Department of Dermatology, Civil Hospital of Guadalajara, Guadalajara, Jalisco, Mexico.
Department of Public Health, Faculty of Medicine, Autonomous University of San Luis Potosi, San LuisPotosi, Mexico.
Int J Dermatol. 2019 May;58(5):563-568. doi: 10.1111/ijd.14304. Epub 2018 Nov 21.
Skin diseases in the population are universal, common, and can cause significant economic burden. The impact of skin diseases in the national public healthcare system is complex and poorly studied. This study analyzes the prevalence of skin diseases in a hospital setting within the National Public Health System of Mexico and describes the main associated characteristics.
Information was obtained from the 2015 hospital discharge database of the public healthcare system of Mexico. Pathologies that result in a direct dermatological condition were included according to chapter XII of the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD - 10) and grouped according to the classification of the report, The burden of skin diseases in the United States.
In 2015, a total of 9,230,968 hospital discharges were registered nationwide, of which 170,917 discharges (1.85%) reported a dermatological disease as the main diagnosis; five states account for 40.79% of the cases reported in Mexico. Half of all the cases corresponded to skin infections (32.08%, n = 54,843) and non-cancerous skin growths (27.80%, n = 47,515), and 59.71% were adult patients between 18 and 65 years of age.
Understanding of the configuration of skin diseases in a hospital setting and public healthcare system is warranted to develop effective public policies and research for the development of effective, safe, high-quality care processes for the main groups of identified diseases.
皮肤疾病在人群中普遍存在且常见，可能会造成巨大的经济负担。皮肤疾病对国家公共卫生系统的影响复杂且研究不足。本研究分析了墨西哥国家公共卫生系统中医院环境下皮肤疾病的流行情况，并描述了主要的相关特征。
本研究从墨西哥公共医疗系统 2015 年医院出院数据库中获取了相关信息。根据《国际疾病分类与相关健康问题统计第十次修订本》（ICD-10）第十二章，将导致直接皮肤病的病理纳入研究，根据报告分类，将其分为《美国皮肤疾病负担》。
2015 年，全国共有 9230968 例住院出院记录，其中 170917 例（1.85%）出院记录将皮肤疾病作为主要诊断；五个州报告的病例占墨西哥总病例的 40.79%。所有病例的一半与皮肤感染（32.08%，n=54843）和非癌性皮肤生长（27.80%，n=47515）有关，59.71%为 18 至 65 岁的成年患者。
了解医院环境和公共卫生系统中皮肤疾病的构成情况，对于制定有效的公共政策和研究，以开发针对主要疾病群体的有效、安全、高质量的护理流程是必要的。
