Inpatient hospital care for psoriasis: a vanishing practice in the United States.
Inpatient hospital care for psoriasis: a vanishing practice in the United States.
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DOI：
10.1067/s0190-9622(03)00858-2
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发表时间：
2003-09
影响因子：
13.8
通讯作者：
R. Stern
中科院分区：
文献类型：
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作者：
R. Stern
住院治疗是治疗严重银屑病的传统方法。自1980年以来，银屑病治疗只有适度的创新，但住院治疗的监管和融资发生了很大变化。目的：我们记录了一组严重银屑病患者和全国范围内银屑病急性护理医院住院治疗使用的变化。方法通过访谈，我们量化了PUVA随访研究队列中因银屑病和其他原因住院的情况。我们使用全国医院出院调查数据来确定住院率的全国趋势。结果：在20年中，全国主要因银屑病住院的比率下降了80%以上。在我们的严重银屑病患者队列中，年龄调整后的银屑病住院日率在此期间下降了60%以上。结论目前，在急性护理医院住院很少用于治疗银屑病患者。
BACKGROUND Inpatient hospital care was a traditional approach to treat severe psoriasis. Since 1980, only modest innovations in psoriasis therapy have been introduced, but regulation and financing of inpatient hospital care have changed greatly. OBJECTIVE We documented changes in the use of inpatient care in acute care hospitals for psoriasis in a cohort of individuals with severe psoriasis and nationally. METHODS Using interviews, we quantified hospitalizations for psoriasis and other reasons among the PUVA Follow-up Study cohort. We used National Hospital Discharge Survey data to determine national trends in hospitalization rates. RESULTS In 2 decades, national rates of hospitalization primarily for psoriasis decreased more than 80%. Among our cohort of persons with severe psoriasis, the age-adjusted rate of hospital days for psoriasis decreased more than 60% during this period. CONCLUSION Currently, hospitalization in acute care hospitals is seldom used to care for persons with psoriasis.