The prevalence and interventions of xerosis cutis among older adults: A systematic review and meta-analysis

Yao, Dan; Gong, Xiaoyan; Ma, Yao; Gong, Ting; Wang, Guorong

doi:10.1016/j.gerinurse.2023.09.018

Cited by 2 publications

(2 citation statements)

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“…There is substantial evidence supporting that dry skin is associated with decreased SCH (Konya et al, 2022). Dry skin in older adults has a high prevalence (95% CI) in all clinical settings (53% [36-69%]), nursing homes (64% [43-84%]), hospitals (38% [30-47%]), and community (54% [50-57%]) (Yao et al, 2023). Therefore, clinical assessment of dry skin can help provide effective skin care in older adults.…”

Section: Discussionmentioning

confidence: 99%

“…Other factors that were not addressed in this review require further investigation. For example, skin conditions such as purpura and edema, diseases such as cancer, and drugs such as diuretics, steroids, and anticancer agents may cause skin barrier dysfunction (Yao et al, 2023). Although several studies were found to have had addressed these factors, many were excluded based on the age-limit criteria (<50 years); this indicated the difficulty of conducting clinical studies in older patients.…”

Section: Discussionmentioning

confidence: 99%

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Risk factors of skin barrier dysfunction in older adults: A systematic review

Konya,

Shishido,

Nemoto

et al. 2024

Japan Journal Nursing Sci

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AimSkin barrier dysfunction can trigger various skin disorders in older adults. Skin barrier assessment is essential for nurses and caregivers to prevent skin disorders; however, the evidence available for clinical assessment is limited. This systematic review aimed to clarify the risk factors of skin barrier dysfunction in older adults.MethodsThis review adhered to the Preferred Reporting Items for Systematic reviews and Meta‐Analyses (PRISMA) guidelines. The four databases were searched using multiple terms related to “aged” and “skin barrier.” The search was initially run on April 19, 2023, and rerun on October 12, 2023. Peer‐reviewed quantitative studies in English were included, with no publication time limit being set. Two reviewers assessed the risk of bias in a blinded and independent manner using JBI tools. Owing to the heterogeneity of the results, a narrative synthesis was performed.ResultsAmong the database‐identified 4833 studies, 20 studies were included. The extracted factors were categorized as demographic characteristics, functional characteristics, chronic diseases, nutritional status, skin condition, and environmental factors. However, owing to high risk of bias and inconsistent results across studies, only chronic kidney disease and dry skin were considered risk factors for skin barrier dysfunction in older adults.ConclusionsAssessment of chronic kidney disease and dry skin in daily skin care may guide the development of personalized skincare programs to maintain skin integrity in older adults. Furthermore, cohort studies that consider confounding factors and the reliability of measurements are needed for an in‐depth investigation into skin barrier dysfunction and more risk factors.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%