title: Fatal anaphylaxis registries data support changes in the who anaphylaxis mortality coding rules.
abstract: Anaphylaxis is defined as a severe life-threatening generalized or systemic hypersensitivity reaction. The difficulty of coding anaphylaxis fatalities under the World Health Organization (WHO) International Classification of Diseases (ICD) system is recognized as an important reason for under-notification of anaphylaxis deaths. On current death certificates, a limited number of ICD codes are valid as underlying causes of death, and death certificates do not include the word anaphylaxis per se. In this review, we provide evidences supporting the need for changes in WHO mortality coding rules and call for addition of anaphylaxis as an underlying cause of death on international death certificates. This publication will be included in support of a formal request to the WHO as a formal request for this move taking the 11thICD revision.
authors.affiliation: Hospital Sírio Libanês, São Paulo, Brazil. luciana.tanno@gmail.com.|University Hospital of Montpellier, Montpellier, France. luciana.tanno@gmail.com.|Sorbonne Universités, UPMC Paris 06, UMR-S 1136, IPLESP, Equipe EPAR, 75013, Paris, France. luciana.tanno@gmail.com.
authors.forename: Luciana Kase
authors.initials: LK
authors.lastname: Tanno
authors.affiliation: Section of Allergy & Clinical Immunology, Department of Pediatrics & Child Health, University of Manitoba, Winnipeg, Canada.
authors.forename: F Estelle R
authors.initials: FE
authors.lastname: Simons
authors.affiliation: Sorbonne Universités, UPMC Paris 06, UMR-S 1136, IPLESP, Equipe EPAR, 75013, Paris, France.
authors.forename: Isabella
authors.initials: I
authors.lastname: Annesi-Maesano
authors.affiliation: Section of Allergy and Clinical Immunology, National Heart and Lung Institute, Royal Brompton Hospital, Imperial College London, London, UK.
authors.forename: Moises A
authors.initials: MA
authors.lastname: Calderon
authors.affiliation: INSERM, US14, Paris, France.
authors.forename: Ségolène
authors.initials: S
authors.lastname: Aymé
authors.affiliation: University Hospital of Montpellier, Montpellier, France.|Sorbonne Universités, UPMC Paris 06, UMR-S 1136, IPLESP, Equipe EPAR, 75013, Paris, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Demoly
mesh_terms: D000707:Anaphylaxis / Q000401:mortality*; D059019:Clinical Coding / Q000379:methods*; D006801:Humans; D012042:Registries; D014944:World Health Organization
keywords: Anaphylaxis; Classification; International Classification of Diseases; Mortality; World Health Organization