Background

Dermatologic conditions cause morbidity and mortality among hospitalized cancer patients. An improved understanding is critical for implementing clinical and research programs in inpatient oncodermatology.

Objective

To characterize inpatient dermatology consultations at a large comprehensive cancer center.

Methods

Retrospective database query of new admissions and medical record review of initial inpatient dermatology consultations comparing inpatients consulted and not consulted during January-December 2015.

Results

In total, 412 of 11,533 inpatients received 471 dermatology consultations (54% male, median age 59.5 years). Patients with hematologic cancers were 6 times more likely to receive dermatologic consultations compared with nonhematologic cancers (odds ratio 6.56, 95% confidence interval 5.35-8.05, P < .0001). Patients consulted by a dermatologist had a significantly longer length of stay than inpatients not consulted by dermatology (median 11 vs 5 days, P < .0001). Among the 645 dermatologic conditions diagnosed, the most common categories were inflammatory diseases, infections, and drug reactions; the most frequent conditions were contact dermatitis, herpes zoster, and chemotherapy-induced drug eruptions.

Limitations

The study's retrospective nature and single-institution setting are potential limitations.

Conclusion

Hematologic malignancies are a significant risk factor for dermatology inpatient consultations. A significantly longer length of stay was associated with dermatology consultations, suggesting high comorbidities in these patients. Increased dermatologic care of these inpatients might improve quality of life, dermatologic health, and ability to receive anticancer agents.

中文翻译：

---

炎症性皮肤病，感染和药物喷发是住院癌症患者最常见的皮肤疾病

背景

皮肤病会导致住院癌症患者的发病率和死亡率。更好的理解对于在住院患者肿瘤学中实施临床和研究计划至关重要。

客观的

为了描述大型综合癌症中心住院皮肤科咨询的特征。

方法

回顾性数据库查询新入院患者，并比较首次住院皮肤科咨询的病历，比较2015年1月至12月期间咨询和未咨询的住院患者。

结果

在11,533名住院患者中，共有412名接受了471次皮肤科咨询（男性占54％，中位年龄为59.5岁）。血液系统癌症患者接受皮肤科咨询的可能性是非血液系统癌症患者的6倍（优势比6.56，95％置信区间5.35-8.05，P  <.0001）。与未接受皮肤科咨询的住院患者相比，经皮肤科医生咨询的患者住院时间明显更长（中位数为11天与5天，P  <.0001）。在诊断出的645种皮肤病中，最常见的类别是炎性疾病，感染和药物反应。最常见的情况是接触性皮炎，带状疱疹和化疗引起的药物爆发。

局限性

该研究的回顾性和单一机构设置是潜在的局限性。

结论

血液系统恶性肿瘤是皮肤科住院咨询的重要危险因素。皮肤病咨询会大大延长患者的住院时间，提示这些患者合并症高。这些住院患者的皮肤科护理增加可能会改善生活质量，皮肤科健康以及接受抗癌药的能力。