Anaphylaxis in an emergency department: a 2-year study in a tertiary-care hospital.
The aim of this study was to estimate the incidence of anaphylaxis in the emergency department of a tertiary-care hospital, describe the clinical features and the management of the patients and determine those with mild manifestations. A retrospective study was conducted from 2005 to 2006 using anaphylaxis-related ICD-10 terms. Two different sets of criteria for the diagnosis of anaphylaxis were applied, first the criteria previously accepted by emergency practice, followed by the recent criteria set forth at the 2005 international meeting. Sixty-four patients fulfilled the previous criteria with an average incidence of 52.5 per 100,000 patients per year with a shift towards females in 2006. The most common presentations were cutaneous, followed by respiratory symptoms. Food allergy was the most common cause, especially prawn. After applying the recent criteria, 13 patients (20.4%) were excluded, which reduced the incidence to 42.2 per 100,000 patients per year. Long term follow up is suggested for the possible or mild cases that were re-categorized.
Piromrat
Kanika
K
Division of Allergy and Immunology, Department of Pediatrics, Bhumibol Adulyadej Hospital, Bangkok, Thailand. drkanika2004@yahoo.com
Chinratanapisit
Sasawan
S
Trathong
Sommai
S
D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000368:Aged; D000707:Anaphylaxis / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology; D000900:Anti-Bacterial Agents; D002648:Child; D002675:Child, Preschool; D004342:Drug Hypersensitivity / Q000150:complications; D004636:Emergency Service, Hospital; D004837:Epinephrine / Q000627:therapeutic use; D005260:Female; D005512:Food Hypersensitivity / Q000150:complications / Q000276:immunology; D006634:Histamine H1 Antagonists / Q000627:therapeutic use; D006801:Humans; D015994:Incidence; D007223:Infant; D007299:Insect Bites and Stings; D008297:Male; D008875:Middle Aged; D010346:Patient Care Management; D010353:Patient Education as Topic; D012130:Respiratory Hypersensitivity / Q000150:complications; D012189:Retrospective Studies; D012720:Severity of Illness Index; D012737:Sex Factors; D012758:Shellfish
D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents; D006634:Histamine H1 Antagonists; D004837:Epinephrine