Predictors of Hospitalization, Length of Stay, and Costs of Care Among Adult and Pediatric Inpatients With Atopic Dermatitis in the United States

Dermatitis. 2018 Jan-Feb;29(1):22-31. doi: 10.1097/DER.0000000000000323.

Abstract

Introduction: Little is known about the risk factors of hospitalization for atopic dermatitis (AD).

Objectives: We sought to determine associations of hospitalization for AD in the United States.

Methods: Data were analyzed from the 2002 to 2012 National Inpatient Sample. Atopic dermatitis hospitalizations were compared with controls, which included all hospitalizations without any diagnosis of AD excluding normal pregnancy/delivery, yielding a representative cohort of US hospitalizations.

Results: Both adults and children, who were admitted for AD or eczema, were more likely to have nonwhite race/ethnicity, lowest-quartile annual household income, Medicaid or no insurance, and fewer chronic conditions. Increased cost of care and prolonged length of stay were also associated with nonwhite race/ethnicities, lowest-quartile annual household income, Medicaid or no insurance, and having a higher number of chronic conditions.

Conclusions: There are significant racial/ethnic and socioeconomic differences between patients hospitalized with AD versus without it, suggesting that there may be racial/ethnic and/or health care disparities in AD.

MeSH terms

  • Adult
  • Child
  • Databases as Topic
  • Dermatitis, Atopic / economics
  • Dermatitis, Atopic / epidemiology*
  • Health Care Costs / statistics & numerical data
  • Hospitalization / statistics & numerical data
  • Humans
  • Length of Stay / statistics & numerical data
  • Risk Factors
  • United States / epidemiology