{"id":"https://openalex.org/W7224826277","doi":"https://doi.org/10.21203/rs.3.rs-11355923/v1","title":"Inpatient Dermatology Mortality by Skin Type: A Retrospective Cohort Study of an Inpatient Dermatology Consultation Database Evaluating Socioeconomic Factors","display_name":"Inpatient Dermatology Mortality by Skin Type: A Retrospective Cohort Study of an Inpatient Dermatology Consultation Database Evaluating Socioeconomic Factors","publication_year":2026,"publication_date":"2026-10-30","ids":{"openalex":"https://openalex.org/W7224826277","doi":"https://doi.org/10.21203/rs.3.rs-11355923/v1"},"language":"en","primary_location":{"id":"doi:10.21203/rs.3.rs-11355923/v1","doi":"https://doi.org/10.21203/rs.3.rs-11355923/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-11355923/v1","pdf_url":"https://www.researchsquare.com/article/rs-11355923/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"volume":null,"type":"preprint","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.researchsquare.com/article/rs-11355923/latest.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5107801907","display_name":"Daniella Jaguan","orcid":"https://orcid.org/0009-0006-4444-0640","observed_orcids":["https://orcid.org/0009-0006-4444-0640"]},"institutions":[{"id":"https://openalex.org/I4210147348","display_name":"Northwestern Medicine","ror":"https://ror.org/04fzwnh64","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210147348"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniella Jaguan","raw_affiliation_strings":["Northwestern Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwestern Medicine","institution_ids":["https://openalex.org/I4210147348"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120152773","display_name":"Sidney Lampert","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210147348","display_name":"Northwestern Medicine","ror":"https://ror.org/04fzwnh64","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210147348"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sidney Lampert","raw_affiliation_strings":["Northwestern Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwestern Medicine","institution_ids":["https://openalex.org/I4210147348"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104280419","display_name":"Zoya Siddiqui","orcid":"https://orcid.org/0009-0003-8915-4611","observed_orcids":["https://orcid.org/0009-0003-8915-4611","https://orcid.org/0009-0005-9552-6017","https://orcid.org/0009-0008-6368-8013"]},"institutions":[{"id":"https://openalex.org/I4210147348","display_name":"Northwestern Medicine","ror":"https://ror.org/04fzwnh64","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210147348"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Zoya Siddiqui","raw_affiliation_strings":["Northwestern Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwestern Medicine","institution_ids":["https://openalex.org/I4210147348"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093658264","display_name":"Rachel E. Lipman","orcid":"https://orcid.org/0009-0002-0049-7574","observed_orcids":["https://orcid.org/0009-0002-0049-7574"]},"institutions":[{"id":"https://openalex.org/I4210147348","display_name":"Northwestern Medicine","ror":"https://ror.org/04fzwnh64","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210147348"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rachel E. Lipman","raw_affiliation_strings":["Northwestern Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwestern Medicine","institution_ids":["https://openalex.org/I4210147348"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064800218","display_name":"Lida Zheng","orcid":"https://orcid.org/0000-0003-1301-9248","observed_orcids":["https://orcid.org/0000-0003-1301-9248"]},"institutions":[{"id":"https://openalex.org/I4210147348","display_name":"Northwestern Medicine","ror":"https://ror.org/04fzwnh64","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210147348"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lida Zheng","raw_affiliation_strings":["Northwestern Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwestern Medicine","institution_ids":["https://openalex.org/I4210147348"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101896047","display_name":"Cuong V. Nguyen","orcid":"https://orcid.org/0000-0002-6543-5748","observed_orcids":["https://orcid.org/0000-0002-6543-5748"]},"institutions":[{"id":"https://openalex.org/I4210147348","display_name":"Northwestern Medicine","ror":"https://ror.org/04fzwnh64","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210147348"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cuong V. Nguyen","raw_affiliation_strings":["Northwestern Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwestern Medicine","institution_ids":["https://openalex.org/I4210147348"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210147348"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.4691999852657318,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.4691999852657318,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10837","display_name":"Dermatology and Skin Diseases","score":0.18469999730587006,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.04470000043511391,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/fitzpatrick-skin-type","display_name":"Fitzpatrick skin type","score":0.9139999747276306},{"id":"https://openalex.org/keywords/in-hospital-mortality","display_name":"in-hospital mortality","score":0.8109999895095825},{"id":"https://openalex.org/keywords/socioeconomic-deprivation","display_name":"socioeconomic deprivation","score":0.6549999713897705},{"id":"https://openalex.org/keywords/neighborhood-deprivation-index","display_name":"neighborhood deprivation index","score":0.8169999718666077},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.5049999952316284},{"id":"https://openalex.org/keywords/inflammatory-skin-diseases","display_name":"inflammatory skin diseases","score":0.574999988079071},{"id":"https://openalex.org/keywords/skin-infections","display_name":"skin infections","score":0.8740000128746033},{"id":"https://openalex.org/keywords/intensive-care-unit-utilization","display_name":"intensive care utilization","score":0.765999972820282},{"id":"https://openalex.org/keywords/hospitalized-patients","display_name":"hospitalized patients","score":0.8050000071525574}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9107000231742859},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.7491999864578247},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.737500011920929},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.542900025844574},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5224999785423279},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.4702000021934509},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.46309998631477356},{"id":"https://openalex.org/C30036603","wikidata":"https://www.wikidata.org/wiki/Q17125150","display_name":"Severity of illness","level":2,"score":0.45809999108314514},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4341999888420105},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.39480000734329224},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3652999997138977},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.35089999437332153},{"id":"https://openalex.org/C2777673361","wikidata":"https://www.wikidata.org/wiki/Q5281228","display_name":"Disadvantage","level":2,"score":0.3508000075817108},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.34040001034736633},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.3382999897003174},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.32739999890327454},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.3264999985694885},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2992999851703644},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.29030001163482666},{"id":"https://openalex.org/C2777984932","wikidata":"https://www.wikidata.org/wiki/Q7336293","display_name":"Risk of mortality","level":2,"score":0.28060001134872437},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.27970001101493835},{"id":"https://openalex.org/C13543017","wikidata":"https://www.wikidata.org/wiki/Q4430231","display_name":"Social deprivation","level":2,"score":0.26170000433921814},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.260699987411499},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.25920000672340393},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.258899986743927}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21203/rs.3.rs-11355923/v1","doi":"https://doi.org/10.21203/rs.3.rs-11355923/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-11355923/v1","pdf_url":"https://www.researchsquare.com/article/rs-11355923/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.21203/rs.3.rs-11355923/v1","doi":"https://doi.org/10.21203/rs.3.rs-11355923/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-11355923/v1","pdf_url":"https://www.researchsquare.com/article/rs-11355923/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.7390999794006348}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224826277.pdf","grobid_xml":"https://content.openalex.org/works/W7224826277.grobid-xml"},"referenced_works_count":3,"referenced_works":["https://openalex.org/W4400935227","https://openalex.org/W4408189315","https://openalex.org/W4413050503"],"related_works":["https://openalex.org/W2905382122","https://openalex.org/W4213131433","https://openalex.org/W7169881404","https://openalex.org/W4315928026","https://openalex.org/W4391722062","https://openalex.org/W4321462599","https://openalex.org/W7160420009","https://openalex.org/W2770362271","https://openalex.org/W7128361868","https://openalex.org/W3004700494"],"abstract_inverted_index":{"Abstract":[0],"Inpatient":[1],"dermatology":[2,43,99],"consultations":[3],"play":[4],"a":[5,34,39,47,217],"vital":[6],"role":[7,219],"in":[8,17,176,222],"the":[9,15,79,93],"care":[10,140],"of":[11,95,113,119],"hospitalized":[12],"patients,":[13],"yet":[14],"differences":[16,221],"mortality":[18,123,194],"outcomes":[19],"by":[20,63,103,167,198,210],"skin":[21,65,104,168,199],"type":[22,66,200],"and":[23,72,116,133,146,161,206],"their":[24],"relationship":[25],"to":[26,58,159,203],"socioeconomic":[27,74],"factors":[28],"remain":[29],"poorly":[30],"characterized.":[31],"We":[32],"conducted":[33],"retrospective":[35],"cohort":[36],"study,":[37],"using":[38,78],"prospectively":[40],"maintained":[41],"inpatient":[42],"consultation":[44],"database":[45],"at":[46],"large,":[48],"urban,":[49],"academic":[50],"hospital,":[51],"including":[52],"adult":[53],"patients":[54,86,109,129,172],"evaluated":[55],"from":[56],"2021":[57],"2025.":[59],"Patients":[60],"were":[61,201,207],"stratified":[62],"Fitzpatrick":[64],"(FST":[67],"IV-VI":[68,108,128,171],"vs.":[69,131],"FST":[70,107,127,170],"I-III),":[71],"neighborhood":[73,214],"disadvantage":[75],"was":[76,100,124,189],"measured":[77],"area":[80],"deprivation":[81],"index":[82],"(ADI).":[83],"Among":[84],"768":[85],"(1139":[87],"total":[88],"consultations),":[89],"diagnostic":[90,225],"distribution,":[91],"or":[92,213,227],"spectrum":[94],"conditions":[96],"for":[97,138,220],"which":[98],"consulted,":[101],"differed":[102],"type,":[105],"with":[106,192],"having":[110],"higher":[111,125],"odds":[112,118],"inflammatory":[114],"diagnosis":[115],"lower":[117],"infectious":[120],"diagnosis.":[121],"In-hospital":[122],"among":[126],"(13.1%":[130],"5.0%)":[132],"remained":[134],"significant":[135],"after":[136],"adjustment":[137],"intensive":[139],"unit":[141],"(ICU)":[142],"stay,":[143],"insurance,":[144],"language,":[145],"ADI":[147,188],"(OR":[148,179],"3.46;":[149],"95%":[150,181],"CI":[151],"1.70-7.00;":[152],"p":[153,184],"<":[154,185],"0.001).":[155],"Overall":[156],"mortality,":[157],"time":[158],"death,":[160],"ICU":[162],"utilization":[163],"did":[164],"not":[165,190,208],"differ":[166],"type.":[169],"more":[173],"often":[174],"resided":[175],"high-deprivation":[177],"neighborhoods":[178],"3.79;":[180],"CI,":[182],"2.82\u20135.09;":[183],"0.001),":[186],"but":[187],"associated":[191],"any":[193],"outcome.":[195],"Mortality":[196],"disparities":[197],"confined":[202],"in-hospital":[204],"events":[205],"explained":[209],"illness":[211],"severity":[212],"deprivation,":[215],"suggesting":[216],"possible":[218],"disease":[223],"presentation,":[224],"approach,":[226],"hospital-level":[228],"systemic":[229],"factors.":[230]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-31T00:00:00"}