title: Is There an Additional Value of Inpatient Treatment for Patients with Atopic Dermatitis?
abstract: An inpatient treatment and education programme has been developed for patients with difficult to control atopic dermatitis (AD), with the aim of achieving adequate self-management and long-term disease control. This observational study included adult patients diagnosed with difficult to control AD, admitted for a structured inpatient treatment and education programme. The primary outcome was the Six Area, Six Sign Atopic Dermatitis (SASSAD) score. In total, 79 patients (mean ± SD age 38.8 ± 17.1 years) were included. The median duration of hospitalization was 11 days (interquartile range 8-14). The mean percentage decrease in SASSAD score between admission and discharge was 60.7%, of which 64 (81.0%) patients achieved SASSAD50. The mean percentage decrease in SASSAD score was 69.0% during follow-up, of which 63 (79.7%) patients still had a SASSAD50. In the majority of these patients with difficult to control AD the admission resulted in sustained disease control. This could be achieved by optimization of treatment with topical corticosteroids.
authors.affiliation: Department of Dermatology and Allergology, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands. j.vanderschaft-5@umcutrecht.nl.
authors.forename: Jorien
authors.initials: J
authors.lastname: van der Schaft
authors.forename: Welmoed W
authors.initials: WW
authors.lastname: Keijzer
authors.forename: Koos J G
authors.initials: KJ
authors.lastname: Sanders
authors.forename: Jette J C
authors.initials: JJ
authors.lastname: de Groot
authors.forename: Donna L C M
authors.initials: DL
authors.lastname: van den Bersselaar
authors.forename: Harmieke
authors.initials: H
authors.lastname: van Os-Medendorp
authors.forename: Margreet M
authors.initials: MM
authors.lastname: van Doorn-Op den Akker
authors.forename: Carla A F M
authors.initials: CA
authors.lastname: Bruijnzeel-Koomen
authors.forename: Marjolein S
authors.initials: MS
authors.lastname: de Bruin-Weller
mesh_terms: D000328:Adult; D003876:Dermatitis, Atopic / Q000517:prevention & control*; D005260:Female; D006760:Hospitalization; D006801:Humans; D007297:Inpatients; D008297:Male; D010353:Patient Education as Topic; D012648:Self Care; D013256:Steroids / Q000627:therapeutic use
chemical_list: D013256:Steroids