https://www.gosh.nhs.uk/wards-and-departments/departments/clinical-specialties/dermatology-information-parents-and-visitors/refer-patient-dermatology-department/dermatology-admission-criteria/
Dermatology admission criteria
This is a list of patient diagnoses which are admitted to Great Ormond Street Hospital (GOSH) by our Dermatology team, the timeframe in which they should be treated and their estimated length of stay (LoS).Health professionals are reminded that this information is for guidance only.
Urgent admissions
Children with the following diagnoses should be transferred to GOSH within days from receipt of referral.
| Diagnosis | Estimated LoS |
|---|---|
| Coagulopathy secondary to kaposiform haemangioendothelioma, tufted angioma, rapidly involuting haemangioma, vascular malformations | 5-7 days |
| Erythroderma | 5 days |
| Generalised pustular psoriasis | 1 week |
| Haemangiomas of infancy: ulcerated, bleeding and/or painful | Depending on severity, may not need 3 days |
| Haemangiomas of infancy requiring treatment with propranolol to relieve functional impairment (airway lesions should be admitted to ENT ward under ENT surgeons) | 1-3 days |
| Morphoea requiring urgent treatment | 3 days |
| Other severe inflammatory skin disease leading to systemic disturbance | Minimum 1 week |
| Rapidly changing high flow vascular malformations | 3 days |
| Severe drug reaction | 1 week |
| Severe inflammatory skin disease | 1 day |
| Severe skin disorders presenting at birth e.g. Harlequin, collodian | 3 days |
| Stevens Johnson Syndrome / Toxic epidermal necrolysis (post PICU) | 1 week |
| Vascular malformations: bleeding, pain, thromboses, post-sclerotherapy complications, cellulitis | 1-3 days |
Elective admissions
Children with the following diagnoses should be referred to GOSH via the non-emergency pathway.
| Diagnosis / Procedure | Estimated LoS |
|---|---|
| Angiography | Day case or overnight |
| Biopsy | Day case |
| Severe Epidermolysis Bullosa (EB) | 3 days (moving toward day case approach) |
| Mild EB | Outpatient |
| Embolisation | Day case for general anaesthetic, ambulatory or overnight |
| Endovenous Laser Treatment (EVLT) | Day case |
| Infusions of biologics | Ambulatory |
| Laser | Day case |
| Methylprednisolone | 3 consecutive days (overnight hospital stays unlikely) |
| Magnetic Resonance Imaging (MRI) | Day case |
| Sclerotherapy | Day case or 1 night |
Reviewed by: Carla Hobart, General Manager ICI-LM. February 2012.