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Characterization of dermatological diagnoses among hospitalized patients experiencing homelessness.
Zakaria, A; Amerson, E H; Kim-Lim, P; Fox, L; Chang, A Y.
Afiliação
  • Zakaria A; Department of Dermatology, University of California, San Francisco School of Medicine, San Francisco, CA, USA.
  • Amerson EH; Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA.
  • Kim-Lim P; Department of Dermatology, University of California, San Francisco School of Medicine, San Francisco, CA, USA.
  • Fox L; Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA.
  • Chang AY; University of California, Davis School of Medicine, Sacramento, CA, USA.
Clin Exp Dermatol ; 47(1): 117-120, 2022 Jan.
Article em En | MEDLINE | ID: mdl-34236725
While previous studies have characterized the types of dermatological disease among people experiencing homelessness (PEH) in the outpatient setting, dermatological disease among hospitalized PEH has never been evaluated. Therefore, we performed a cross-sectional analysis of hospitalized patients who received dermatology consultations at two San Francisco hospitals between March 2018 and March 2020 and compared the odds of diagnostic categories between PEH and patients with stable housing. In both unadjusted and adjusted analyses, PEH had significantly higher odds of bacterial skin infections [adjusted odds ratio (aOR) = 2.29, 95% CI 1.46-3.61], ectoparasitic disease (aOR = 9.43, 95% CI 3.79-23.47), psoriasis or seborrhoeic dermatitis (aOR = 2.50, 95% CI 1.43-4.36) and venous stasis or lymphoedema (aOR = 2.54, 95% CI 1.23-5.27) and significantly lower odds of drug reactions (aOR = 0.34, 95% CI 0.18-0.67). Overall, these findings highlight the unique dermatological challenges among hospitalized PEH and suggest potential strategies to facilitate equitable dermatology care delivery.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Dermatopatias Tipo de estudo: Clinical_trials / Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: Clin Exp Dermatol Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Dermatopatias Tipo de estudo: Clinical_trials / Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: Clin Exp Dermatol Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos