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Título:
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Classification of dermatological disorders in critical care patients: a prospective observational study
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Autor/a:
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Badia Castello, Mariona; Servià Goixart, Lluís; Casanova i Seuma, Josep M. (Josep Manel); Montserrat, Neus; Vilanova, Judit; Vicario, Esther; Rodriguez, Angel; Trujillano Cabello, Javier
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Notas:
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Purpose: The objective of this study was to identify dermatological disorders detected in the intensive
care unit (ICU), to analyze their specific characteristics, and to define a useful classification for intensive
care physicians.
Materials and Methods: This was a prospective, observational study over a 3-year period (2006-2009)
in a mixed ICU. This included all patients presenting with dermatological disorders that were detected at
the time of ICU admission or developed along the ICU stay. We recorded the specific characteristics of
the disorders and its evolution and treatment, which enabled us to classify the different observed
conditions. As general variables, we analyzed demographic factors, the principal diagnosis, ICU
procedures, the severity score (Acute Physiology and Chronic Health Evaluation II), length of stay, and
mortality.
Results: One hundred thirty-three patients showed at least one dermatological disorder (9.3%) and were
classified into (1) preexisting dermatological disorders, (2) life-threatening dermatologic disorders, (3)
systemic dermatological disorders, (4) infectious dermatological disorders, (5) reactive dermatological
disorders, and (6) others.
Conclusions: Dermatological disorders are a frequent problem in the ICU, and their recognition is key to
set up an appropriate care plan. We propose a classification and description of the different types of
dermatological disorders that are most commonly found in ICUs.
© 2013 Elsevier Inc. All rights reserved. |
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Materia(s):
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-Skin diseases
-Acute skin failure
-Cutaneous adverse drug reaction
-Purpura fulminans |
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Derechos:
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(c) Elsevier Inc, 2013
info:eu-repo/semantics/restrictedAccess |
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Tipo de documento:
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article
publishedVersion |
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Editor:
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Elsevier
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Compartir:
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