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

Hahnel, Elisabeth; Blume-Peytavi, Ulrike; Trojahn, Carina; Dobos, Gábor; Jahnke, Irina; Kanti, Vera; Richter, Claudia; Lichterfeld-Kottner, Andrea; Bartels, Natalie Garcia; Kottner, Jan

doi:10.1136/bmjopen-2017-018283

Cited by 61 publications

(65 citation statements)

References 47 publications

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“…Such persons should be consulted for preventive care and protective measures in their profession. A much higher proportion of xerosis was found in persons in German nursing homes where about 99% showed such dry skin . However, the mean age of these persons was 83.4 years and is just not comparable with the current study.…”

Section: Discussioncontrasting

confidence: 99%

Prevalence, predictors and comorbidity of dry skin in the general population

Augustin

Kirsten

Körber³

et al. 2018

Acad Dermatol Venereol

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Section: Discussioncontrasting

confidence: 99%

Prevalence, predictors and comorbidity of dry skin in the general population

Augustin

Kirsten

Körber³

et al. 2018

Acad Dermatol Venereol

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“…The prevalence increases with increasing age (55.6 % at a mean age of 75.1 years) . Older, care‐dependent individuals (mean age: 83.6 years) have been shown to develop xerosis cutis in 99.1 % of cases . Data from the KIGGS study (study on the health of children and adolescents in Germany) show a lifetime prevalence of atopic dermatitis among children and adolescents of 13.2 % .…”

Section: Background and Rationalementioning

confidence: 99%

Diagnosis and treatment of xerosis cutis – a position paper

Augustin

Wilsmann‐Theis²,

Körber³

et al. 2019

J Deutsche Derma Gesell

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Summary Background and rationale Xerosis cutis (also referred to as xeroderma, dry skin, asteatosis) affects more than 10 million individuals in Germany. It is among the most common dermatological diagnoses and a cardinal symptom of many dermatological, internal and neurological diseases. Even though it has been established that basic skin care plays a significant role in the management of patients with xerosis cutis, there are as yet no evidence‐based algorithms for diagnosis and treatment. Objective The present position paper provides physicians across all specialties with a practical, symptom‐based approach to the prevention, diagnosis and treatment of xerosis cutis. Methods Within a structured decision‐making process, a panel of experienced dermatologists first defined questions relevant to everyday clinical practice, which were then addressed by a systematic review of the literature. Based on the evidence available as well as expert consensus, diagnostic and treatment algorithms were subsequently developed and agreed upon. Results Xerosis cutis is generally diagnosed on clinical grounds. Possible trigger factors must be avoided, and comorbidities should be adequately and specifically treated. Suitable skin care products should be chosen with a view to improving skin hydration and restoring its barrier function. They should therefore contain both rehydrating and lipid‐replenishing components. The “drier” the skin appears, the greater the lipid content should be (preferably using water‐in‐oil formulations). The choice of ingredients is based on a patient's individual symptoms, such as scaling (e.g., urea), fissures/rhagades (e.g., urea or dexpanthenol), erythema (e.g., licochalcone A) and pruritus (e.g., polidocanol). Other factors to be considered include the site affected and patient age. Ingredients or rather combinations thereof for which there is good clinical evidence should be preferentially used. The best evidence by far is available for urea, whose efficacy in the treatment of xerosis is further enhanced by combining it with other natural moisturizing components and ceramides. The “xerosimeter” is a tool developed in an effort to facilitate patient management and for training purposes. It not only includes practical tools for diagnosis and follow‐up but also a classification of ingredients and a structured treatment algorithm. Conclusion The structured symptom‐ and evidence‐based approach proposed herein contains a road map for diagnosis and treatment of xerosis cutis. It aims to raise awareness in terms of prevention and early treatment of this condition and may thus improve quality of life and prevent potential sequelae.

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“…In German nursing home residents as well as in hospital patients, a prevalence of dry skin of at least 40% was observed (Lechner et al, ; Lichterfeld et al, ). In a recent prevalence study in aged nursing home residents (65+ years), dermatologists diagnosed dry skin including mild forms in nearly every nursing home resident (Hahnel, Blume‐Peytavi, Trojahn, Dobos, Jahnke, et al, ; Hahnel, Blume‐Peytavi, Trojahn, Dobos, Stroux, et al, ).…”

Section: Introductionmentioning

confidence: 99%

Dry skin and the use of leave‐on products in nursing care: A prevalence study in nursing homes and hospitals

et al. 2018

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AimsTo describe the prevalence of dry skin in nursing homes and hospitals and to describe relationships between topical skincare interventions and dry skin.DesignTwo multicentre descriptive cross‐sectional prevalence studies.MethodsThe studies were performed in German nursing homes and hospitals in 2015 and 2016. Data were collected by trained nurses based on a standardized data collection form. The severity of dry skin was measured using the Overall Dry Skin Score.ResultsIn total, 1,662 nursing home residents and 1,486 hospital patients participated. The prevalence of dry skin was 41.2% in nursing homes and 55.2% in hospitals. In case of skincare dependency, the proportions of participants with dry skin were higher, particularly in hospitals (70.2%). In both institutions, the application of leave‐on products increased when dry skin was present but remained lower in hospitals. Considering the high amount of skin dryness in skincare‐dependent participants, interventions seem not to be successful. Results indicate a need for skincare improvement in future.

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

Cited by 61 publications

References 47 publications

Prevalence, predictors and comorbidity of dry skin in the general population

Prevalence, predictors and comorbidity of dry skin in the general population

Diagnosis and treatment of xerosis cutis – a position paper

Dry skin and the use of leave‐on products in nursing care: A prevalence study in nursing homes and hospitals

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