Skin Disease Profile in Geriatric Inpatients at a Tertiary Referral Hospital
Journal name: The Malaysian Journal of Medical Sciences
Original article title: Skin Disease Profile in Geriatric Inpatients at a Tertiary Referral Hospital
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Lili Legiawati, Shannaz Nadia Yusharyahya, Rinadewi Astriningrum, Amanda Andria Pulungan, Ratih Wulan Kusumahapsari
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The Malaysian Journal of Medical Sciences:
(A peer-reviewed, open-access journal)
Full text available for: Skin Disease Profile in Geriatric Inpatients at a Tertiary Referral Hospital
Year: 2023 | Doi: 10.21315/mjms2023.30.6.6
Copyright (license): CC BY 4.0
Summary of article contents:
Introduction
The aging population, defined as individuals aged 60 years and older, is experiencing significant growth globally, including in Indonesia. With this demographic shift comes an increase in vulnerability to various skin diseases due to physiological changes that occur with aging, such as diminished organ function and a decline in skin barrier properties. Effective monitoring of skin disease trends in the elderly is crucial for healthcare providers, particularly in regions where research is limited. This retrospective study aims to analyze and document the skin disease profile among geriatric patients admitted to a tertiary referral hospital in Indonesia from 2017 to 2019.
Dominance of Infections in the Elderly Population
One of the most critical findings of the study is that infections are the most prevalent skin condition among the elderly, accounting for 35.8% of cases. Cutaneous candidiasis was identified as the most common type of infection. Furthermore, the study revealed that dermatitis, primarily irritant contact dermatitis and seborrheic dermatitis, also featured prominently, especially in males. Notably, the gender disparity in the prevalence of infections and dermatitis highlights a significant trend; infections were more common in females, whereas dermatitis was more frequently diagnosed in males. This finding underscores the necessity for tailored dermatological care and awareness programs targeting the unique needs of the geriatric population, factoring in their comorbidities and the complexity of treatment plans.
Conclusion
In conclusion, the study establishes a foundational base for epidemiological data regarding skin diseases in the aging population of Indonesia, emphasizing the high occurrence of infections compared to other skin conditions. The acknowledgment of gender differences in disease prevalence reinforces the need for gender-sensitive healthcare approaches. By providing comprehensive insights into skin diseases affecting the elderly, this study can aid healthcare professionals in improving diagnostic and therapeutic strategies for geriatric patients. Future research should target larger sample sizes and more varied geographic locations to enrich the understanding of skin diseases among elderly populations worldwide.
FAQ section (important questions/answers):
What was the main objective of the study?
The study aimed to determine the skin disease profile in geriatric patients at a tertiary referral hospital in Indonesia between 2017 and 2019, focusing on infection and dermatitis prevalence.
How many geriatric patients were analyzed in the study?
A total of 235 geriatric inpatients, aged 60 years and older, who were consulted at the Department of Dermatology and Venereology, were included in the analysis.
What were the most common skin diseases observed?
The most common skin diseases were infections (35.8%), dermatitis (21.8%), ulcers (12.8%), age-related skin changes (8.4%), and vascular diseases (5.3%). Infections were more prevalent in females and dermatitis in males.
What is the significance of studying skin diseases in the elderly?
Epidemiological data on skin diseases in the elderly are crucial for monitoring trends and understanding the impact of various factors on their skin health, given their increased susceptibility to skin conditions.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Skin Disease Profile in Geriatric Inpatients at a Tertiary Referral Hospital”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Disease:
Disease refers to a pathological condition that disrupts the body's normal functioning. In the context of the abstract, various skin diseases affecting the geriatric population in Indonesia are discussed. Understanding the different diseases helps in recognizing trends and tailoring treatment strategies, especially in an aging demographic that may be more susceptible to these health issues.
2) Study (Studying):
Study is the investigation or analysis conducted to explore specific phenomena or to gather data on particular subjects. In this context, the retrospective study aimed to analyze skin diseases in geriatric patients, providing insight into prevalence, demographics, and potential treatment implications, thus contributing valuable epidemiological data.
3) Table:
Table here refers to a statistical representation that organizes complex data into an easily digestible format. In scientific presentations, tables summarize key findings, like patient demographics and disease prevalence in this study, allowing for quick assessment and comparison, which aids in the understanding of researched health patterns.
4) Male:
Male denotes one of the two primary biological sexes. In this study, male patients showed a higher prevalence of dermatitis, indicating potential gender differences in disease susceptibility. Understanding these differences helps tailor medical approaches and preventive strategies for skin diseases in the elderly population.
5) Ulcer:
Ulcer describes a sore or lesion on the body that can be caused by various factors like infections or inadequate blood flow. The mention of ulcers in the study highlights a significant skin condition affecting elderly patients, necessitating careful management to prevent complications such as infections or chronic pain.
6) Indian:
Indian refers to something related to India, which is significant here because the study draws comparisons to previous research conducted in India regarding skin disorders in the elderly. Understanding these similarities or differences aids in developing a comprehensive view of geriatric dermatological health across different cultures.
7) Surface:
Surface typically relates to the outermost layer of an object, including skin or other tissues in medical terms. In this context, it may refer to skin conditions that manifest on the body's surface. Recognizing surface symptoms is crucial for diagnosis and treatment of dermatological diseases.
8) India:
India indicates a country known for its vast population and diverse health challenges, similar to those faced in Indonesia. By referencing India, the study situates its findings within global contexts, helping identify common public health issues faced by aging populations, thereby contributing to overall dermatological research.
9) Sweating (Sweat):
Sweat is a physiological process important for thermoregulation. In older adults, reduced sweat production can lead to skin dryness and increased vulnerability to infections and other skin disorders. Understanding how sweat impacts skin health is critical in managing dermatological conditions in geriatric populations.
10) Medicine:
Medicine refers to the science and practice of diagnosing, treating, and preventing health issues. This field is vital in the study, as it underpins the analysis of skin diseases, contributing to a more nuanced understanding of how geriatrics affects health care strategies and patient management.
11) Rules:
Rules may refer to established guidelines in clinical practice or research protocols. In the context of this study, adherence to rules ensures that the methods used for data collection and analysis uphold scientific rigor and integrity, thus lending credibility to the findings presented.
12) Drug:
Drug refers to any substance used to treat or prevent disease. In geriatric patients, polypharmacy is common, complicating dermatological conditions. Awareness of medication interactions and side effects is essential for optimizing treatment and minimizing adverse effects in older adults with multiple comorbidities.
13) Life:
Life refers to the state of living beings, reflecting overall health and well-being. The impact of skin diseases on the quality of life, particularly in the elderly, signifies the importance of addressing dermatological issues to enhance both physical comfort and psychosocial well-being in this population.
14) Perception:
Perception is the process of interpreting sensory information. In older adults, altered perception can affect their awareness of skin conditions, potentially delaying diagnosis or treatment. Understanding this diminishment is crucial to ensuring effective communication and management strategies in dermatology.
15) Goldsmith:
Goldsmith is likely referencing a notable work or contribution in dermatology, specifically regarding aging skin. This connection can provide context or background on established knowledge, enriching the discussion in the current study by juxtaposing findings with prior research in dermatological aging.
16) Attending:
Attending often refers to individuals who are present at a medical facility for care. In this study, it highlights the importance of geriatric patients who visit the dermatology department, thereby showcasing the active role of healthcare services in evaluating and treating skin diseases in this demographic.
17) Tamilnadu (Tamil-nadu):
Tamilnadu signifies a region in India, possibly referencing specific studies, epidemiological data, or cultural practices that impact skin health. Contextual comparison with Tamilnadu facilitates a broader understanding of regional variations in elderly skin diseases.
18) Quality:
Quality refers to the standard and degree of excellence. In healthcare, the quality of life is a critical outcome measure, particularly how chronic skin conditions may diminish elderly individuals' overall satisfaction, comfort, and daily functioning.
19) Lanka (Lamka, Lànkà):
Lanka typically signifies Sri Lanka, which may be referenced here for comparative purposes regarding healthcare practices, patient demographics, and the prevalence of skin diseases. In medical research, such comparisons highlight regional public health challenges.
20) Rajan:
Rajan is likely associated with a researcher or study relevant to the topic at hand, providing insights into dermatological diseases affecting a similar population. Understanding previous contributions enriches the examination of current findings and enables a more rounded discussion.
21) Blood:
Blood denotes a body fluid crucial for numerous physiological functions including immune response and healing. In the context of dermatology, issues with blood flow can exacerbate skin diseases among elderly patients, especially concerning wound healing and susceptibility to infections.
22) Inflammation:
Inflammation is a response to injury or infection, crucial for healing but potentially detrimental if chronic. Recognizing the role of inflammation in skin diseases among the elderly aids in understanding disease mechanisms and developing effective treatments for their management.
23) Discussion:
Discussion is an essential part of scientific research, facilitating interpretation of study results in light of existing knowledge. This section of the study elaborates on findings, contextualizing them and establishing connections to prior research, which enriches understanding and guides future inquiries.
24) Hygiene (Hygienic):
Hygiene refers to practices promoting health and cleanliness. For the elderly, maintaining good hygiene is essential in preventing skin diseases. This study stresses the relevance of hygiene in the management and prevention of dermatological conditions in geriatric populations.
25) Repair:
Repair is a biological process that restores tissue integrity after injury. In dermatology, the study highlights the importance of understanding skin repair mechanisms in older adults, particularly how age-related factors may impair this process, leading to higher vulnerability to skin diseases.
26) Nature:
Nature often denotes the inherent characteristics or essence of something. This term in the study can reflect the fundamental differences in skin diseases across demographics and environments, enhancing understanding of specific health challenges faced by the geriatric population.
27) Manu:
Manu may refer to research authors or significant contributors, linking ideas and findings back to broader academic discussions. Identifying contributors enriches the understanding of the current study's context, emphasizing collaborative efforts in dermatological research.
28) Puti:
Puti likely refers to a funding program or initiative that supports research. Acknowledging such contributions underlines the importance of institutional support in advancing scientific knowledge and improving healthcare outcomes for specific populations like the elderly.
29) Diet:
Diet signifies the nutritional intake necessary for maintaining health. In this study, understanding the dietary habits of the elderly can provide insights into skin health and disease prevention, as certain nutrients may play a role in skin integrity and overall well-being.
30) Post:
Post refers to the aftermath or results following an event. In a medical study context, post-indicators can reflect outcomes and help in assessing the efficacy of treatment protocols, thereby guiding future clinical practices and research directions.
Other Health Sciences Concepts:
Discover the significance of concepts within the article: ‘Skin Disease Profile in Geriatric Inpatients at a Tertiary Referral Hospital’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:
Ulcer, Heart disease, Skin disease, Sensory perception, Traumatic ulcer, Diabetes mellitus, Infectious disease, Common skin diseases, Elderly, Pruritus, Chronic inflammation, Wound healing, Statistical analysis, Quality of life, Socioeconomic status, Phototherapy, Atopic dermatitis, Statistical Significance, Systemic disease, Psoriasis, Type 2 Diabetes Mellitus, Elderly Population, Chi square test, Type 2 diabetes, Clinical manifestation, Hypertension, Pressure Ulcer, Retrospective study, Geriatric population, NIDDM patients, Geriatric age group, Contact dermatitis, Vascular disease, Blood glucose level, Conflicts of interest, Fungal infection, Tertiary care hospital, Dry skin, Dermatitis, Erythema, Sebum production, Chisquare test, Skin disorder, Skin cancer, Dermatophytes, Metabolic changes, Secondary infection, Seborrheic Dermatitis, Statistical difference, Respiratory disease, Dermatophytosis, High humidity, Comorbidities, Gastrointestinal disease, Degenerative change, Impaired quality of life, Dermatological disease, Geriatric Patient, Diabetic patient, Tissue invasion, Benign neoplasm, Personal habits, Incidence and prevalence, Narrowband UVB phototherapy, Fisher's exact test, Tertiary Hospital, Epidemiologic data, Department of Dermatology, Musculoskeletal disease, Tertiary Referral Hospital, Cutaneous candidiasis, Aging skin, Foot Infection, Emollient, Dermatologic disease, Irritant Contact Dermatitis, Immune responsiveness, Infection, Xerosis cutis, Cutaneous disorders, Clinical characteristic, Pigmentation disorders, Organ function, Drug eruption, Intertriginous area, Weakened immune system, Inflammaging, Categorical variable, Epidermal stem cells, Population aging, Pulmonary health, Skin surface pH, Psychosocial disability, Narrowband-ultraviolet B, Cosmetic disorders, Associated factor, Larger sample size, T2DM, Neurologic disease, Amyloidosis, Dermatological lesions, Dermatophytic infection, Occupational contact dermatitis, Global epidemiology, Fungal foot infections, Universitas Indonesia, Inflammatory cytokine, Health Research Ethics Committee, Geriatric inpatients, Barrier function, Dermatology clinic, Granulocyte function, Hospital medical record.