TY - JOUR
T1 - Atopic Dermatitis and Hospitalization for Mental Health Disorders in the United States
AU - Hsu, Derek Y.
AU - Smith, Ben
AU - Silverberg, Jonathan I.
N1 - Funding Information:
Address reprint requests to Jonathan I. Silverberg, MD, PhD, MPH, Department of Dermatology, Northwestern University Feinberg School of Medicine, Ste 1600, 676 N St Clair St, Chicago, IL 60611. E-mail: [email protected]. Supported by the Agency for Healthcare Research and Quality (grant number K12 HS023011) and the Dermatology Foundation. D.Y.H. and B.S. contributed equally to this article. J.I.S. had full access to all the data in the study and takes responsibility for the integrity of the data and accuracy of the data analysis, did the study concept and design, and obtained funding. J.I.S., B.S., and D.Y.H. did the acquisition of data, the analysis and interpretation of data, the critical revision of the article for important intellectual content, and the statistical analysis and drafted the article.
Publisher Copyright:
Copyright © 2019 American Contact Dermatitis Society.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Little is known about mental health (MH) emergencies in atopic dermatitis (AD) and their financial burden. We sought to determine hospitalization rates and costs of MH disorders in AD patients. We analyzed data from the Nationwide Inpatient Sample from 2002 to 2012, containing a representative 20% sample of US hospitalizations. Overall, 835 AD (1.36%) and 2,434,703 non-AD (0.75%) patients had a primary admission for an MH disorder. Atopic dermatitis patients admitted for MH disorders were more likely to be younger, Asian, of black race, and in a higher income quartile and have an increasing number of chronic conditions. In multivariable logistic regression models adjusting for demographics, AD was associated with a primary admission for MH disorders in adults, including mood disorders, schizophrenia, and developmental disorders. Atopic dermatitis was not associated with a primary admission for an MH disorder in children. There were an estimated US $183,821,629 excess costs of care annually for MH disorders in inpatients with versus without AD. In conclusion, AD was associated with higher odds of hospitalization for all MH disorders and substantial excess costs of inpatient care.
AB - Little is known about mental health (MH) emergencies in atopic dermatitis (AD) and their financial burden. We sought to determine hospitalization rates and costs of MH disorders in AD patients. We analyzed data from the Nationwide Inpatient Sample from 2002 to 2012, containing a representative 20% sample of US hospitalizations. Overall, 835 AD (1.36%) and 2,434,703 non-AD (0.75%) patients had a primary admission for an MH disorder. Atopic dermatitis patients admitted for MH disorders were more likely to be younger, Asian, of black race, and in a higher income quartile and have an increasing number of chronic conditions. In multivariable logistic regression models adjusting for demographics, AD was associated with a primary admission for MH disorders in adults, including mood disorders, schizophrenia, and developmental disorders. Atopic dermatitis was not associated with a primary admission for an MH disorder in children. There were an estimated US $183,821,629 excess costs of care annually for MH disorders in inpatients with versus without AD. In conclusion, AD was associated with higher odds of hospitalization for all MH disorders and substantial excess costs of inpatient care.
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U2 - 10.1097/DER.0000000000000418
DO - 10.1097/DER.0000000000000418
M3 - Article
C2 - 30570573
AN - SCOPUS:85060022285
SN - 1710-3568
VL - 30
SP - 54
EP - 61
JO - Dermatitis
JF - Dermatitis
IS - 1
ER -
