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

Narla, Shanthi, BA; Hsu, Derek, Y., MD*; Thyssen, Jacob, P., MD, PhD, DmSci; Silverberg, Jonathan, I., MD, PhD, MPH*‡

doi: 10.1097/DER.0000000000000323
STUDIES
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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.

From the *Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL; †Department of Dermatology and Allergy, Herlev-Gentofte University Hospital, University of Copenhagen, Hellerup, Denmark; and ‡Departments of Preventive Medicine and Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL.

Address reprint requests to Jonathan I. Silverberg, MD, PhD, MPH, Department of Dermatology, Northwestern University Feinberg School of Medicine, Suite 1600, 676 N St Clair St, Chicago, IL 60611. E-mail: JonathanISilverberg@Gmail.com.

Supported by the Agency for Healthcare Research and Quality (grant K12 HS023011), the Dermatology Foundation.

The authors have no conflicts of interest to declare.

© 2018 American Contact Dermatitis Society
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