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.