Management and educational status of adult anaphylaxis patients at emergency department
The Korean Journal of Internal Medicine
;
: 1008-1015, 2018.
Article
in English
| WPRIM
| ID: wpr-717181
ABSTRACT
BACKGROUND/AIMS:
We evaluated the management and educational status of adult anaphylaxis patients at emergency departments (EDs).METHODS:
Anaphylaxis patients who visited ED from 2011 to 2013 were enrolled from three hospitals. We analyzed clinical features, prior history of anaphylaxis, management and provided education for etiology and/or prevention. For analyzing associated factors with epinephrine injection, Pearson chi-square test was used by SPSS version 21 (IBM Co.).RESULTS:
A total of 194 anaphylaxis patients were enrolled. Ninety-nine patients (51%) visited ED by themselves. Time interval from symptom onset to ED visit was 62 ± 70.5 minutes. Drug (56.2%) was the most frequent cause of anaphylaxis. Forty-seven patients (24.2%) had prior history of anaphylaxis and 33 patients had same suspicious cause with current anaphylaxis. Cutaneous (88.7%) and respiratory (72.7%) symptoms were frequent. Hypotension was presented in 114 patients (58.8%). Mean observation time in ED was 12 ± 25.7 hours and epinephrine was injected in 114 patients (62%). In 68 patients, epinephrine was injected intramuscularly with mean dose of 0.3 ± 0.10 mg. Associated factor with epinephrine injection was hypotension (p = 0.000). Twenty-three patients (13%) were educated about avoidance of suspicious agent. Epinephrine auto-injectors were prescribed only in five patients. Only 34 (19%) and 72 (40%) patients were consulted to allergist at ED and outpatient allergy department respectively.CONCLUSIONS:
We suggested that management and education of anaphylaxis were not fully carried out in ED. An education and promotion program on anaphylaxis is needed for medical staff.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Outpatients
/
Patient Care Management
/
Epinephrine
/
Education
/
Educational Status
/
Emergencies
/
Emergency Medical Services
/
Emergency Service, Hospital
/
Hypersensitivity
/
Hypotension
Limits:
Adult
/
Humans
Language:
English
Journal:
The Korean Journal of Internal Medicine
Year:
2018
Type:
Article
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