Emergency Department Use Is High Among Patients With AD


emergency department

Atopic dermatitis (AD) is associated with increased emergency department (ED) use and financial burden, according to the findings of a recent study conducted by Lauren Kwa, BA, and Jonathan I. Silverberg, MD, PhD, MPH. Findings of their study were published in the Journal of the American Academy of Dermatology.

Severe AD Linked to CV Risk
AD Severity Affects Health-Related Quality of Life

In the cross-sectional study, Ms Kwa and Dr Silverberg examined data from the National Emergency Department Sample from 2006 to 2012, which included a 20% sample of ED visits throughout the US (n=198,102,435).

They found that the prevalence of AD visits increased significantly from 2006 to 2012. In addition, the geometric mean costs for ED visits increased from $369.07 in 2006 to $642.10 in 2012, and the total costs increased from $127,275,080 in 2006 to $265,541,084 in 2012.

The mean annual incidence of ED visits with a primary diagnosis of AD was 3368.4 to 3553 per million persons. Younger age, Medicaid or no insurance, and lower household income-quartiles, were associated with an ED visit with and without a primary diagnosis of AD, which were more likely to occur during weekends and summer months. 

“There is a substantial and increasing financial-burden of ED visits for AD in the US. Interventions are needed to decrease ED visits for AD,” the researchers concluded.


Kwa L, Silverberg JL. Financial burden of emergency department visits for atopic dermatitis in the United States [published online May 22, 2018]. J Am Acad Dermatol. https://doi.org/10.1016/j.jaad.2018.05.025