Menteşoğlu Dilek, Kartal Selda Pelin
Department of Dermatology and Venereology, Ankara Etlik City Hospital, Ankara, TUR.
Cureus. 2024 Dec 13;16(12):e75665. doi: 10.7759/cureus.75665. eCollection 2024 Dec.
Skin problems, typically overlooked in elderly patients hospitalized for systemic diseases, can no longer be ignored.
This study aimed to investigate the presence and management of dermatological problems in hospitalized elderly patients.
This retrospective study involved dermatology consultations for 712 elderly patients (aged ≥ 65 years) hospitalized between October 2022 and October 2023.
The departments that requested the most consultations were physical therapy and rehabilitation (n = 108, 15.2%), internal medicine (n = 64, 9%), and pulmonary disease (n = 52, 7.3%). Consultations were most frequently requested between the seventh and 14th day of hospitalization. The most common reasons for consultation were dermatitis (n = 185; 26%), fungal infections (n = 164; 23%), bacterial infections (n = 54; 7.6%), cutaneous drug reactions (n = 45; 6.3%), and viral infections (n = 44; 6.2%). The most common dermatological diagnoses were xerotic eczema, maculopapular drug eruptions, tinea cruris, tinea ungium, tinea pedis, contact dermatitis, cellulitis, shingles, and xerosis cutis.
These results underscore the importance of convenient access to outpatient services for elderly patients and the need for primary healthcare facilities to have staff trained in geriatric dermatology to ensure optimal care for the aging population.
皮肤问题在因全身性疾病住院的老年患者中通常被忽视，但现在不能再被忽视了。
本研究旨在调查住院老年患者中皮肤问题的存在情况及管理方式。
这项回顾性研究涉及2022年10月至2023年10月期间住院的712名老年患者（年龄≥65岁）的皮肤科会诊。
请求会诊最多的科室是物理治疗与康复科（n = 108，15.2%）、内科（n = 64，9%）和肺病科（n = 52，7.3%）。会诊最常发生在住院的第7天至第14天之间。会诊的最常见原因是皮炎（n = 185；26%）、真菌感染（n = 164；23%）、细菌感染（n = 54；7.6%）、皮肤药物反应（n = 45；6.3%）和病毒感染（n = 44；6.2%）。最常见的皮肤科诊断是干性湿疹、斑丘疹性药疹、股癣、甲癣、足癣、接触性皮炎、蜂窝织炎、带状疱疹和皮肤干燥症。
这些结果强调了为老年患者提供便捷门诊服务的重要性，以及基层医疗保健机构需要配备经过老年皮肤病学培训的工作人员，以确保为老年人群提供最佳护理。
