Atopic Dermatitis and Hospitalization for Mental Health Disorders in the United States

We examined the associations of Atopic dermatitis and mental health hospitalizations in US children and adults

Derek Y. Hsu; Ben Smith; Jonathan I. Silverberg

2019

Scholarcy highlights

  • Atopic dermatitis is a chronic inflammatory skin disease affecting 13% of children and 7–10% of adults in the United States
  • In multivariable logistic regression models adjusting for age, race/ethnicity and sex, AD was associated with admission for any mental health disorder among adults but not children
  • Geometric-mean cost of hospitalization was greater for patients with vs. without AD admitted for schizophrenia, mood disorders, personality disorders, substance-related disorders, disorders diagnosed in childhood, alcohol use disorder, cognitive disorders, impulse control disorders, ADD/ADHD, and miscellaneous mental health disorders
  • The present study found strong associations between AD and numerous MH disorders in both children and adults
  • AD was not associated with increased inpatient mortality among those primarily admitted primarily for a MH disorder
  • The results of this study indicate that AD is associated with substantially increased morbidity from MH disorders, but not inpatient mortality
  • Atopic dermatitis was associated with a considerable mental health burden, especially among adults, with higher prevalence of MH disorders, overall, and primary admissions, in particular, as well as increased length of stay and cost of hospitalization for MH disorders, without any substantial mortality

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