Dermatological Diseases in Palliative Care Patients in a University Hospital: A Prospective Study.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-01-01 Epub Date: 2022-08-08 DOI:10.1177/08258597221119063

Erdal Pala, Pınar Tosun Tasar, Ahmet Onur Soguksu, Omer Karasahin, Can Sevinc

{"title":"Dermatological Diseases in Palliative Care Patients in a University Hospital: A Prospective Study.","authors":"Erdal Pala, Pınar Tosun Tasar, Ahmet Onur Soguksu, Omer Karasahin, Can Sevinc","doi":"10.1177/08258597221119063","DOIUrl":null,"url":null,"abstract":"Objective: Patients receiving palliative care are more prone to dermatological disease. The aim of our study was to determine the frequency of dermatological diseases and associated factors in patients receiving palliative care support.Methods: This prospective observational study included inpatients in the palliative care unit of our university hospital in Erzurum/TURKEY. The patients were evaluated by the same dermatologist within the first 48 h of admission and 3 days a week during follow-up. Demographic data, reasons for admission to the palliative care unit, and skin lesions at the time of admission and during follow-up were recorded.Results: The median age of the 259 patients included in the study was 77.0 years (min- max, 19-108) and 54.4% were women. Dermatological disease was detected in 246 patients (96.1%) at admission to the palliative care unit and in 185 patients (71.4%) patients during follow-up. The most common dermatological disease at admission was dry skin (n = 175, 67.6%), which was also the most common cause of pruritis (n = 29, 11.2%). The most common skin infection was dermatophytosis (n = 57, 22.0%) and the most common type of dermatitis was contact dermatitis (n = 17, 6.6%). Nearly all tumors were benign (n = 32, 12.4%) and most chronic wounds were pressure ulcers (n = 96, 37.1%). During hospital follow-up, the most frequent dermatitis was contact dermatitis (n = 44, 17.0%), the most frequent skin infection was candidiasis (n = 25, 9.7%), the most common chronic wound was pressure ulcers (n = 25, 9.7%), the most common dermatological disease was urticaria (n = 14, 5.4%), and all cases of pruritus were associated with dry skin (n = 8, 3.1%).Conclusions: The frequency of dermatological findings is high among patients receiving palliative care. Therefore, dermatologists should be included in multidisciplinary palliative care teams and evaluate palliative care patients early and regularly.","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":" ","pages":"75-81"},"PeriodicalIF":16.4000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/08258597221119063","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/8/8 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}

引用次数: 1

Abstract

Objective: Patients receiving palliative care are more prone to dermatological disease. The aim of our study was to determine the frequency of dermatological diseases and associated factors in patients receiving palliative care support.

Methods: This prospective observational study included inpatients in the palliative care unit of our university hospital in Erzurum/TURKEY. The patients were evaluated by the same dermatologist within the first 48 h of admission and 3 days a week during follow-up. Demographic data, reasons for admission to the palliative care unit, and skin lesions at the time of admission and during follow-up were recorded.

Results: The median age of the 259 patients included in the study was 77.0 years (min- max, 19-108) and 54.4% were women. Dermatological disease was detected in 246 patients (96.1%) at admission to the palliative care unit and in 185 patients (71.4%) patients during follow-up. The most common dermatological disease at admission was dry skin (n = 175, 67.6%), which was also the most common cause of pruritis (n = 29, 11.2%). The most common skin infection was dermatophytosis (n = 57, 22.0%) and the most common type of dermatitis was contact dermatitis (n = 17, 6.6%). Nearly all tumors were benign (n = 32, 12.4%) and most chronic wounds were pressure ulcers (n = 96, 37.1%). During hospital follow-up, the most frequent dermatitis was contact dermatitis (n = 44, 17.0%), the most frequent skin infection was candidiasis (n = 25, 9.7%), the most common chronic wound was pressure ulcers (n = 25, 9.7%), the most common dermatological disease was urticaria (n = 14, 5.4%), and all cases of pruritus were associated with dry skin (n = 8, 3.1%).

Conclusions: The frequency of dermatological findings is high among patients receiving palliative care. Therefore, dermatologists should be included in multidisciplinary palliative care teams and evaluate palliative care patients early and regularly.

查看原文本刊更多论文

某大学医院姑息治疗患者的皮肤病:一项前瞻性研究

目的:接受姑息治疗的患者更容易发生皮肤病。我们研究的目的是确定接受姑息治疗支持的患者皮肤疾病的频率及其相关因素。方法:本前瞻性观察研究纳入了土耳其埃尔祖鲁姆大学附属医院姑息治疗病房的住院患者。患者在入院前48小时和随访期间每周3天由同一皮肤科医生进行评估。记录了人口统计数据、入住姑息治疗病房的原因以及入院时和随访期间的皮肤病变情况。结果:纳入研究的259例患者的中位年龄为77.0岁(最小-最大，19-108岁)，54.4%为女性。246名患者(96.1%)在姑息治疗病房入院时被检测出皮肤病，185名患者(71.4%)在随访期间被检测出皮肤病。入院时最常见的皮肤病是皮肤干燥(n = 175, 67.6%)，这也是最常见的瘙痒原因(n = 29, 11.2%)。最常见的皮肤感染为皮肤真菌病(n = 57, 22.0%)，最常见的皮炎类型为接触性皮炎(n = 17, 6.6%)。几乎所有肿瘤为良性(n = 32, 12.4%)，大多数慢性伤口为压疮(n = 96, 37.1%)。在医院随访中，最常见的皮炎是接触性皮炎(n = 44, 17.0%)，最常见的皮肤感染是念珠菌病(n = 25, 9.7%)，最常见的慢性伤口是压疮(n = 25, 9.7%)，最常见的皮肤病是荨麻疹(n = 14, 5.4%)，所有瘙痒病例都伴有皮肤干燥(n = 8, 3.1%)。结论:在接受姑息治疗的患者中，皮肤病学表现的频率很高。因此，皮肤科医生应纳入多学科姑息治疗团队，并尽早和定期评估姑息治疗患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.