Consultation needs for department of rheumatology and clinical immunology: data from Peking Union Medical College Hospital
10.3760/cma.j.cn141217-20240130-00048
- VernacularTitle:风湿免疫科会诊分析：来自北京协和医院的数据
- Author:
Zhihong WAN
1
;
Lizhi WANG
;
Lidan ZHAO
;
Yunjiao YANG
;
Li WANG
;
Mengtao LI
;
Xiaofeng ZENG
;
Fengchun ZHANG
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院风湿免疫科 国家皮肤与免疫疾病临床研究中心 疑难重症及罕见病国家重点实验室 风湿免疫学教育部重点实验室，北京 100730
- Publication Type:Journal Article
- Keywords:
Rheumatic and Immunologic diseases;
Consultation;
Multidisciplinary;
Autoantibody
- From:
Chinese Journal of Rheumatology
2024;28(12):916-919
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the consultation data from the department of rheumatology and clinical immunology of Peking Union Medical College Hospital, and to describe the distribution of consultation needs of different rheumatic and immunologic diseases (RID) in each unit.Methods:To collect and analyze the data of patients who accepted the consultations of rheumatology and clinical immunology of Peking Union Medical College Hospital from January 1, 2021 to December 31, 2021.Results:A total of 1 640 consultations were executed. The ratio of male-to-female was 556∶1 084, with an average age of (44.5±16.0)years. The proportion of single consultation was 57.26% (939/1 640) while that of twice and multiple consultation was 42.74% (701/1 640). Among the consultations, 87.56% (1 436/1 640) were routine ones, especially from emergency 25.21% (362/1 436), department of infectious diseases 12.88% (185/1 436) and cardiology 12.47% (179/1 436). The other 12.44% (204/1 640) were multi-disciplinary treatment (MDT), mainly in department of general internal medicine, emergency and obstetrics. Main purposes of consultation included 52.66% (514/976) for RID condition assessment/medication adjustment and 47.34% (462/976) for etiological diagnosis in internal medicine unit; while 55.77% (58/104) for guidance for perioperative RID treatment in surgery. In Obstetrics and Gynecology, the majority purposes were RID condition assessment/medication adjustment 36.36% (12/33), perioperative treatment guidance 27.27% (9/33) and surgical risk/timing assessment 27.27% (9/33). Most consultations were focused on SLE, UCTD, SS, RA and TA.Conclusion:Requested as MDT and multiple repeat,consultation needs for department of rheumatology and clinical immunology are great, especially from emergency and infectious disease unit. It may improve the efficacy of consultation by popularizing the meaning of autoantibodies and enhancing the awarness of common RID and its complications, as well as the awareness of perioperative and prenatel periods.
