Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Northwestern Medicine Multidisciplinary Eczema Center, Chicago, Illinois.
J Am Acad Dermatol. 2018 Sep;79(3):443-447. doi: 10.1016/j.jaad.2018.05.025. Epub 2018 May 23.
Little is known about the usage and financial burden of emergency care visits for atopic dermatitis (AD) or eczema (AD-E) in the United States.
To determine the prevalence, risk factors, and cost of emergency care for AD-E in the United States.
Cross-sectional study of the 2006-2012 National Emergency Department Sample, including a 20% sample of emergency department (ED) visits throughout the United States (n = 198,102,435).
The mean annual incidence of ED visits with a primary diagnosis of AD-E was 3368.4-3553.0 cases/1 million persons. The prevalence of ED visits for AD-E increased significantly during 2006-2012 (survey logistic regression, P < .05). ED visits with a primary diagnosis of AD-E versus ED visits without were associated with younger patient age, Medicaid or no insurance, and lower household income quartile and more likely to occur during weekends and summer months. The geometric mean and total costs of ED visits for AD-E significantly increased from $369.07 and $127,275,080, respectively, in 2006 to $642.10 and $265,541,084, respectively, in 2012.
The National Emergency Department Sample did not include data on AD severity, recurrent ED visits, race/ethnicity, or treatments provided.
There is a substantial and increasing financial burden of ED visits for AD-E in the United States. Interventions are needed to decrease ED visits for AD.
在美国，人们对特应性皮炎（AD）或湿疹（AD-E）的急诊就诊情况及其经济负担知之甚少。
确定美国 AD-E 急诊就诊的流行率、风险因素和费用。
横断面研究 2006-2012 年全国急诊部样本，包括美国各地急诊部（ED）就诊的 20%抽样（n=198102435）。
ED 以 AD-E 为主要诊断的年平均发病率为 3368.4-3553.0 例/百万人。2006-2012 年间，AD-E 的 ED 就诊率显著增加（调查逻辑回归，P<0.05）。与没有 ED 就诊的患者相比，AD-E 的 ED 就诊患者年龄更小、更有可能拥有医疗补助或无保险、家庭收入更低、更有可能在周末和夏季就诊。AD-E 的 ED 就诊的几何均数和总费用分别从 2006 年的 369.07 美元和 12727.508 万美元增加到 2012 年的 642.10 美元和 26554.1084 万美元。
国家急诊部样本不包括 AD 严重程度、反复 ED 就诊、种族/族裔或提供的治疗数据。
美国 AD-E 的 ED 就诊存在巨大且不断增加的经济负担。需要采取干预措施来减少 AD 的 ED 就诊。
