Background

Management of inpatient skin disease represents a unique subspecialty within dermatology.

Objective

To assess the national burden of inpatient dermatology in adults.

Methods

Using the 2014 National Inpatient Sample, we performed a retrospective cohort study of adults hospitalized for dermatologic conditions.

Results

In 2014, there were 644,320 weighted hospitalizations principally for skin disease in adults, which cost the health care system $5.04 billion. Overall, skin disease was diagnosed in 1 in 8 hospitalized adults. Dermatologic hospitalizations were associated with a lack of medical insurance (odds ratio [OR], 2.27; 95% confidence interval [CI], 2.20-2.34), residence in a low-income community (OR, 1.10; 95% CI, 1.07-1.13), and small (OR, 1.27; 95% CI, 1.23-1.32) or rural hospitals (OR, 1.38; 95% CI, 1.32-1.44). Racial minorities were less likely to be hospitalized for skin disease than were whites (for blacks: OR, 0.77; 95% CI, 0.75-0.79; for Hispanics: OR, 0.85; 95% CI, 0.83-0.8; for Asians: OR, 0.59; 95% CI, 0.55-0.64). Only 0.47% of patients admitted for skin disease experienced in-hospital mortality; however, mortality rates were high in hospitalizations for cutaneous lymphomas (9.19%) and malignant melanoma (6.54%).

Limitations

We could not assess the impact of inpatient dermatology consultations on hospitalization outcomes.

Conclusions

Skin disease is highly prevalent among hospitalized patients.

中文翻译：

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成人住院皮肤科的国家负担

背景

住院皮肤疾病的管理代表了皮肤病学中的一个独特的亚专业。

客观的

评估成人住院皮肤科的国家负担。

方法

我们使用2014年全国住院患者样本，对因皮肤病住院的成年人进行了回顾性队列研究。

结果

2014年，有644,320例主要针对成人皮肤病的加权住院治疗，医疗保健系统为此付出了50.4亿美元的代价。总体而言，每8名住院成人中就有1名被诊断出皮肤病。皮肤科住院与缺乏医疗保险有关（赔率[OR]为2.27； 95％置信区间[CI]为2.20-2.34），居住在低收入社区（OR为1.10； 95％CI为1.07- 1.13）和小型（OR，1.27； 95％CI，1.23-1.32）或乡村医院（OR，1.38； 95％CI，1.32-1.44）。与白人相比，少数民族的皮肤病住院可能性更低（黑人：OR，0.77； 95％CI，0.75-0.79；西班牙裔：OR，0.85； 95％CI，0.83-0.8；亚洲人：OR， 0.59； 95％CI，0.55-0.64）。仅有0.47％的皮肤病患者住院死亡。然而，

局限性

我们无法评估住院皮肤科咨询对住院结局的影响。

结论

皮肤病在住院患者中非常普遍。