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- W2586370925 abstract "Case series of anaphylaxis can vary regarding causes, treatments, and follow up of patients. We sought to define these variables at a pediatric ED over a single calendar year. We identified all ED visits with the following ICD-9 codes: 995.XX (allergic reactions) and 989.5 (sting or venom reaction) for one calendar year (1/1/2014 through 12/31/2014). Cases were reviewed by an allergist (JAL) and an emergency medicine physician (ML) to identify true anaphylaxis cases using Sampson criteria. Any questionable or disputed case was reviewed and ruled on by an expert in anaphylaxis (PL). We identified 927 unique ED visits. Of which, 40 were determined to definitively meet anaphylaxis criteria. Median age of cases was 6.5 years. 70% of cases were male, and 80% were African American. The most commone trigger was foods (65%) and other triggers included venom/insect sting (12.5%) and medications (5%), while 18% were idiopathic. All cases had multi-organ involvement with 98% of cases having skin involvement, 78% having lower respiratory symptoms, and 40% having GI symptoms. There were no deaths. Only 33% of cases received epinephrine at some point in their care. Only 12 cases (30%) mentioned referral or were referred to an allergist and only 4 of these were actually seen by an allergist in follow-up care. At our center, true anaphylaxis remains rare, and foods are the most common trigger. Cases seem to continue to be undertreated and follow-up with an allergist was very rare." @default.
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- W2586370925 date "2017-02-01" @default.
- W2586370925 modified "2023-09-27" @default.
- W2586370925 title "An Analysis of Anaphylaxis Cases at a Single Pediatric Emergency Department in Over One Year" @default.
- W2586370925 doi "https://doi.org/10.1016/j.jaci.2016.12.720" @default.
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