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.
Ann Allergy Asthma Immunol. 2019 Jul;123(1):64-69.e2. doi: 10.1016/j.anai.2019.04.016. Epub 2019 Apr 24.
Decreasing readmissions is a health care priority in the United States. However, little is kanown about the determinants of hospital readmissions for atopic dermatitis (AD).
To determine readmission rates among inpatients hospitalized for AD in the United States.
We analyzed the 2012-2014 Nationwide Readmission Database, including a representative, cross-sectional sample of hospital readmissions in the United States.
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. In multivariable Cox proportional hazards regression models, 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. Hospital characteristics associated with readmission for AD included nonmetropolitan hospital location and hospital teaching status.
One in 5 inpatients with AD are readmitted within 1 year for all causes. There are socioeconomic and health care disparities in readmission rates for AD.
降低再入院率是美国医疗保健的重点。然而，对于特应性皮炎（AD）的住院再入院的决定因素知之甚少。
确定美国因 AD 住院的患者的再入院率。
我们分析了 2012-2014 年全国再入院数据库，其中包括美国代表性的、横断面的住院再入院样本。
总体而言，17.0%的 AD 住院患者在 1 年内因各种原因再次入院，其中 12.5%仅单次再入院，4.6%因 AD 再入院。在多变量 Cox 比例风险回归模型中，AD 的医院再入院与家庭收入中位数以下、无保险、初始住院时间延长有关，但与年龄较大和感染诊断呈负相关。因 AD 而在周末、夏季或秋季住院的患者更有可能因 AD 而再次入院。与 AD 再入院相关的医院特征包括非都市医院位置和医院教学地位。
每 5 名 AD 住院患者中就有 1 名在 1 年内因各种原因再次入院。AD 的再入院率存在社会经济和医疗保健方面的差异。
