ArticleThe Journal of allergy and clinical immunology2010
Algorithm for the diagnosis of anaphylaxis and its validation using population-based data on emergency department visits for anaphylaxis in Florida.
Article in The Journal of allergy and clinical immunology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The role of IgE specific for galactose-α-1,3-galactose in predicting cetuximab induced hypersensitivity reaction: a systematic review and a diagnostic meta-analysis.Scientific reports · 2020Pooled it
- Association Between Intravenous Thrombolysis and Anaphylaxis Among Medicare Beneficiaries With Acute Ischemic Stroke.Stroke · 2019Trial
- Development of a machine learning algorithm based on administrative claims data for identification of ED anaphylaxis patient visits.The journal of allergy and clinical immunology. Global · 2023Article
- Population-based incidence of all-cause anaphylaxis and its development over time: a systematic review and meta-analysis.Frontiers in allergy · 2023Review
- Opportunities for penicillin allergy evaluation in dental clinics.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022Article
- Intravenous immunoglobulin and the current risk of moderate and severe anaphylactic events, a cohort study.Clinical and experimental immunology · 2021Observational
- Trends in Emergency Department Visits and Hospitalizations for Acute Allergic Reactions and Anaphylaxis Among US Older Adults: 2006-2014.The journal of allergy and clinical immunology. In practice · 2021Article
- Trends in US Emergency Department Visits for Anaphylaxis Among Infants and Toddlers: 2006-2015.The journal of allergy and clinical immunology. In practice · 2021Article
- Emergency department revisits and rehospitalizations among infants and toddlers for acute allergic reactions.Allergy and asthma proceedings · 2021Article
- Trends in US hospitalizations for anaphylaxis among infants and toddlers: 2006 to 2015.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2021Article
- Anaphylaxis in Elderly Patients-Data From the European Anaphylaxis Registry.Frontiers in immunology · 2019Article
- Cutaneous Drug Reactions in the Elderly.Drugs & aging · 2017Review
- How to manage anaphylaxis in primary care.Clinical and translational allergy · 2017Review
- Fatal anaphylaxis in the United States, 1999-2010: temporal patterns and demographic associations.The Journal of allergy and clinical immunology · 2014Article
- International consensus on (ICON) anaphylaxis.The World Allergy Organization journal · 2014Article
- Article
- Evaluating the management of anaphylaxis in US emergency departments: Guidelines vs. practice.World journal of emergency medicine · 2013Article
- A population-based epidemiologic study of emergency department visits for anaphylaxis in Florida.The Journal of allergy and clinical immunology · 2011Article
- Perspectives on anaphylaxis epidemiology in the United States with new data and analyses.Current allergy and asthma reports · 2011Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundEpidemiologic studies of anaphylaxis have been limited by significant underdiagnosis.
objectiveThe purpose of this study was to develop and validate a method for capturing previously unidentified anaphylaxis cases by using International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) based datasets.
methodsFlorida emergency department data for the years 2005 and 2006 from the Florida Agency for Health Care Administration were used. Patients with anaphylaxis were identified by using ICD-9-CM codes specifically indicating anaphylaxis or an ICD-9-CM algorithm based on the definition of anaphylaxis proposed at the 2005 National Institute of Allergy and Infectious Disease and the Food Allergy and Anaphylaxis Network symposium. Cases ascertained with the algorithm were compared with the traditional case-ascertainment method. Comparisons included demographic and clinical risk factors, proportion of monthly visits, and age/sex-specific rates. Cases ascertained with anaphylaxis ICD-9-CM codes were excluded from those ascertained with the algorithm.
resultsOne thousand one hundred forty-nine patients were identified by using anaphylaxis ICD-9-CM codes, and 1,602 patients were identified with the algorithm. The clinical risk factors and demographics of cases were consistent between the 2 methods. However, the algorithm was more likely to identify older subjects (P < .0001), those with hypertension or heart disease (P < .0001), and subjects with venom-induced anaphylaxis (P < .0001).
conclusionThis study introduces and validates an ICD-9-CM-based diagnostic algorithm for the diagnosis of anaphylaxis to capture subjects missed by using the ICD-9-CM anaphylaxis codes. Fifty-eight percent of anaphylaxis cases would be missed without the use of the algorithm, including 88% of venom-induced cases.
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