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- W2587432725 abstract "Epinephrine is the first line of treatment for anaphylaxis; delayed administration of epinephrine is associated with an increased risk of hospitalizations and fatal reactions. Little data exists on provider barriers to the proper prescribing of epinephrine autoinjectors. Our objective is to identify what barriers exist among physicians for prescribing epinephrine autoinjectors, appropriate patient education of epinephrine autoinjectors, and anaphylaxis recognition. An anonymous physician survey was conducted in the Emergency Department, Internal Medicine, Pediatrics, Surgery, and Subspecialties. When inquiring about epinephrine autoinjectors we focused specifically on EpiPen®, the most widely recognized and prescribed device. A total of 167 physicians responded to the survey. Emergency room physicians were 5.59 (95% CI: 1.64 – 19.04) times more likely to properly identify anaphylaxis than other physicians (p = .01). Among the 124 physicians who reported comfort with diagnosing anaphylaxis, none correctly identified all five of the anaphylactic reactions in a list of patient scenarios. Physicians were significantly more likely to identify anaphylaxis if cutaneous symptoms were present. Physicians with medical training on epinephrine autoinjectors were 3.37 (95% CI: 1.74 – 6.55) times more likely to report comfort teaching a patient how to use one, but 26.95% of physicians reported no training on epinephrine autoinjectors. The most commonly reported barrier to using an EpiPen®was unfamiliarity with how to use it. Many non-ER physicians do not accurately identify anaphylaxis. Several physicians report lack of proper training on the EpiPen® and unfamiliarity with how to use the device." @default.
- W2587432725 created "2017-02-17" @default.
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- W2587432725 date "2017-02-01" @default.
- W2587432725 modified "2023-09-26" @default.
- W2587432725 title "Provider Barriers to Epinephrine Autoinjector Prescription in Patients with Anaphylaxis" @default.
- W2587432725 doi "https://doi.org/10.1016/j.jaci.2016.12.722" @default.
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