Charité-Universitätsmedizin Berlin, Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Berlin, Germany.
BMJ Open. 2017 Sep 24;7(9):e018283. doi: 10.1136/bmjopen-2017-018283.
The aim of this study was to measure the prevalence of skin diseases in aged nursing home residents and to explore possible associations with demographic and medical characteristics.
Descriptive multicentre prevalence study.
The study was conducted in a random sample of ten institutional long-term care facilities in the federal state of Berlin, Germany. In total, n=223 residents were included.
In total, 60 dermatological diseases were diagnosed. The most frequently diagnosed skin disease was xerosis cutis (99.1%, 95% CI 97.7% to 100.0%) followed by tinea ungium (62.3%, 95% CI 56.0% to 69.1%) and seborrheic keratosis (56.5%, 95% CI 50.2% to 63.0%). Only few bivariate associations have been detected between skin diseases and demographic and medical characteristics.
Study results indicate that almost every resident living in residential care has at least one dermatological diagnosis. Dermatological findings range from highly prevalent xerosis and cutaneous infection up to skin cancer. Not all conditions require immediate dermatological treatment and can be managed by targeted skin care interventions. Caregivers need knowledge and diagnostic skills to make appropriate clinical decisions. It is unlikely that specialised dermatological care will be delivered widely in the growing long-term care sector.
This study is registered at https://clinicaltrials.gov/ct2/show/NCT02216526.
本研究旨在测量养老院老年居民的皮肤病患病率，并探讨其与人口统计学和医学特征的可能关联。
描述性多中心患病率研究。
该研究在德国柏林联邦州的十个机构长期护理设施中进行了随机抽样。共纳入 223 名居民。
共诊断出 60 种皮肤病。最常见的皮肤病是皮肤干燥症（99.1%，95%置信区间 97.7%至 100.0%），其次是甲真菌病（62.3%，95%置信区间 56.0%至 69.1%）和脂溢性角化病（56.5%，95%置信区间 50.2%至 63.0%）。仅检测到皮肤疾病与人口统计学和医学特征之间的少数双变量关联。
研究结果表明，居住在养老院的几乎每个居民都至少有一种皮肤病诊断。皮肤病的发现范围从高度流行的皮肤干燥和皮肤感染到皮肤癌。并非所有情况都需要立即进行皮肤科治疗，可以通过有针对性的皮肤护理干预来管理。护理人员需要具备相关知识和诊断技能，以便做出适当的临床决策。在不断增长的长期护理领域，广泛提供专业皮肤科护理的可能性不大。
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