Abstract | BACKGROUND: OBJECTIVE: METHODS: A retrospective medical record review identified patients with anaphylaxis in a community-based study from 1990 through 2000. Records of patients with Hospital Adaptation of the International Classification of Diseases, Second Edition or International Classification of Diseases, Ninth Revision codes representing anaphylaxis were reviewed, and a random sample of patients with associated diagnoses was also reviewed. Patients who met the criteria for diagnosis of anaphylaxis were included in the study. RESULTS: Among 208 patients identified with anaphylaxis, 134 (64.4%) were seen in the emergency department and discharged home. On dismissal, 49 patients (36.6%; 95% confidence interval [CI], 28.4%-44.7%) were prescribed self- injectable epinephrine, and 42 patients (31.3%; 95% CI, 23.5%-39.2%) were referred to an allergist. Treatment with epinephrine in the emergency department (odds ratio, 3.6; 95% CI, 1.6-7.9; P = .001) and insect sting as the inciting allergen (odds ratio, 4.0; 95% CI, 1.6-10.5; P = .004) were significantly associated with receiving a prescription for self- injectable epinephrine. Patient age younger than 18 years was the only factor associated with referral to an allergist (P = .007). CONCLUSIONS:
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Authors | Ronna L Campbell, Anuradha Luke, Amy L Weaver, Jennifer L St Sauver, Eric J Bergstralh, James T Li, Veena Manivannan, Wyatt W Decker |
Journal | Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
(Ann Allergy Asthma Immunol)
Vol. 101
Issue 6
Pg. 631-6
(Dec 2008)
ISSN: 1081-1206 [Print] United States |
PMID | 19119708
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Bronchodilator Agents
- Epinephrine
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Topics |
- Adult
- Anaphylaxis
(drug therapy, epidemiology)
- Bronchodilator Agents
(administration & dosage)
- Cohort Studies
- Drug Prescriptions
(statistics & numerical data)
- Emergency Service, Hospital
- Epinephrine
(administration & dosage)
- Female
- Follow-Up Studies
- Humans
- Injections
- Male
- Medication Therapy Management
(statistics & numerical data)
- Minnesota
(epidemiology)
- Patient Discharge
- Referral and Consultation
- Retrospective Studies
- Self Administration
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