Inpatient care for patients with skin conditions in Poland –
hospitalization and patient characteristics

Anna Lis-Święty; Marta Niewiedzioł; Karol Ciulkin; Wojciech Niemczyk; Sylwia Paciorek; Beata Więckowska; Amelia Droździkowska

doi:10.5114/dr.2021.105888

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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1/2021
vol. 108

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abstract:

Original paper

Inpatient care for patients with skin conditions in Poland – hospitalization and patient characteristics

Anna Lis-Święty

¹

,

Marta Niewiedzioł

²

,

Karol Ciulkin

³

,

Wojciech Niemczyk

³

,

Sylwia Paciorek

³

,

Beata Więckowska

⁴

,

Amelia Droździkowska

³

Department of Dermatology, School of Medicine, Medical University of Silesia, Katowice, Poland
Department of Dermatology, Venerology and Pediatric Dermatology, Medical University of Lublin, Lublin, Poland
Analyses and Strategies Department, Ministry of Health, Warsaw, Poland
Collegium of Socio-economics, SGH Warsaw School of Economics, Warsaw, Poland

Dermatol Rev/Przegl Dermatol 2021, 108, 1-15

DOI: https://doi.org/10.5114/dr.2021.105888

Online publish date: 2021/05/13

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Introduction
Over the last few decades, an increasing proportion of skin diseases has been treated in non-dermatology wards. Objective. Identification of the 30 most common dermatologic conditions subject to hospitalization reported by dermatologists and non-dermatologists in Poland.

Material and methods
A quantitative analysis of clinical data of the Polish National Health Fund for the year 2018 has been performed.

Results
Over 245,000 hospitalizations with regard to skin-related problems were identified, including 99,500 one-day hospitalizations. Seventy-six percent of all hospitalizations were reported in non-dermatology departments, 27% of which required a surgical procedure. Dermal infections (L03, L02, L05, A46, B08, B02) and skin tumors (D21, D23, D17, C44) were the most common reasons for hospitalization, accounting for over 30% of all hospital stays, frequently in general surgical wards. Non-dermatology wards (mostly surgical and pediatric) reported a significant proportion of emergency admissions due to cellulitis, urticaria, lower extremity ulcers, erysipelas, pressure ulcer, viral infections, and thermal and chemical burns of the trunk. Systemic connective tissue diseases were mostly treated by rheumatologists. The diseases most frequently treated by dermatologists were psoriasis (33.5% of all admissions), dermatitis (23.8%), malignant skin neoplasms (12.5%), non-malignant skin neoplasms (10.5%) and lower extremity ulcers (L97) (10.5%). Patients in dermatology wards were older than those in non-dermatology ones (52.3 years versus 42.8 years respectively, p < 0.001). The average length of stay (ALOS) was 5.1 days, but patients in dermatology wards stayed longer (p < 0.001).

Conclusions
A higher number of dermatosurgeons and dermatologists as hospital consultants might help ensure better use of inpatient facilities.

keywords:

Inpatient care for patients with skin conditions in Poland – hospitalization and patient characteristics

Anna Lis-Święty 1 , Marta Niewiedzioł 2 , Karol Ciulkin 3 , Wojciech Niemczyk 3 , Sylwia Paciorek 3 , Beata Więckowska 4 , Amelia Droździkowska 3

epidemiology, dermatology, inpatient care

Anna Lis-Święty

¹

,

Marta Niewiedzioł

²

,

Karol Ciulkin

³

,

Wojciech Niemczyk

³

,

Sylwia Paciorek

³

,

Beata Więckowska

⁴

,

Amelia Droździkowska

³