Evidence map›Paper›PMID 18992928›Full record

ArticleThe Journal of allergy and clinical immunology2008

The etiology and incidence of anaphylaxis in Rochester, Minnesota: a report from the Rochester Epidemiology Project.

Wyatt W Decker, Ronna L Campbell, Veena Manivannan, Anuradha Luke, Jennifer L St Sauver, Amy Weaver, M Fernanda Bellolio, Eric J Bergstralh, Latha G Stead, James T C Li

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 3 pooled it
13.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

113 citing papers in PubMed, 3 syntheses or guidelines pooled it, 412 citations in OpenAlex.

  1. Pooled it
  2. Glucocorticoids for the treatment of anaphylaxis.The Cochrane database of systematic reviews · 2012
    Pooled it
  3. Guideline
  4. Trial
  5. Trial
  6. Article
  7. Using Biologics in the Prevention of Anaphylaxis.Current allergy and asthma reports · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Using the Right Criteria for MCAS.Current allergy and asthma reports · 2024
    Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review

53 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Wyatt W DeckerDepartment of Emergency Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA. decker.wyatt@mayo.edu
Ronna L Campbell
Veena Manivannan
Anuradha Luke
Jennifer L St Sauver
Amy Weaver
M Fernanda Bellolio
Eric J Bergstralh
Latha G Stead
James T C Li
Mayo Clinic · USDepartment of Medical Sciences · BY

Funding

ROCHESTER EPIDEMIOLOGY PROJECTR01AR030582 · NIAMS · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A · 1986 to 2009
$5.1M
NIAMS NIH HHS R01 AR030582
6 · The paper itself

Abstract

backgroundReported incidences of anaphylaxis range from 3.2 to 20 per 100,000 population. The incidence and trend over time has meaningful public health implications but has not been well characterized because of a lack of a standard definition and deficiencies in reporting of events.

objectiveWe sought to determine the incidence and cause of anaphylaxis over a 10-year period.

methodsWe performed a population-based incidence study that was conducted in Rochester, Minnesota, from 1990 through 2000. Anaphylaxis episodes were identified on the basis of symptoms and signs of mast cell and basophil mediator release plus mucocutaneous, gastrointestinal tract, respiratory tract, or cardiovascular system involvement.

resultsTwo hundred eleven cases of anaphylaxis were identified (55.9% in female subjects). The mean age was 29.3 years (SD, 18.2 years; range, 0.8-78.2 years). The overall age- and sex-adjusted incidence rate was 49.8 (95% CI, 45.0-54.5) per 100,000 person-years. Age-specific rates were highest for ages 0 to 19 years (70 per 100,000 person-years). Ingested foods accounted for 33.2% (70 cases), insect stings accounted for 18.5% (39 cases), medication accounted for 13.7% (29 cases), radiologic contrast agent accounted for 0.5% (1 case), "other" causes accounted for 9% (19 cases), and "unknown" causes accounted for 25.1% (53 cases). The "other" group included cats, latex, cleaning agents, environmental allergens, and exercise. There was an increase in the annual incidence rate during the study period from 46.9 per 100,000 persons in 1990 to 58.9 per 100,000 persons in 2000 (P = .03).

conclusionThe overall incidence rate is 49.8 per 100,000 person-years, which is higher than previously reported. The annual incidence rate is also increasing. Food and insect stings continue to be major inciting agents for anaphylaxis.

Indexed as

AdolescentAdultAgedAge FactorsAnaphylaxisChildChild, PreschoolContrast MediaDrug HypersensitivityFemaleFood HypersensitivityHumansIncidenceInfantInsect Bites and StingsMaleContrast Media

Identifiers

PMID18992928
PMCPMC2704497
OpenAlexW2116323965

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.