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Association Between AD and Mental Health Disorders

Dermatitis; ePub 2018 Dec 18; Hsu, Smith, et al

Atopic dermatitis (AD) was associated with higher odds of hospitalization for all mental health (MH) disorders and substantial excess costs of inpatient care. This according to a recent study where researchers sought to determine hospitalization rates and costs of MH disorders in patients with AD. They analyzed data from the Nationwide Inpatient Sample from 2002 to 2012, containing a representative 20% sample of US hospitalizations. They found:

  • Overall, 835 AD (1.36%) and 2,434,703 non-AD (0.75%) patients had a primary admission for an MH disorder.
  • AD patients admitted for MH disorders were more likely to be younger, Asian, black, 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.
  • AD was not associated with a primary admission for an MH disorder in children.
  • There were an estimated $183,821,629 excess costs of care annually for MH disorders in inpatients with vs without AD.

Hsu DY, Smith BA, Silverberg JI. Association between atopic dermatitis and hospitalization for mental health disorders in the United States. [Published online ahead of print December 18, 2018]. Dermatitis. doi:10.1097/DER.0000000000000418.