Evidence map›Paper›PMID 31316698›Full record

ReviewThe western journal of emergency medicine2019

Evaluation and Management of Angioedema in the Emergency Department.

Brit Jeffrey Long, Alex Koyfman, Michael Gottlieb

Open access · goldAbstract readReview
In one paragraph

Review in The western journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 77 citations in OpenAlex.

  1. Medical Malpractice in the Management of Angioedema: A Multidisciplinary Westlaw Analysis.World journal of otorhinolaryngology - head and neck surgery · 2026
    Article
  2. Article
  3. Article
  4. Article
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  6. Diphenhydramine: A Review of Its Clinical Applications and Potential Adverse Effect Profile.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. [Algorithm for management of acute angioedema].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024
    Article
  12. Thromboelastography in acute immunologic reactions: a prospective pilot study.Research and practice in thrombosis and haemostasis · 2024
    Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Bradykinin Metabolism and Drug-Induced Angioedema.International journal of molecular sciences · 2023
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Brit Jeffrey LongBrooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas.
Alex KoyfmanThe University of Texas Southwestern Medical Center, Department of Emergency Medicine, Dallas, Texas.
Michael GottliebRush University Medical Center, Department of Emergency Medicine, Chicago, Illinois.
Rush University Medical Center · USSan Antonio Military Medical Center · USThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Angioedema is defined by non-dependent, non-pitting edema that affects several different sites and is potentially life-threatening due to laryngeal edema. This narrative review provides emergency physicians with a focused overview of the evaluation and management of angioedema. Two primary forms include histamine-mediated and bradykinin-mediated angioedema. Histamine-mediated forms present similarly to anaphylaxis, while bradykinin-mediated angioedema presents with greater face and oropharyngeal involvement and higher risk of progression. Initial evaluation and management should focus on evaluation of the airway, followed by obtaining relevant historical features, including family history, medications, and prior episodes. Histamine-mediated angioedema should be treated with epinephrine intramuscularly, antihistaminergic medications, and steroids. These medications are not effective for bradykinin-mediated forms. Other medications include C1-INH protein replacement, kallikrein inhibitor, and bradykinin receptor antagonists. Evidence is controversial concerning the efficacy of these medications in an acute episode, and airway management is the most important intervention when indicated. Airway intervention may require fiberoptic or video laryngoscopy, with preparation for cricothyrotomy. Disposition is dependent on patient's airway and respiratory status, as well as the sites involved.

Indexed as

Emergency Service, HospitalAirway ManagementAlgorithmsAngioedemaAnti-Inflammatory Agents, Non-SteroidalBlood Coagulation FactorsBradykininBradykinin B2 Receptor AntagonistsBronchodilator AgentsEpinephrineGlucocorticoidsHistamineHistamine AntagonistsHumansPeptidesPlasmaAnti-Inflammatory Agents, Non-SteroidalBlood Coagulation FactorsBradykininBradykinin B2 Receptor AntagonistsBronchodilator AgentsecallantideEpinephrineGlucocorticoidsHistamineHistamine AntagonistsicatibantPeptidesprothrombin complex concentrates

Identifiers

PMID31316698
PMCPMC6625683
OpenAlexW2956698109

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.