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

TY - JOUR

T1 - Predictors of Hospitalization, Length of Stay, and Costs of Care Among Adult and Pediatric Inpatients With Atopic Dermatitis in the United States

AU - Narla, Shanthi

AU - Hsu, Derek Y

AU - Thyssen, Jacob P

AU - Silverberg, Jonathan I

PY - 2018/1/1

Y1 - 2018/1/1

N2 - 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.

AB - 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.

KW - Adult

KW - Child

KW - Databases as Topic

KW - Dermatitis, Atopic/economics

KW - Health Care Costs/statistics & numerical data

KW - Hospitalization/statistics & numerical data

KW - Humans

KW - Length of Stay/statistics & numerical data

KW - Risk Factors

KW - United States/epidemiology

U2 - 10.1097/DER.0000000000000323

DO - 10.1097/DER.0000000000000323

M3 - Journal article

C2 - 29059095

SN - 1710-3568

VL - 29

SP - 22

EP - 31

JO - Dermatitis

JF - Dermatitis

IS - 1

ER -