-19 pandemic? Dermatol Ther. 2020 Jul;33(4): e13383. doi: 10.1111/dth.13383.
• Kutlu Ö, Metin A. Dermatological diseases presented before COVID-19: are patients with psoriasis and superficial fungal infections more vulnerable to the COVID-19? Dermatol Ther. 2020 Jul;33(4): e13509. doi: 10.1111/dth.13509.
• Henry D, Ackerman M, Sancelme E, Finon A, Esteve E. Urticarial eruption in COVID-19 infection. J Eur Acad Dermatol Venereol. 2020;34: 244-245.
• Aktas¸ H, Hamidi AA. Urticaria in a patient with COVID-19: therapeutic and diagnostic difficulties. Dermatol Ther. 2020 Jul;33(4): e13610. doi: 10.1111/dth.13610.
• Livengood JM. The role of stress in the development of herpes zoster and postherpetic neuralgia. Curr Rev Pain 2000; 4:7-11.
• Osman OT, Mufaddel A, Almugaddam F, Augusterfer EF. The psychiatric aspects of skin disorders. Expert Rev Dermatol 2011; 6:195-209.
• Kutlu O, Güneş R, Coerdt K, Metin A, Khachemoune A. The effect of the “stay‐at‐home” policy on requests for dermatology outpatient clinic visits after the COVID‐19 outbreak. Derm Ther 2020;27: e13581. doi: 10.1111/dth.13581.
• Turan C, Metin N, Utlu Z, Oner U, Kotan OS. Change of the diagnostic distribution in applicants to dermatology after COVID‐19 pandemic: What it whispers to us? Derm Ther 2020; Jul; 33(4): e13804. doi: 10.1111/dth.13804.
• Ozden MG, Erturk K, Kartal SP, Yayli S, Goktay F, Dogramacı CA, et al. An extraordinary outbreak of scabies in Turkey. J Eur Acad Dermatol Venereol 2020; Jun 3. doi: 10.1111/jdv.16699.
• Kutlu O, Metin A. Relative changes in the pattern of diseases presenting in dermatology outpatient clinic in the era of the COVID-19 pandemic. Dermatol Ther. 2020 Jul 28; e14096. doi: 10.1111/dth.14096.
• Kartal SP, Çelik G, Sendur N, Aytekin S, Serdaroglu S, Dogan B, et al. Multicenter study evaluating the impact of COVID-19 outbreak on dermatology outpatients in Turkey. Dermatol Ther. 2020 Nov 2; e14485. doi: 10.1111/dth.14485.
• Singh M, Pawar M, Bothra A, Choudhary N. Overzealous hand hygiene during the COVID19 pandemic causing an increased incidence of hand eczema among the general population. J Am Acad Dermatol. 2020;83(1):37-41.
• Abtahi-Naeini B. Frequent handwashing amidst the COVID-19 outbreak: prevention of hand irritant contact dermatitis and other considerations. Health Sci Rep. 2020;3(2): e163.
• Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19): Healthcare Workers: Using PPE. Updated August 19, 2020. https://www.cdc.gov/coronavirus/2019-ncov/hcp/using-ppe.html.