{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T01:50:41Z","timestamp":1773280241018,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,5,30]],"date-time":"2019-05-30T00:00:00Z","timestamp":1559174400000},"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":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In recent years, emergency consultations have become more common in all medical disciplines. In Germany, dermatological out\u2010of\u2010hours consultations are handled by emergency practices, emergency departments and tertiary care providers. Little information is available on the reasons for these dermatological consultations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to analyze patient characteristics, diagnoses and admission rates resulting from these consultations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective study covering two years of out\u2010of\u2010hours consultations at a dermatological tertiary referral center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 3635 patients presented at the referral center. The most frequent outpatient diagnoses were acute urticaria (13.8\u00a0%) and bacterial infections (12.3\u00a0%). 83\u00a0% of the outpatient diagnoses required the most advanced competence level according to the new German curriculum for undergraduate education of medical students. 405 (11.01\u00a0%) patients did not require dermatological treatment, and 430 patients (13.6\u00a0%) were admitted to hospital. Most admissions were due to bacterial infections and herpes zoster. Advanced age, pain and fever were associated with a relatively high risk of admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Admission rates at the dermatological tertiary referral center were substantially lower than at interdisciplinary emergency departments. A few diagnoses accounted for more than half of all consultations. These diagnoses are well represented within the new German curriculum.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ddg.13859","type":"journal-article","created":{"date-parts":[[2019,5,31]],"date-time":"2019-05-31T04:05:09Z","timestamp":1559275509000},"page":"602-610","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Two\u2010year analysis of dermatological out\u2010of\u2010hours consultations at Frankfurt University Hospital"],"prefix":"10.1111","volume":"17","author":[{"given":"Sebastian A.","family":"Osowski","sequence":"first","affiliation":[{"name":"Department of Dermatology Venereology and Allergology University Hospital Frankfurt  Frankfurt\/Main Germany"},{"name":"Evidence\u2010based Medicine Frankfurt Institute of General Practice Goethe University Frankfurt  Frankfurt\/Main Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niklas","family":"Wagner","sequence":"additional","affiliation":[{"name":"Evidence\u2010based Medicine Frankfurt Institute of General Practice Goethe University Frankfurt  Frankfurt\/Main Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas C.","family":"Osowski","sequence":"additional","affiliation":[{"name":"Technical University \u2013 Berlin  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Falk","family":"Ochsendorf","sequence":"additional","affiliation":[{"name":"Department of Dermatology Venereology and Allergology University Hospital Frankfurt  Frankfurt\/Main Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Kaufmann","sequence":"additional","affiliation":[{"name":"Department of Dermatology Venereology and Allergology University Hospital Frankfurt  Frankfurt\/Main Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Weberschock","sequence":"additional","affiliation":[{"name":"Department of Dermatology Venereology and Allergology University Hospital Frankfurt  Frankfurt\/Main Germany"},{"name":"Evidence\u2010based Medicine Frankfurt Institute of General Practice Goethe University Frankfurt  Frankfurt\/Main Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,30]]},"reference":[{"key":"e_1_2_7_2_1","article-title":"Statistical Brief #227","author":"Moore BJ","year":"2017","journal-title":"Healthcare Cost and Utilization Project (HCUP)"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2011.01235.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"crossref","first-page":"155","DOI":"10.47102\/annals-acadmedsg.V42N3p155","article-title":"Dermatological disorders at the emergency department of a tertiary hospital in Singapore","volume":"42","author":"Tan ES","year":"2013","journal-title":"Ann Acad Med Singap"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ad.2012.11.002"},{"key":"e_1_2_7_6_1","first-page":"881","article-title":"Dermatological conditions presenting at an emergency department in Singapore","volume":"50","author":"Wang E","year":"2009","journal-title":"Singapore Med J"},{"key":"e_1_2_7_7_1","first-page":"167","article-title":"Int\u00e9r\u00eat d'une consultation hospitali\u00e8re d'urgences dermatologiques","volume":"130","author":"Murr D","year":"2003","journal-title":"Ann Dermatol Venereol"},{"key":"e_1_2_7_8_1","article-title":"Gutachten zur ambulanten Notfallversorgung im Krankenhaus 2015","author":"Haas C","year":"2015","journal-title":"MCK, DGINA"},{"key":"e_1_2_7_9_1","first-page":"A","article-title":"\u00c4ltere Notfallpatienten: Blicksch\u00e4rfung notwendig","volume":"114","author":"Groening M","year":"2017","journal-title":"Dtsch Arztebl International"},{"key":"e_1_2_7_10_1","first-page":"645","article-title":"Patients Attending Emergency Departments","volume":"114","author":"Scherer M","year":"2017","journal-title":"Dtsch Arztebl Int"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.12130"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2010.4.1653"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2015.02.1093"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEJ.0b013e328351e609"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1343231"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2012.04469.x"},{"key":"e_1_2_7_17_1","first-page":"302","article-title":"Zahl privater Zusatzkrankenversicherungen hat sich verdoppelt","volume":"81","author":"Grabka MM","year":"2014","journal-title":"DIW Wochenbericht"},{"key":"e_1_2_7_18_1","unstructured":"PKV Verband der Privaten Krankenversicherung e.V.Zahlenbericht der Privaten Krankenversicherung 2016 2016. Available from:https:\/\/www.pkv.de\/service\/zahlen\u2010und\u2010fakten\/archiv\u2010pkv\u2010zahlenbericht\/zahlenbericht\u20102016.pdf[Last accessed January 24 2019]."},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1159\/000357532"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2013.7792"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.13512"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2011.0273"}],"container-title":["JDDG: Journal der Deutschen Dermatologischen Gesellschaft"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ddg.13859","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ddg.13859","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ddg.13859","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T00:55:10Z","timestamp":1694307310000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ddg.13859"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,30]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1111\/ddg.13859"],"URL":"https:\/\/doi.org\/10.1111\/ddg.13859","archive":["Portico"],"relation":{},"ISSN":["1610-0379","1610-0387"],"issn-type":[{"value":"1610-0379","type":"print"},{"value":"1610-0387","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,30]]},"assertion":[{"value":"2018-08-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}