Dermatology 2013

Journal: J Eur Acad Dermatol Venereol

Volume: 27

Issue: 11

Pages: 1360-5

Date: Nov

Short Title: Experience with the dermatology inpatient hospital service for adults: Mayo Clinic, 2000-2010

Alternate Journal: Journal of the European Academy of Dermatology and Venereology : JEADV

ISSN: 1468-3083 (Electronic)

0926-9959 (Linking)

DOI: 10.1111/jdv.12010

Accession Number: 23066743

Keywords: Adolescent

Adult

Aged

Aged, 80 and over

*Dermatology

Female

*Hospital Departments

Humans

Male

Middle Aged

Minnesota

Skin Diseases/classification/*therapy

Young Adult

Abstract: BACKGROUND: There is a paucity of medical literature describing the role of dermatology inpatient hospital services for patients with severe dermatologic disease. A diminishing number of US hospitals have a dedicated dermatology inpatient service run by dermatologists. OBJECTIVES: To describe the role of a dermatology-run inpatient service in treatment of severe dermatologic disease from 2000 to 2010 at our institution. METHODS: We studied demographic characteristics, indications for admission and length of stay for the adult (age, >18 years) dermatology inpatient hospital service over the most recent decade. We compared data from the first 5.5 years with the subsequent 5.5 years and with previously published data. RESULTS: A total of 1732 patients had 2216 inpatient admissions to the adult service from 2000 to 2010. The mean (SD) age was 61.3 (17.7) years (age range 18-100 years). Median duration of admission was 3 days interquartile range (IQR), 2-5 days. The most common indications for admission were dermatitis (44.2%), psoriasis (17.4%) and cutaneous T-cell lymphoma (9.2%). We compared admissions from 2000 to mid-2005 (n = 1260) to admissions from mid-2005 to 2010 (n = 956). Statistically significant changes included median length of stay (decreased from 4 days [IQR, 3-6 days] to 3 days [IQR, 2-4 days] P < 0.01), admissions for psoriasis (decreased from 20.7% to 13.0%; P < .01) and admissions for dermatitis (increased from 41.6% to 47.6%; P < .01). CONCLUSION: The number of patients admitted and the median length of stay decreased between the 2 periods. Indications for admission have changed significantly across the two time periods.

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