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Dermatological trends in emergency medicine
Shannon Kody1, Abigail Cline2, Frederick A Pereira2
1New York Medical College School of Medicine, Valhalla, NY, USA.
The Journal of Dermatological Treatment
|December 3, 2020
Summary
Emergency department visits for skin conditions did not significantly increase or decrease. Common diagnoses include cellulitis and cutaneous abscess, highlighting the need for provider education and accessible dermatologic care.
Area of Science:
- Dermatology
- Public Health
- Emergency Medicine
Background:
- Trends in emergency department (ED) visits for dermatologic conditions are not well understood.
- Characterizing these visits is crucial for resource allocation and patient care.
Purpose of the Study:
- To analyze changes in the volume of ED visits for dermatologic diseases.
- To identify the most frequent dermatologic conditions presenting to the ED.
Main Methods:
- A cross-sectional study utilizing the National Hospital Ambulatory Medical Care Survey (NHAMCS) data from 2008-2017.
- Data were analyzed to quantify and categorize dermatologic ED visits.
Main Results:
- Dermatologic visits constituted an estimated 3.5% to 4.3% of all ED visits, peaking in 2014.
- Cellulitis was the most common diagnosis, followed by cutaneous abscess.
- These common diagnoses are primarily infectious in nature.
Conclusions:
- The overall number of ED visits for skin conditions shows no clear increasing or decreasing trend.
- Infectious skin diseases are the leading causes for dermatologic ED visits.
- Improving ED provider education on managing skin infections and enhancing access to dermatologic care are recommended.
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