Prevalence and associated factors of skin diseases among geriatric outpatients from a metropolitan dermatologic clinic in Thailand

IF 2.3 4区 医学 Q2 DERMATOLOGY
Jedpakorn Laopakorn, Sujirod Hanthavichai
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引用次数: 1

Abstract

Background: The importance of the geriatric population has been increasing expeditiously in the health-care system. The epidemiology of skin disorders is an interesting subject to challenge physicians to comprehensively manage the elderly. Objectives: The objective of the study was to determine the prevalence of the most frequent dermatologic disorders among elderly outpatients and identify major associated determinants. Methods: This retrospective observational study recruited subjects aged 60 years and older attending the dermatologic clinic at the Faculty of Medicine, Vajira Hospital, in Thailand. The medical records were collected between January 2017 and December 2020. The data were analyzed according to age, sex, season, underlying medical diseases, and areas of involvement to identify the associated factors for the frequently presented dermatologic diagnoses. Results: In this study, 521 outpatients (including 218 males and 303 females) with a mean age of 71.34 years (range, 60–04 years) were enrolled. The most common dermatoses were eczematous dermatitis (35.7%), cutaneous infection (18.2%), xerosis (15.5%), and psoriasis (7.3%). The distribution of the prevalent dermatologic disorders still did not change during the COVID-19 pandemic. A significant association was found between xerosis and age of 80 years and older (odds ratio [OR], 2.03; 95% confidence interval [CI], 1.09–3.78; P = 0.026). The risk of developing xerosis cutis significantly decreased with dyslipidemia (OR, 0.45; 95% CI, 0.26–0.78; P = 0.004). Conclusion: The three foremost cutaneous disease groups are eczematous dermatitis, skin infection, and xerosis cutis. Dry skin is strongly connected with the age of 80 years and above; however, xerosis is coincidentally correlated with dyslipidemia.
泰国一个大都市皮肤病诊所老年门诊患者的皮肤病患病率及相关因素
背景:老年人口在卫生保健系统中的重要性一直在迅速增加。皮肤病的流行病学是一个有趣的主题,挑战医生全面管理老年人。目的:该研究的目的是确定老年门诊患者中最常见的皮肤病的患病率,并确定主要的相关决定因素。方法:这项回顾性观察性研究招募了在泰国Vajira医院医学院皮肤科就诊的年龄在60岁及以上的受试者。医疗记录是在2017年1月至2020年12月期间收集的。根据年龄、性别、季节、潜在的医学疾病和涉及的领域对数据进行分析,以确定经常出现的皮肤病诊断的相关因素。结果:本研究共纳入521例门诊患者,其中男性218例,女性303例,平均年龄71.34岁(60 ~ 04岁)。最常见的皮肤病是湿疹性皮炎(35.7%)、皮肤感染(18.2%)、干燥症(15.5%)和牛皮癣(7.3%)。在COVID-19大流行期间,流行皮肤病的分布仍未发生变化。发现干旱症与80岁及以上年龄之间存在显著关联(优势比[OR], 2.03;95%置信区间[CI], 1.09-3.78;P = 0.026)。血脂异常患者发生皮肤干燥症的风险显著降低(OR, 0.45;95% ci, 0.26-0.78;P = 0.004)。结论:湿疹性皮炎、皮肤感染、皮肤干燥是皮肤病的三大主要类群。皮肤干燥与80岁及以上的年龄密切相关;然而,干枯症恰好与血脂异常相关。
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来源期刊
Dermatologica Sinica
Dermatologica Sinica DERMATOLOGY-
CiteScore
2.80
自引率
20.00%
发文量
28
审稿时长
>12 weeks
期刊介绍: Dermatologica Sinica aims to publish high quality scientific research in the field of dermatology, with the goal of promoting and disseminating dermatological-related medical science knowledge to improve global health. Articles on clinical, laboratory, educational, and social research in dermatology and other related fields that are of interest to the medical profession are eligible for consideration. Review articles, original articles, brief reports, case reports and correspondence are accepted.
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