Nair Karun M, Kannayiram Sandhya Shri, Guraya Armaan, Idolor Osahon N, Aihie Osaigbokan P, Sanwo Eseosa J, Muojieje Chukwudi C
Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, USA.
Medicine, Midwestern University Chicago College of Osteopathic Medicine, Downers Grove, USA.
Cureus. 2020 Dec 25;12(12):e12271. doi: 10.7759/cureus.12271.
Background We used a large United States population-based database to analyze the reasons for hospitalization of psoriasis patients. Methods International Classification of Diseases, 10th revision (ICD-10) code was used to identify hospitalizations in National Inpatient Sample (NIS) 2017 with a principal or secondary diagnosis of psoriasis. The reasons for hospitalization were divided into 19 categories based on their principal discharge ICD-10 diagnosis code. We also ranked the five most common specific reasons for hospitalization of psoriasis patients. Results There were over 35 million discharges included in the 2017 NIS database. A total of 165215 hospitalizations had either a principal or secondary ICD 10 code for psoriasis. Based on ICD-10 code categories, the top five reasons for hospitalization in patients with history of psoriasis were: Cardiovascular (CV) (26605, 16.10%), rheumatologic (19555, 11.84%), digestive (18465, 11.18%), infection (16395, 9.92%), and respiratory (14865, 9.00%). Sepsis was the most common principal diagnosis of psoriasis hospitalizations. Conclusion CV diseases were the most common ICD category, and sepsis was the most common principal diagnosis for psoriasis hospitalization. Management of medical co-morbidities is important in reducing rates of hospitalization of psoriasis patients.
我们使用了一个基于美国人群的大型数据库来分析银屑病患者的住院原因。方法：使用国际疾病分类第十版（ICD - 10）编码来识别2017年全国住院患者样本（NIS）中主要或次要诊断为银屑病的住院病例。根据主要出院ICD - 10诊断编码，将住院原因分为19类。我们还对银屑病患者住院的五个最常见具体原因进行了排名。结果：2017年NIS数据库包含超过3500万例出院病例。共有165215例住院病例的ICD - 10编码主要或次要诊断为银屑病。根据ICD - 10编码类别，银屑病患者住院的前五个原因是：心血管（CV）（26605例，16.10%）、风湿性（19555例，11.84%）、消化系统（18465例，11.18%）、感染（16395例，9.92%）和呼吸系统（14865例，9.00%）。脓毒症是银屑病住院病例最常见的主要诊断。结论：心血管疾病是最常见的ICD类别，脓毒症是银屑病住院最常见的主要诊断。管理合并症对于降低银屑病患者的住院率很重要。
