ArticleWorld journal of emergency medicine2013
Evaluating the management of anaphylaxis in US emergency departments: Guidelines vs. practice.
Article in World journal of emergency medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sublingual Immunotherapy Tablets Relieve Symptoms in Adults with Allergic Rhinitis: A Meta-analysis of Randomized Clinical Trials.Chinese medical journal · 2018Pooled it
- Management of paediatric anaphylaxis: evaluation of clinical practice according to the 2024 Polish Paediatric Society guidelines.Postepy dermatologii i alergologii · 2026Article
- Anaphylaxis: first clinical presentation, subsequent referral practise, and suspected elicitor-an observational study.Internal and emergency medicine · 2024Observational
- Anaphylaxis management in a French pediatric emergency department: Lessons from the ANA-PED study.Clinical and translational allergy · 2023Article
- How to define severity: A review of allergic reaction severity scoring systems.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2023Review
- Healthcare Providers' Perception and Practice Toward Anaphylaxis in Children in the Qassim Region of Saudi Arabia.Cureus · 2023Article
- Triage Grading and Correct Diagnosis Are Critical for the Emergency Treatment of Anaphylaxis.Children (Basel, Switzerland) · 2022Article
- Anaphylaxis diagnosis and management in the Emergency Department of a tertiary hospital in the Philippines.Asia Pacific allergy · 2020Article
- Characteristics and Treatment of Anaphylaxis in Children Visiting a Pediatric Emergency Department in Korea.BioMed research international · 2020Article
- Under Prescription of Epinephrine to Medicaid Patients in the Pediatric Emergency Department.Global pediatric health · 2019Article
- In situ simulation in the management of anaphylaxis in a pediatric emergency department.Internal and emergency medicine · 2019Article
- Underuse of epinephrine for the treatment of anaphylaxis: missed opportunities.Journal of asthma and allergy · 2018Review
- Drug-induced anaphylaxis in the emergency room.Acute medicine & surgery · 2017Review
- Anaphylaxis in America: A national physician survey.The Journal of allergy and clinical immunology · 2015Article
- Improving Care at Emergency Department Discharge for Pediatric Patients with Anaphylaxis Using a Quality Improvement Framework.Pediatric quality & safetyArticle
- Minimizing the "Kitchen Sink" Approach: De-implementation of Unnecessary Care for Patients with Anaphylaxis in a Pediatric Emergency Department.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnaphylaxis is characterized by acute episodes of potentially life-threatening symptoms that are often treated in the emergency setting. Current guidelines recommend: 1) quick diagnosis using standard criteria; 2) first-line treatment with epinephrine; and 3) discharge with a prescription for an epinephrine auto-injector, written instructions regarding long-term management, and a referral (preferably, allergy) for follow-up. However, studies suggest low concordance with guideline recommendations by emergency medicine (EM) providers. The study aimed to evaluate how emergency departments (EDs) in the United States (US) manage anaphylaxis in relation to guideline recommendations.
methodsThis was an online anonymous survey of a random sample of EM health providers in US EDs.
resultsData analysis included 207 EM providers. For respondent EDs, approximately 9% reported using agreed-upon clinical criteria to diagnose anaphylaxis; 42% reported administering epinephrine in the ED for most anaphylaxis episodes; and <50% provided patients with a prescription for an epinephrine auto-injector and/or an allergist referral on discharge. Most provided some written materials, and follow-up with a primary care clinician was recommended.
conclusionsThis is the first cross-sectional survey to provide "real-world" data showing that practice in US EDs is discordant with current guideline recommendations for the diagnosis, treatment, and follow-up of patients with anaphylaxis. The primary gaps are low (or no) utilization of standard criteria for defining anaphylaxis and inconsistent use of epinephrine. Prospective research is recommended.
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