ABSTRACT
ANTECEDENTES: Como consecuencia de la pandemia por la COVID-19 cesó la actividad dermatológica asistencial, por lo que iniciamos un estudio para evaluar la utilidad de la teledermatología (TD) directa entre paciente y dermatólogo a través de una App. El objetivo fue evaluar el impacto de esta herramienta para evitar consultas presenciales, así como describir los principales diagnósticos y la satisfacción de pacientes y médicos. MATERIAL Y MÉTODO: Estudio descriptivo prospectivo. Se incluyen pacientes nuevos que cumplen criterios de inclusión. Se realizó un análisis descriptivo de todas las variables mediante el programa estadístico SPSS. RESULTADOS: De los 1.497 pacientes que aceptaron participar el 25% (n = 374) enviaron una consulta virtual con imagen. De entre ellos el 17% (n = 64) fueron dados de alta de forma directa para control por atención primaria. En un 85% (n=318) de los pacientes se logra evitar la consulta presencial durante al menos 3 meses. Se emitió un diagnóstico en el 87,1% (n = 325) de los pacientes, siendo la confianza en el diagnóstico ≥ 7/10 en el 77,5% (n = 290). La calidad de la imagen fue suficiente en el 52,1%. La satisfacción del paciente fue de 4,5/5. Once de 16 dermatólogos consideraron la TD útil globalmente. La afección más frecuente fue la inflamatoria y melanocítica, siendo los diagnósticos más habituales nevus, acné y eccema. DISCUSIÓN:La TD directa asíncrona es una herramienta eficaz para valorar pacientes nuevos, con un alto grado de satisfacción para médicos y pacientes. El desarrollo de un sistema de TD eficiente implica la integración de la imagen digital en los sistemas de información médicos
BACKGROUND: Dermatologic care was halted because of the coronavirus disease 2019 pandemic, prompting us to study the usefulness of direct-to-patient teledermatology via a mobile application. We aimed to evaluate the service as a tool for avoiding face-to-face consultations, describe the main conditions diagnosed, and assess levels of patient and physician satisfaction. MATERIAL AND METHOD: Prospective descriptive study of new patients who met the inclusion criteria. Descriptive statistics for all variables were analyzed with SPSS. RESULTS: Of the 1,497 patients who agreed to participate in the study, 25% (n = 374) sent an image to a consultant dermatologist through the mobile application. Sixty-four patients (17%) were discharged directly and referred to primary care for follow-up. A face-to-face consultation was avoided for at least 3 months in 85% of patients (n = 318); 87.1% (n = 325) received a diagnosis and the dermatologist's level of confidence in this diagnosis was 7 or higher in 77.5% of cases (n = 290). The quality of the images sent was considered sufficient in 52.1% of cases. Patients rated their satisfaction with a score of 4.5 out of 5. Eleven of the 16 dermatologists rated their satisfaction as good overall. The most common conditions were inflammatory and melanocytic lesions. The main diagnoses were nevi, acne, and eczema. DISCUSSION: Direct-to-patient store-and-forward teledermatology is an effective means of evaluating new patients. Both clinicians and patients expressed high levels of satisfaction with the service. Systems enabling the addition of digital images to patient records are necessary to ensure the efficiency of teledermatology
Subject(s)
Humans , Teledermatology , Skin Diseases/diagnosis , Coronavirus Infections/prevention & control , Pneumonia, Viral/prevention & control , Pandemics , Skin Diseases/classification , Skin Diseases/therapy , Surveys and Questionnaires , Prospective Studies , Epidemiology, Descriptive , Coronavirus Infections/epidemiology , Pneumonia, Viral/epidemiology , Spain/epidemiologyABSTRACT
BACKGROUND: Dermatologic care was halted because of the coronavirus disease 2019 pandemic, prompting us to study the usefulness of direct-to-patient teledermatology via a mobile application. We aimed to evaluate the service as a tool for avoiding face-to-face consultations, describe the main conditions diagnosed, and assess levels of patient and physician satisfaction. MATERIAL AND METHOD: Prospective descriptive study of new patients who met the inclusion criteria. Descriptive statistics for all variables were analyzed with SPSS. RESULTS: Of the 1,497 patients who agreed to participate in the study, 25% (n=374) sent an image to a consultant dermatologist through the mobile application. Sixty-four patients (17%) were discharged directly and referred to primary care for follow-up. A face-to-face consultation was avoided for at least 3 months in 85% of patients (n=318); 87.1% (n=325) received a diagnosis and the dermatologist's level of confidence in this diagnosis was 7 or higher in 77.5% of cases (n=290). The quality of the images sent was considered sufficient in 52.1% of cases. Patients rated their satisfaction with a score of 4.5 out of 5. Eleven of the 16 dermatologists rated their satisfaction as good overall. The most common conditions were inflammatory and melanocytic lesions. The main diagnoses were nevi, acne, and eczema. DISCUSSION: Direct-to-patient store-and-forward teledermatology is an effective means of evaluating new patients. Both clinicians and patients expressed high levels of satisfaction with the service. Systems enabling the addition of digital images to patient records are necessary to ensure the efficiency of teledermatology.
Subject(s)
COVID-19 , Dermatology/trends , Remote Consultation/trends , Skin Diseases , Telemedicine/trends , Communicable Disease Control , Humans , Pilot Projects , Prospective Studies , Skin Diseases/diagnosis , SpainABSTRACT
Se realizó una revisión bibliográfica sobre el estado actual de las ligamentoplastías del LCA, incluyendo bases anatómicas, funcionales y tratamiento quirúrgico.
A bibliographic review was conducted on the current status of ACL ligamentoplasties including their anatomical and functional bases and surgical treatment.
ABSTRACT
A bibliographic review was conducted on the current status of ACL ligamentoplasties including their anatomical and functional bases and surgical treatment.
Subject(s)
Anterior Cruciate Ligament Injuries , Anterior Cruciate Ligament/surgery , Anterior Cruciate Ligament Reconstruction/methods , HumansSubject(s)
Humans , Male , Aged , Antitubercular Agents/therapeutic use , Lupus Vulgaris , Head/pathologySubject(s)
Adrenal Cortex Hormones/adverse effects , Cyclosporine/adverse effects , Immunosuppressive Agents/adverse effects , Kidney Transplantation , Postoperative Complications/chemically induced , Sebaceous Gland Diseases/chemically induced , Sebaceous Glands/pathology , Adrenal Cortex Hormones/therapeutic use , Adult , Aged , Cyclosporine/therapeutic use , Facial Dermatoses/epidemiology , Facial Dermatoses/etiology , Female , Humans , Hyperplasia , Male , Middle Aged , Prevalence , Sebaceous Gland Diseases/epidemiology , Spain/epidemiologyABSTRACT
No disponible
Subject(s)
Middle Aged , Female , Humans , Treatment Outcome , Chronic Disease , Administration, Topical , Anesthetics, Local , Hemorrhoids , Eczema , Hand DermatosesABSTRACT
No disponible
Subject(s)
Male , Female , Adult , Middle Aged , Aged , Humans , Cyclosporine/administration & dosage , Cyclosporine/therapeutic use , Immunosuppressive Agents/adverse effects , Kidney Transplantation/methods , Postoperative Complications/classification , Sebaceous Gland Diseases/classification , Sebaceous Gland Diseases/epidemiology , Facial Dermatoses/epidemiology , Facial Dermatoses/etiology , Sebaceous Glands/pathology , Spain/epidemiologyABSTRACT
No disponible
Subject(s)
Adult , Female , Humans , Skin Diseases, Vesiculobullous/diagnosis , Chickenpox/diagnosis , Fever/etiology , Herpesvirus 3, Human/isolation & purificationABSTRACT
Las micosis cutáneas constituyen una patología relativamente frecuente en los pacientes sometidos a algún tipo de trasplante.Se presentan los resultados de un estudio realizado sobre la incidencia de pitiriasis versicolor en pacientes trasplantados renales en el Hospital La Paz, en un seguimiento llevado a cabo durante año y medio.Como principales características encontradas, destacamos elevada incidencia (58 por ciento), superior a la de otras series publicadas, tendencia a la afectación cutánea extensa, presencia de localizaciones atípicas, buena respuesta al tratamiento tópico convencional y ausencia de recidivas tras tratamiento profiláctico. (AU)
Subject(s)
Adolescent , Adult , Female , Male , Middle Aged , Humans , Tinea Versicolor/epidemiology , Kidney Transplantation/adverse effects , Tinea Versicolor/diagnosis , Tinea Versicolor/drug therapy , Incidence , Immunosuppressive Agents/administration & dosage , Follow-Up Studies , Clinical Diagnosis , Imidazoles/therapeutic use , Ketoconazole/therapeutic useABSTRACT
Describimos el caso de un niño de 2 años de edad, con una lesión nodular, desde el nacimiento, en pie izquierdo, en la que histológicamente se demuestra la presencia de miofibroblastos.Se propone, pues, el diagnóstico de miofibroma solitario infantil (AU)
Subject(s)
Child, Preschool , Male , Humans , Leiomyoma/diagnosis , Foot Diseases/diagnosis , Foot/pathology , Fibroblasts/pathology , Biopsy , Adrenal Cortex Hormones/therapeutic use , Leiomyoma/drug therapyABSTRACT
Arthroscopic surgery of the shoulder is considered a safe technique, yet a variety of complications have been described. There are few published reports on the incidence of these complications. The aim of this study is to evaluate the complication rate of arthroscopic shoulder surgery. We retrospectively evaluated a series of 179 consecutive arthroscopic (n=141) and combined (arthroscopic plus open; n=38) procedures performed by the same surgeon. The overall complication rate was 9.49%. Combined procedures had a 5.26% complication rate and arthroscopic procedures a 10.63% complication rate.