E Makrantonaki1,2,3, E Steinhagen-Thiessen4,5, R Nieczaj5, C C Zouboulis6, R Eckardt4,5. 1. Department of Dermatology and Allergic Diseases, University Ulm, Life Science Building N27, James-Franck Ring/Meyerhofstrasse 11c, 89081, Ulm, Germany. evgenia.makrantonaki@uni-ulm.de. 2. Research Group on Geriatrics, Charité Universitätsmedizin Berlin, Reinickendorferstr. 61, 13347, Berlin, Germany. evgenia.makrantonaki@uni-ulm.de. 3. Departments of Dermatology, Venereology, Allergology and Immunology, Dessau Medical Center, Auenweg 38, 06847, Dessau, Germany. evgenia.makrantonaki@uni-ulm.de. 4. Research Group on Geriatrics, Charité Universitätsmedizin Berlin, Reinickendorferstr. 61, 13347, Berlin, Germany. 5. Evangelisches Geriatriezentrum Berlin, Reinickendorfer Str. 61, 13347, Berlin, Germany. 6. Departments of Dermatology, Venereology, Allergology and Immunology, Dessau Medical Center, Auenweg 38, 06847, Dessau, Germany.
Abstract
BACKGROUND: Improvement of quality of life in old age and prevention of age-associated diseases have become the main focus of research into aging; however, information regarding the skin health status of geriatric patients still remains sparse. GOAL: To investigate the extent of dermatological diseases in hospitalized geriatric patients, map the most prevalent ones, check for any gender differences and document any correlations with duration of hospitalization and results of geriatric assessments. PATIENTS AND METHODS: A total of 110 hospitalized geriatric patients underwent a complete dermatological examination at the Evangelical Geriatric Hospital (Evangelisches Geriatriezentrum) Berlin. The collected information was stratified according to dermatological diagnosis, results of geriatric assessments, duration of hospitalization, age and gender of the patients. RESULTS: The average number of diagnosed skin diseases per patient was 3.7 ± 1.8 for the female population and 4.3 ± 2.0 for the male population. After categorizing all diagnosed skin diseases, infectious diseases were found to be most common in both female and male patients (55 % and 58 %, respectively) followed by vascular diseases (46.7 % and 54 %, respectively). Precancerous skin lesions and epithelial skin cancer were more frequent in men than in women (20 % vs. 6.7 %, p < 0.037 and 34 % vs. 13.3 %, p < 0.010, respectively). Pruritus showed a positive correlation with the duration of hospitalization and a negative correlation with the Barthel index and Tinetti score on the day of discharge, indicating that pruritus may have a significant impact on the physical condition of elderly multimorbid patients and on the static and dynamic balance abilities. CONCLUSION: Our results demonstrate that skin health in the elderly is compromised and disregarded and this should constitute one of the top priorities of healthcare specialists and physicians in the future.
BACKGROUND: Improvement of quality of life in old age and prevention of age-associated diseases have become the main focus of research into aging; however, information regarding the skin health status of geriatric patients still remains sparse. GOAL: To investigate the extent of dermatological diseases in hospitalized geriatric patients, map the most prevalent ones, check for any gender differences and document any correlations with duration of hospitalization and results of geriatric assessments. PATIENTS AND METHODS: A total of 110 hospitalized geriatric patients underwent a complete dermatological examination at the Evangelical Geriatric Hospital (Evangelisches Geriatriezentrum) Berlin. The collected information was stratified according to dermatological diagnosis, results of geriatric assessments, duration of hospitalization, age and gender of the patients. RESULTS: The average number of diagnosed skin diseases per patient was 3.7 ± 1.8 for the female population and 4.3 ± 2.0 for the male population. After categorizing all diagnosed skin diseases, infectious diseases were found to be most common in both female and male patients (55 % and 58 %, respectively) followed by vascular diseases (46.7 % and 54 %, respectively). Precancerous skin lesions and epithelial skin cancer were more frequent in men than in women (20 % vs. 6.7 %, p < 0.037 and 34 % vs. 13.3 %, p < 0.010, respectively). Pruritus showed a positive correlation with the duration of hospitalization and a negative correlation with the Barthel index and Tinetti score on the day of discharge, indicating that pruritus may have a significant impact on the physical condition of elderly multimorbid patients and on the static and dynamic balance abilities. CONCLUSION: Our results demonstrate that skin health in the elderly is compromised and disregarded and this should constitute one of the top priorities of healthcare specialists and physicians in the future.
Authors: Evgenia Makrantonaki; Peter Schönknecht; Amir M Hossini; Elmar Kaiser; Myrto-Maria Katsouli; James Adjaye; Johannes Schröder; Christos C Zouboulis Journal: Exp Gerontol Date: 2010-08-16 Impact factor: 4.032
Authors: Uwe Matterne; Christian J Apfelbacher; Adrian Loerbroks; Tamara Schwarzer; Marion Büttner; Robert Ofenloch; Thomas L Diepgen; Elke Weisshaar Journal: Acta Derm Venereol Date: 2011-10 Impact factor: 4.437
Authors: Elena Biagi; Lotta Nylund; Marco Candela; Rita Ostan; Laura Bucci; Elisa Pini; Janne Nikkïla; Daniela Monti; Reetta Satokari; Claudio Franceschi; Patrizia Brigidi; Willem De Vos Journal: PLoS One Date: 2010-05-17 Impact factor: 3.240
Authors: Elisa Fabbri; Yang An; Marco Zoli; Eleanor M Simonsick; Jack M Guralnik; Stefania Bandinelli; Cynthia M Boyd; Luigi Ferrucci Journal: J Gerontol A Biol Sci Med Sci Date: 2014-08-07 Impact factor: 6.053
Authors: E Makrantonaki; D Jiang; A M Hossini; G Nikolakis; M Wlaschek; K Scharffetter-Kochanek; C C Zouboulis Journal: Rev Endocr Metab Disord Date: 2016-09 Impact factor: 6.514