Background

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.

Objective

To determine the prevalence, risk factors, and cost of emergency care for AD-E in the United States.

Methods

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).

Results

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.

Limitations

The National Emergency Department Sample did not include data on AD severity, recurrent ED visits, race/ethnicity, or treatments provided.

Conclusion

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.

中文翻译：

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美国特应性皮炎急诊就诊的经济负担

背景

在美国，关于特应性皮炎（AD）或湿疹（AD-E）的急诊就诊的用途和财务负担知之甚少。

客观的

在美国确定AD-E的患病率，危险因素和急诊费用。

方法

2006-2012年国家急诊部门样本的横断面研究，包括在美国各地急诊科就诊的20％样本（n = 198,102,435）。

结果

初步诊断为AD-E的ED访视的平均年发生率为3368.4-3553.0例/ 100万人。在2006-2012年期间，ED访视的AD-E患病率显着增加（调查逻辑回归，P  <.05）。ED访视主要诊断为AD-E与ED访视相比，患者年龄较小，医疗补助或无保险，家庭收入四分位数较低，并且更可能发生在周末和夏季。急诊就诊AD-E的几何平均数和总费用分别从2006年的369.07美元和127,275,080美元大幅增加到2012年的642.10美元和265,541,084美元。

局限性

国家急诊部门样本未包括有关AD严重程度，ED复诊，种族/民族或提供的治疗的数据。

结论

在美国，急诊访问AD-E的经济负担越来越大。需要采取干预措施来减少急诊科的AD访视。