University of Kentucky College of Medicine, Lexington, KY, USA.
University of Cincinnati College of Medicine, Cincinnati, OH, USA.
J Dermatolog Treat. 2022 Jun;33(4):2305-2308. doi: 10.1080/09546634.2021.1959503. Epub 2021 Aug 1.
Although Americans seek care for their nail diseases on an outpatient basis, they also seek nail care in the setting of the emergency department (ED).
This study aims to characterize the treatment of nail diseases at ED visits in the United States from 2009-2018.
Data from 2009-2018 was collected from the National Hospital Ambulatory Medical Care Survey for EDs.
There was an estimated 1.54 (95% CI [1.35, 1.74]) million nail visits to the ED from 2009-2018. Whites accounted for the most visits (57%), followed by African Americans (21%). 25-44-year-olds was the age group with the most visits. The South was the region with the most visits (33%). The most common diagnosis was paronychia (42%). Treatments for paronychia included oral antibiotics, incision and drainage, or both.
The accuracy of reporting the correct diagnosis remains the biggest limitation.
Nail disease visits accounted for over a million visits to the ED from 2009-2018. All ages and sexes were represented in these visits. Paronychia made up the largest portion of visits and was treated with oral antibiotics, incision and drainage, or both.
尽管美国人会选择门诊的方式来治疗指甲疾病，但他们也会在急诊部门（ED）寻求指甲护理。
本研究旨在描述 2009 年至 2018 年期间美国 ED 就诊中指甲疾病的治疗情况。
数据来自 2009 年至 2018 年的国家医院门诊医疗调查（National Hospital Ambulatory Medical Care Survey）。
从 2009 年至 2018 年，ED 共接诊约 154 万（95%CI[1.35,1.74]）例指甲疾病患者。白人占就诊人数最多（57%），其次是非裔美国人（21%）。25-44 岁年龄组就诊人数最多。南部是就诊人数最多的地区（33%）。最常见的诊断是甲沟炎（42%）。甲沟炎的治疗方法包括口服抗生素、切开引流或两者兼用。
报告正确诊断的准确性仍然是最大的限制。
从 2009 年至 2018 年，指甲疾病就诊占 ED 就诊的 100 多万人次。所有年龄段和性别都有涉及。甲沟炎占就诊人数的最大比例，采用口服抗生素、切开引流或两者兼用治疗。
