Dermatological findings in the senior population of nursing homes in Turkey

Kılıç, Arzu; Gül, Ülker; Aslan, Erkan; Soylu, Seçil

doi:10.1016/j.archger.2007.07.007

Cited by 48 publications

(11 citation statements)

References 13 publications

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“… 5 26 27 In our study, prevalence estimates are higher compared with previous studies in this setting, for instance, the prevalence of xerosis cutis, IAD and actinic keratosis. 5 25 28–30 Otherwise the study of Kilic et al reported a lower prevalence for actinic keratosis, 25 which may be explained by the geographical region and the assumed darker skin types of examined nursing home residents. Prevalences for tinea pedis, pruritus and candidiasis were similar to previous reports.…”

Section: Discussionmentioning

confidence: 96%

“…Research in this setting is challenging due to difficulties of gathering written informed consent (eg, due to dementia and associated cognitive impairments). 24 Irrespectively from that, besides a study published in Turkey in 2007 by Kilic et al , 25 this was the largest randomly selected sample of residents aged 65 years or older undergoing a head-to-toe skin examination by board certified dermatologists in institutional long-term care facilities, compared with previous studies. 5 26 27 In our study, prevalence estimates are higher compared with previous studies in this setting, for instance, the prevalence of xerosis cutis, IAD and actinic keratosis.…”

Section: Discussionmentioning

confidence: 97%

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Prevalence and associated factors of skin diseases in aged nursing home residents: a multicentre prevalence study

et al. 2017

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ObjectivesThe aim of this study was to measure the prevalence of skin diseases in aged nursing home residents and to explore possible associations with demographic and medical characteristics.DesignDescriptive multicentre prevalence study.Setting and participantsThe study was conducted in a random sample of ten institutional long-term care facilities in the federal state of Berlin, Germany. In total, n=223 residents were included.ResultsIn total, 60 dermatological diseases were diagnosed. The most frequently diagnosed skin disease was xerosis cutis (99.1%, 95% CI 97.7% to 100.0%) followed by tinea ungium (62.3%, 95% CI 56.0% to 69.1%) and seborrheic keratosis (56.5%, 95% CI 50.2% to 63.0%). Only few bivariate associations have been detected between skin diseases and demographic and medical characteristics.ConclusionStudy results indicate that almost every resident living in residential care has at least one dermatological diagnosis. Dermatological findings range from highly prevalent xerosis and cutaneous infection up to skin cancer. Not all conditions require immediate dermatological treatment and can be managed by targeted skin care interventions. Caregivers need knowledge and diagnostic skills to make appropriate clinical decisions. It is unlikely that specialised dermatological care will be delivered widely in the growing long-term care sector.Trial registration numberThis study is registered at https://clinicaltrials.gov/ct2/show/NCT02216526.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 97%

Prevalence and associated factors of skin diseases in aged nursing home residents: a multicentre prevalence study

et al. 2017

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“…For instance total Braden scale scores in patients aged 65 + years have been shown to be associated with the development of skin tears [ 13 ]. Kilic et al showed associations between xerosis cutis and being bedridden [ 14 ]. An impaired skin barrier may be an indicator for higher susceptibility for skin disorders [ 3 ], hence biophysical skin barrier measurements (e.g.…”

Section: Introductionmentioning

confidence: 99%

Associations between skin barrier characteristics, skin conditions and health of aged nursing home residents: a multi-center prevalence and correlational study

et al. 2017

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BackgroundGeriatric patients are affected by a range of skin conditions and dermatological diseases, functional limitations and chronic diseases. Skin problems are highly prevalent in elderly populations. Aim of this study was to investigate possible associations between health, functional and cutaneous variables in aged long-term care residents.MethodsThis observational, cross-sectional, descriptive prevalence study was conducted in a random sample of 10 institutional long-term care facilities in Berlin. In total, n = 223 residents were included. Demographic and functional characteristics, xerosis cutis, incontinence associated dermatitis, pressure ulcers and skin tears were assessed. Stratum corneum hydration, transepidermal water loss, skin surface pH and skin temperature were measured. Data analysis was descriptive and explorative. To explore possible bivariate associations, a correlation matrix was created. The correlation matrix was also used to detect possible collinearity in the subsequent regression analyses.ResultsMean age (n = 223) was 83.6 years, 67.7% were female. Most residents were affected by xerosis cutis (99.1%; 95% CI: 97.7% - 100.0%). The prevalence of pressure ulcers was 9.0% (95% CI: 5.0% - 13.0%), of incontinence associated dermatitis 35.4% (95% CI: 29.9% - 42.2%) and of skin tears 6.3% (95% CI: 3.2% - 9.5%). Biophysical skin parameters were not associated with overall care dependency, but with age and skin dryness. In general, skin dryness and measured skin barrier parameters were associated between arms and legs indicating similar overall skin characteristics of the residents.ConclusionPrevalence of xerosis cutis, pressure ulcers and skin tears were high, indicating the load of these adverse skin conditions in this population. Only few associations of demographic characteristics, skin barrier impairments and the occurrence of dry skin, pressure ulcers, skin tears and incontinence-associated dermatitis have been detected, that might limit the diagnostic value of skin barrier parameters in this population. Overall, the measured skin barrier parameters seem to have limited diagnostic value for the reported skin conditions except xerosis cutis.Trial registrationThis study is registered at https://clinicaltrials.gov/ct2/show/NCT02216526. Registration date: 8th November 2014.

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“…Çalışmada verilerin retrospektif olması nedeniyle hastanın şikayeti yoksa tanının girilmediği ve elde edilen sonucun aksine bölgemizde de yaşlı hastalarda kserozisin daha yüksek olduğunu düşünmekteyiz. Farklı bölgelerde yapılsa da bizim düşüncemizi destekleyen ülkemizde yapılan prospektif çalışmalar mevcuttur (12,13 edildi. Çoğu çalışmada ekzemalar yaşlı hastalarda sık görülen hastalık grupları içinde bulunmuştur (5,6,7,14).…”

Section: Introductionunclassified

Geriatrik Hastalarda Dermatolojik Sorunların Analizi

Baş¹,

Kalkan²,

Seçkin³

et al. 2014

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Amaç: Tüm dünyada yaşlıların genel nüfusa oranı giderek artmaktadır. Sağlık hizmetlerinin planlanmasında bu popülasyona yönelik epidemiyolojik çalışmalar yol gösterici olacaktır. Yöntem: [2005][2006][2007][2008][2009][2010][2011][2012][2013] Objective: All over the world, the proportion of elderly in general population tends to increase. Epidemiological studies concerning this part of the population will be guiding while planning health services. Methods: Data of a total of 2734 geriatric patients admitted between the years 2005-2013 were analyzed. Hospital-based patient registry records were used for data collection. Patients were classified into 26 different groups in terms of types of their cutaneous diseases. The data were analyzed according to age, gender, and season. Results: Among 2734 patients included in the study, 1519 were males (55.6%) and 1215 (44.4%) were females. Mean age was 70.94±5.76 years. When analyzed in decreasing order of incidence, the first five groups were eczema (20.5%), fungal skin diseases (18%), pruritus (12.8%), erythematous-squamous disease (6.7%), and viral skin diseases (5.4%). Conclusions:This study provides important data on the frequency of dermatologic diseases in elderly patients, and also shows variations in the frequency depending on age, gender, and season. We believe that this study will create awareness about the extent and patterns of dermatologic problems in geriatric patients.

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Dermatological findings in the senior population of nursing homes in Turkey

Cited by 48 publications

References 13 publications

Prevalence and associated factors of skin diseases in aged nursing home residents: a multicentre prevalence study

Prevalence and associated factors of skin diseases in aged nursing home residents: a multicentre prevalence study

Associations between skin barrier characteristics, skin conditions and health of aged nursing home residents: a multi-center prevalence and correlational study

Geriatrik Hastalarda Dermatolojik Sorunların Analizi

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