Mahmoud Omar, Choragudi Siri, Nwaopara Amanda, Yosipovitch Gil
Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, Miami Itch Center, Miller School of Medicine, University of Miami, Miami, FL 33146, USA.
J Clin Med. 2023 Jul 31;12(15):5025. doi: 10.3390/jcm12155025.
Black and geriatric patients were reported in small scale studies to have more intense chronic pruritus (CP). Studies comparing itch across geriatric racial groups are lacking.
To compare the prevalence of CP in Black and White inpatients ≥ 65 years old as well as the top primary diagnoses of these populations.
We used data from the National Inpatient Sample from 2016-2019 to analyze CP prevalence and ICD10-CM to identify diseases. The top five primary diagnoses were calculated for a subpopulation with CP. Sample characteristics were described, and the data was pooled and analyzed using IBM SPSS Complex Sample modules.
Among hospitalized Black inpatients ≥ 65 years old, the prevalence of CP was 0.26% while in the White cohort it was 0.22%. The top five primary diagnoses in the Black population with itch were sepsis (4.2%); hypertensive heart and chronic kidney disease (CKD) with heart failure (HF) and stage 1-4 CKD, or unspecified CKD (4.1%); acute kidney failure (4.0%); hypertensive heart and CKD with HF with stage 5 CKD, or end-stage renal disease (2.1%); and hypertensive heart disease with HF (1.7%). The top five primary diagnoses in the White population were sepsis (4.25%); acute kidney failure (3.0%); hypertensive heart and CKD with HF and stage 1-4 CKD, or unspecified CKD (2.5%); cellulitis of left lower limb (1.9%); and unilateral primary osteoarthritis, right knee (1.9%).
Geriatric hospitalized Black patients demonstrated a higher prevalence of chronic itch compared with the White cohort, which may be related to the higher prevalence of chronic kidney disease in different stages of severity in this population.
小规模研究报告称，黑人和老年患者的慢性瘙痒（CP）更为严重。缺乏比较老年种族群体瘙痒情况的研究。
比较65岁及以上黑人和白人住院患者中CP的患病率以及这些人群的主要首要诊断。
我们使用了2016 - 2019年全国住院患者样本的数据来分析CP患病率，并使用国际疾病分类第十版临床修订本（ICD10 - CM）来确定疾病。计算了患有CP的亚人群的前五大首要诊断。描述了样本特征，并使用IBM SPSS复杂样本模块对数据进行汇总和分析。
在65岁及以上的住院黑人患者中，CP的患病率为0.26%，而在白人队列中为0.22%。黑人瘙痒人群的前五大首要诊断为败血症（4.2%）；高血压性心脏病和慢性肾脏病（CKD）合并心力衰竭（HF）以及1 - 4期CKD或未指定的CKD（4.1%）；急性肾衰竭（4.0%）；高血压性心脏病和CKD合并HF以及5期CKD或终末期肾病（2.1%）；以及高血压性心脏病合并HF（1.7%）。白人人群的前五大首要诊断为败血症（4.25%）；急性肾衰竭（3.0%）；高血压性心脏病和CKD合并HF以及1 - 4期CKD或未指定的CKD（2.5%）；左下肢蜂窝织炎（1.9%）；以及右膝单侧原发性骨关节炎（1.9%）。
与白人队列相比，老年住院黑人患者的慢性瘙痒患病率更高，这可能与该人群不同严重程度阶段的慢性肾脏病患病率较高有关。
