Impact of COVID-19 on Geriatric Outpatient Dermatology in Indonesian Tertiary Hospital: A Retrospective Study

Authors

  • Lili Legiawati Universitas Indonesia - General Hospital Ciptomangunkusumo Jakarta
  • Shannaz Nadia Yusharyahya Department of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia-dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia
  • Rinadewi Astriningrum Department of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia-dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia
  • Ratih Wulan Kusumahapsari Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia

Keywords:

COVID-19, dermatology, geriatrics, outpatients

Abstract

Background: COVID-19 has greatly affected global healthcare including dermatology. Geriatric as one of the key leading populations has a greater risk of mortality and severity in contracting COVID-19. However, the need of getting dermatology care in the outpatient clinics cannot be neglected. Data regarding profile of geriatric patients in outpatient clinic in Indonesia were sparse. Methods: retrospective study was conducted through electronic health record of Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia. Several data were extracted and analyzed. Results: We collected 3256 geriatric patients presenting to dermatology outpatient clinic before pandemic, but only 1745 patients came to the clinic during the pandemic. There were changes in dominance of gender between the two eras. The most common diagnosis was dermatitis followed by infection. Conclusion: Although some changes were seen in pandemic era, type of registrant, diagnosis, procedures, comorbidities remained. This epidemiological study can serve as foundation for further study regarding geriatric population presenting with dermatology issues in COVID-19 era. A multi-center study could also be conducted in the future for more comprehensive knowledge.

References

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506.

World Health Organization. Coronavirus disease (COVID-19) pandemic. 2022. https://www.who.int/emergencies/diseases/novel-coronavirus-2019. Accesed in 2022.

Altın Z. Covid-19 pandemisinde yaşlılar [Elderly people in Covid-19 outbreak]. The Journal of Tepecik Education and Research Hospital. 2020;30(Suppl 2):49-57.

Remuzzi A, Remuzzi G. COVID-19 and Italy: what next?. Lancet. 2020;395(10231):1225-8.

Hartnett KP, Kite-Powell A, DeVies J, Coletta MA, Boehmer TK, Adjemian J, et al. Impact of the COVID-19 pandemic on emergency department visits – United States, January 1, 2019-May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(23):699-704.

Wang R, Helf C, Tizek L, et al. The impact and consequences of SARS- CoV-2 pandemic on a single university dermatology outpatient clinic in Germany. Int J Environ Res Public Health 2020;17:6182. [PMID: 32858870].

Paterlini M. On the front lines of coronavirus: the italian response to covid-19. BMJ. 2020;368:p1065.

Wollina, U. Challenges of COVID-19 pandemic for dermatology. Dermatol. Ther. 2020;33:e13430.

Turkmen D, Altunisik N, Mantar I, Durmaz I, Sener S, Colak C. Comparison of patients’ diagnoses in a dermatology outpatient clinic during the COVID‐19 pandemic period and pre‐pandemic period. Int J Clin Pract. 2021;75:e13948.

Tanacan E, Aksoy Sarac G, Emeksiz MAC, Dincer Rota D, Erdogan FG. Changing trends in dermatology practice during COVID‐19 pandemic: a single tertiary center experience. Dermatologic Therapy. 2020;33:e14136. [PMID: 32767466].

Turan Ç, Metin N, Utlu Z, Öner Ü, Kotan ÖS. Change of the diagnostic distribution in applicants to dermatology after COVID‐19 pandemic: what it whispers to us?. Dermatologic Therapy. 2020;33:e13804.

Białynicki-Birula R, Siemasz I, Otlewska A, Matusiak Ł, Szepietowski JC. Influence of COVID-19 pandemic on hospitalizations at the tertiary dermatology department in south-west Poland. Dermatol Ther. 2020;33(4):e13738.

Roongpisuthipong W, Yodla P, Klangjareonchai T. A Comparison of Diagnosed Skin Diseases between the Years with and without COVID-19 Pandemic. Medicina. 2021;57:p773.

Sabiila SI. Kasus Corona Pertama di Indonesia, Ini Kilas Balik Usai 2 Tahun Berlalu. 2022. https://news.detik.com/berita/d-5964691/kasus-corona-pertama-di-indonesia-ini-kilas-balik-usai-2-tahun-berlalu. Accessed in 2022.

Beaurgard S, Gilchrest BA. A survey of skin problems and skin care regimens in the elderly. Arch Dermatol 1987;123:1638-43.

Ibrahim IS, Venables ZC, Levell NJ. The impact of covid-19 on dermatology outpatient services in England in 2020. Clin Exp Dermatol. 2021; 46(2): 377-8.

Laopakorn J, Hanthavichai S. Prevalence and associated factors of skin diseases among geriatric outpatients from a metropolitan dermatologic clinic in Thailand. Dermatol Sin. 2022;40:168-73.

Gaber MA, Hasanin AA. Skin diseases in elderly. Menoufia Med J. 2020;33:272-6.

Jiamton S, Leeyaphan C, Prasertworonun N, Omcharoen V. Skin diseases among elderly attending out‑patient dermatologic clinic, Siriraj Hospital. Siriraj Med J. 2014;66:219‑24.

Bilgili SG, Karadag AS, Ozkol HU, Calka O, Akdeniz N. The prevalence of skin diseases among the geriatric patients in Eastern Turkey. J Pak Med Assoc. 2012;62:535‑9.

Mponda K, Masenga J. Skin diseases among elderly patients attending skin clinic at the regional dermatology training Centre, Northern Tanzania: A cross‑sectional study. BMC Res Notes.

Yalçin B, Tamer E, Toy GG, Oztaş P, Hayran M, Alli N. The prevalence of skin diseases in the elderly: analysis of 4099 geriatric patients. Int J Dermatol. 2006;45(6):672-6.

Kutlu Ö, Günes¸ R, Coerdt K, Metin A, Khachemoune A. The effect of the “stay-at-home” policy on requests for dermatology outpatient clinic visits after the COVID-19 outbreak. Dermatologic Therapy. 2020;33:e13581.

Ustaoglu E. The impact of COVID-19 pandemic in dermatology outpatient clinics in Turkey: A survey study. J Cosmet Dermatol. 2021;20:2382–2386.

Alfieri A, Yogianti F. Impact of pandemic COVID-19 on dermatology and venereology outpatient clinic in a tertiary referral hospital in Yogyakarta, Indonesia. Dermatology Reports. 2021; 13: 9381.

Galadari H, Gupta A, Kroumpouzos G, et al. Covid 19 and its impact on cosmetic dermatology. Dermatol Ther. 2020; 33: e13822.

Gur TG, Erdogan S, Dogan B. Evaluation of elderly patients that presented to dermatology outpatient clinics during the COVID-19 pandemic: a retrospective Study. Turkiye Klinikleri J Dermatol. 2021; 31(2): 125-31.

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Published

2023-10-12

How to Cite

1.
Legiawati L, Yusharyahya SN, Astriningrum R, Kusumahapsari RW. Impact of COVID-19 on Geriatric Outpatient Dermatology in Indonesian Tertiary Hospital: A Retrospective Study. J Pak Assoc Dermatol [Internet]. 2023Oct.12 [cited 2024Dec.2];33(4):1335-41. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/2328

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