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Hospital Readmissions in Children and Adults With AD

1 in 5 inpatients with atopic dermatitis (AD) are readmitted to the hospital within 1 year for all causes, a new study found. The study sought to determine readmission rates and predictors of hospital readmission in US children and adults with AD. Researchers analyzed the 2012-2014 Nationwide Readmission Database, including a representative, cross-sectional sample of hospital readmissions in the US. They found:

  • Overall, 17.0% of inpatients with AD were readmitted within 1 year for all causes, including 12.5% with only a single readmission and 4.6% for AD.
  • Hospital readmission for AD was associated with below-median household income, being uninsured, having a prolonged initial hospitalization, but inversely associated with older age and a diagnosis of infection.
  • Inpatients admitted for AD on a weekend, in the summer, or in autumn were more likely to be readmitted for AD.

Citation:

Cheng BT, et al. Predictors of hospital readmission in US children and adults with atopic dermatitis. [Published online ahead of print April 24, 2019]. Ann Allergy Asthma Immunol. doi:10.1016/j.anai.2019.04.016.

Commentary:

Inpatient treatment is rarely used for AD, but this study showed that almost 1 in 5 were readmitted within a year. Patients were more likely to be readmitted if they were uninsured and younger, and if the site was a teaching hospital. Uninsured patients and teaching hospital site suggest either poor access or poor utilization of outpatient care, although baseline severity was not reported. Based on this report, it would certainly seem that a program to improve outpatient care after discharge could reduce costly readmissions. — Joseph Fowler, Jr., MD, Clinical Professor of Dermatology, University of Louisville, KY