Inpatient management of psoriasis: A multicentre service review to establish national admission standardsCitation formats

  • External authors:
  • A. L. Woods
  • K. J. Rutter
  • L. S. Gardner
  • V. J. Lewis
  • S. Saxena
  • S. A. George
  • R. J G Chalmers
  • E. L. Speight
  • A. V. Anstey
  • L. Ronda
  • D. McGibbon
  • J. W N Barker
  • C. H. Smith

Standard

Inpatient management of psoriasis: A multicentre service review to establish national admission standards. / Woods, A. L.; Rutter, K. J.; Gardner, L. S.; Lewis, V. J.; Saxena, S.; George, S. A.; Chalmers, R. J G; Griffiths, C. E M; Speight, E. L.; Anstey, A. V.; Ronda, L.; McGibbon, D.; Barker, J. W N; Smith, C. H.

In: British Journal of Dermatology, Vol. 158, No. 2, 02.2008, p. 266-272.

Research output: Contribution to journalArticlepeer-review

Harvard

Woods, AL, Rutter, KJ, Gardner, LS, Lewis, VJ, Saxena, S, George, SA, Chalmers, RJG, Griffiths, CEM, Speight, EL, Anstey, AV, Ronda, L, McGibbon, D, Barker, JWN & Smith, CH 2008, 'Inpatient management of psoriasis: A multicentre service review to establish national admission standards', British Journal of Dermatology, vol. 158, no. 2, pp. 266-272. https://doi.org/10.1111/j.1365-2133.2007.08338.x

APA

Woods, A. L., Rutter, K. J., Gardner, L. S., Lewis, V. J., Saxena, S., George, S. A., Chalmers, R. J. G., Griffiths, C. E. M., Speight, E. L., Anstey, A. V., Ronda, L., McGibbon, D., Barker, J. W. N., & Smith, C. H. (2008). Inpatient management of psoriasis: A multicentre service review to establish national admission standards. British Journal of Dermatology, 158(2), 266-272. https://doi.org/10.1111/j.1365-2133.2007.08338.x

Vancouver

Woods AL, Rutter KJ, Gardner LS, Lewis VJ, Saxena S, George SA et al. Inpatient management of psoriasis: A multicentre service review to establish national admission standards. British Journal of Dermatology. 2008 Feb;158(2):266-272. https://doi.org/10.1111/j.1365-2133.2007.08338.x

Author

Woods, A. L. ; Rutter, K. J. ; Gardner, L. S. ; Lewis, V. J. ; Saxena, S. ; George, S. A. ; Chalmers, R. J G ; Griffiths, C. E M ; Speight, E. L. ; Anstey, A. V. ; Ronda, L. ; McGibbon, D. ; Barker, J. W N ; Smith, C. H. / Inpatient management of psoriasis: A multicentre service review to establish national admission standards. In: British Journal of Dermatology. 2008 ; Vol. 158, No. 2. pp. 266-272.

Bibtex

@article{9572a69f8bce480e82d0675d0ae2224e,
title = "Inpatient management of psoriasis: A multicentre service review to establish national admission standards",
abstract = "Background: Some patients with psoriasis may require hospital admission to stabilize their condition, although the role of inpatient management is changing given recent advances in therapeutic options, emphasis on community-based care for chronic conditions and limited healthcare resources. There is a need for evidence-based national standards for inpatient management of psoriasis taking account of factors that predict length of stay. Objectives: To determine which factors predict length of stay for patients with psoriasis requiring inpatient hospital care with a view to setting evidence-based standards for inpatient psoriasis management. Methods: A multicentre service review was conducted on all psoriasis admissions over a 9-month period in four dermatology centres in the U.K. We collected data on admission, at discharge and, where possible, at 3 months following discharge. Psoriasis severity was assessed using four validated scoring systems, including Psoriasis Area and Severity Index (PASI) and Dermatology Life Quality Index. We also recorded length of stay and treatment details. Results: Length of stay varied widely between the four centres, but was similar in the two centres which received a high proportion of tertiary referrals for severe psoriasis (mean 19.7 days, range 1-78, analysis of variance P = 0.002). Disease severity, measured by PASI, on admission (mean 15.7, interquartile range 8.3-20.8) was significantly higher in the tertiary centres (P <0.0001). However, there was no significant difference in PASI between centres on discharge. The admission PASI was significantly associated with length of stay (r = 0.2, P = 0.02). There was no significant correlation between other measures of disease severity and length of stay. Conclusions: Disease severity on admission for patients with psoriasis is greater in tertiary referral centres for psoriasis and is directly associated with length of stay. Length of stay should be used in conjunction with clinical measures such as PASI improvement to set national standards for quality in secondary care. {\textcopyright} 2007 The Authors.",
keywords = "Inpatient management, Length of stay, Psoriasis, Service review",
author = "Woods, {A. L.} and Rutter, {K. J.} and Gardner, {L. S.} and Lewis, {V. J.} and S. Saxena and George, {S. A.} and Chalmers, {R. J G} and Griffiths, {C. E M} and Speight, {E. L.} and Anstey, {A. V.} and L. Ronda and D. McGibbon and Barker, {J. W N} and Smith, {C. H.}",
year = "2008",
month = feb,
doi = "10.1111/j.1365-2133.2007.08338.x",
language = "English",
volume = "158",
pages = "266--272",
journal = "British Journal of Dermatology",
issn = "0007-0963",
publisher = "John Wiley & Sons Ltd",
number = "2",

}

RIS

TY - JOUR

T1 - Inpatient management of psoriasis: A multicentre service review to establish national admission standards

AU - Woods, A. L.

AU - Rutter, K. J.

AU - Gardner, L. S.

AU - Lewis, V. J.

AU - Saxena, S.

AU - George, S. A.

AU - Chalmers, R. J G

AU - Griffiths, C. E M

AU - Speight, E. L.

AU - Anstey, A. V.

AU - Ronda, L.

AU - McGibbon, D.

AU - Barker, J. W N

AU - Smith, C. H.

PY - 2008/2

Y1 - 2008/2

N2 - Background: Some patients with psoriasis may require hospital admission to stabilize their condition, although the role of inpatient management is changing given recent advances in therapeutic options, emphasis on community-based care for chronic conditions and limited healthcare resources. There is a need for evidence-based national standards for inpatient management of psoriasis taking account of factors that predict length of stay. Objectives: To determine which factors predict length of stay for patients with psoriasis requiring inpatient hospital care with a view to setting evidence-based standards for inpatient psoriasis management. Methods: A multicentre service review was conducted on all psoriasis admissions over a 9-month period in four dermatology centres in the U.K. We collected data on admission, at discharge and, where possible, at 3 months following discharge. Psoriasis severity was assessed using four validated scoring systems, including Psoriasis Area and Severity Index (PASI) and Dermatology Life Quality Index. We also recorded length of stay and treatment details. Results: Length of stay varied widely between the four centres, but was similar in the two centres which received a high proportion of tertiary referrals for severe psoriasis (mean 19.7 days, range 1-78, analysis of variance P = 0.002). Disease severity, measured by PASI, on admission (mean 15.7, interquartile range 8.3-20.8) was significantly higher in the tertiary centres (P <0.0001). However, there was no significant difference in PASI between centres on discharge. The admission PASI was significantly associated with length of stay (r = 0.2, P = 0.02). There was no significant correlation between other measures of disease severity and length of stay. Conclusions: Disease severity on admission for patients with psoriasis is greater in tertiary referral centres for psoriasis and is directly associated with length of stay. Length of stay should be used in conjunction with clinical measures such as PASI improvement to set national standards for quality in secondary care. © 2007 The Authors.

AB - Background: Some patients with psoriasis may require hospital admission to stabilize their condition, although the role of inpatient management is changing given recent advances in therapeutic options, emphasis on community-based care for chronic conditions and limited healthcare resources. There is a need for evidence-based national standards for inpatient management of psoriasis taking account of factors that predict length of stay. Objectives: To determine which factors predict length of stay for patients with psoriasis requiring inpatient hospital care with a view to setting evidence-based standards for inpatient psoriasis management. Methods: A multicentre service review was conducted on all psoriasis admissions over a 9-month period in four dermatology centres in the U.K. We collected data on admission, at discharge and, where possible, at 3 months following discharge. Psoriasis severity was assessed using four validated scoring systems, including Psoriasis Area and Severity Index (PASI) and Dermatology Life Quality Index. We also recorded length of stay and treatment details. Results: Length of stay varied widely between the four centres, but was similar in the two centres which received a high proportion of tertiary referrals for severe psoriasis (mean 19.7 days, range 1-78, analysis of variance P = 0.002). Disease severity, measured by PASI, on admission (mean 15.7, interquartile range 8.3-20.8) was significantly higher in the tertiary centres (P <0.0001). However, there was no significant difference in PASI between centres on discharge. The admission PASI was significantly associated with length of stay (r = 0.2, P = 0.02). There was no significant correlation between other measures of disease severity and length of stay. Conclusions: Disease severity on admission for patients with psoriasis is greater in tertiary referral centres for psoriasis and is directly associated with length of stay. Length of stay should be used in conjunction with clinical measures such as PASI improvement to set national standards for quality in secondary care. © 2007 The Authors.

KW - Inpatient management

KW - Length of stay

KW - Psoriasis

KW - Service review

U2 - 10.1111/j.1365-2133.2007.08338.x

DO - 10.1111/j.1365-2133.2007.08338.x

M3 - Article

VL - 158

SP - 266

EP - 272

JO - British Journal of Dermatology

JF - British Journal of Dermatology

SN - 0007-0963

IS - 2

ER -