{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T08:04:18Z","timestamp":1767773058506,"version":"3.40.5"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T00:00:00Z","timestamp":1666224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The objective of this study is to describe the epidemiological features of each presentation with a primary dermatological diagnosis to a regional emergency department (ED).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>1\u2010year retrospective audit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Regional Victorian hospital emergency department.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Any presentation to this regional emergency department with a dermatological condition from 1 January 2020 to 31 December 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Dermatology presentations to the ED in 2020 and the prevalence of the associated primary diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 4.7% (<jats:italic>n<\/jats:italic>\u00a0=\u00a01873) of ED presentations had a primary dermatological diagnosis. Of these, 1484 were \u226518\u2009years of age and 389 were \u226417\u2009years of age. Cellulitis (26.1%, <jats:italic>n<\/jats:italic>\u00a0=\u00a0388) was the most common primary diagnosis among presentations \u226518\u2009years. Non\u2010specific rash was the most common diagnosis (23.6%, <jats:italic>n<\/jats:italic>\u00a0=\u00a092) in presentations \u226417\u2009years. Indigenous Australians \u226518\u2009years were more likely to be in a younger age group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), and dermatitis\/eczema presentations \u226518\u2009years (<jats:italic>n<\/jats:italic>\u00a0=\u00a010) were the largest diagnostic group referred to a dermatologist. A total of 134 (7.1%) patients \u226518\u2009years travelled more than 50\u2009km to the ED. There were no dermatological emergencies identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A high proportion of presentations to this regional ED with a dermatological diagnosis could be well managed by a dermatologist or general practitioner (GP) as an outpatient. The findings of this study inform the need for future rural public dermatology services. Options include teledermatology, or a public weekly or fortnightly rapid review dermatology clinic with a visiting dermatologist, in the absence of a dermatologist onsite.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12935","type":"journal-article","created":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T11:53:13Z","timestamp":1666266793000},"page":"196-203","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Dermatological presentations to a regional Victorian hospital emergency department: A 1\u2010year audit"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5057-6153","authenticated-orcid":false,"given":"Claire","family":"Ronaldson","sequence":"first","affiliation":[{"name":"Latrobe Regional Hospital  Traralgon VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Zhou","sequence":"additional","affiliation":[{"name":"Monash University  Melbourne VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Lam","sequence":"additional","affiliation":[{"name":"Monash University  Melbourne VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dillon","family":"Ong","sequence":"additional","affiliation":[{"name":"Monash University  Melbourne VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sian","family":"Morgan","sequence":"additional","affiliation":[{"name":"Monash University  Melbourne VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aditya","family":"Sathe","sequence":"additional","affiliation":[{"name":"Monash University  Melbourne VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1804-5130","authenticated-orcid":false,"given":"Anton N.","family":"Isaacs","sequence":"additional","affiliation":[{"name":"Monash Rural Health  Warragul VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,20]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Rural and remote health.Australian Institute of Health and Welfare[cited 2021 January 8]. Available from:https:\/\/www.aihw.gov.au\/reports\/australias\u2010health\/rural\u2010and\u2010remote\u2010health"},{"volume-title":"Dermatology \u2013 Australia's future health workforce report","year":"2017","author":"Australian Government Department of Health","key":"e_1_2_10_3_1"},{"volume-title":"Modified Monash model","year":"2021","author":"Australian Government Department of Health","key":"e_1_2_10_4_1"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.13548"},{"volume-title":"Profile of indigenous Australians [internet]","year":"2021","author":"Australian Institute of Health and Welfare","key":"e_1_2_10_6_1"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.13500"},{"key":"e_1_2_10_8_1","unstructured":"General practitioner workforce report 2019.Deloitte Australia 2019[cited 2021 January 8]. 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