Evidence map›Paper›PMID 38675776›Full record

ArticleVaccines2024

Elderly Patients and Insect Venom Allergy: Are the Clinical Pictures and Immunological Parameters of Venom Allergy Age-Dependent?

Robert Pawłowicz, Andrzej Bożek, Anna Dor-Wojnarowska, Marta Rosiek-Biegus, Agnieszka Kopeć, Małgorzata Gillert-Smutnicka, Małgorzata Sobieszczańska, Marita Nittner-Marszalska

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Age-dependent differences in anaphylaxis: elderly population.Current opinion in allergy and clinical immunology · 2025
    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

8 authors at 2 institutions in 1 country.

Robert PawłowiczClinical Department of Internal Medicine, Pneumology and Allergology, Wroclaw Medical University, Chałbińskiego 1a, 50-368 Wrocław, Poland.ORCID 0000-0002-6035-2986
Andrzej BożekClinical Department of Internal Diseases, Dermatology and Allergology, Medical University of Silesia, Sklodowskiej 10, 41-800 Zabrze, Poland.ORCID 0000-0003-2263-2263
Anna Dor-WojnarowskaClinical Department of Internal Medicine, Pneumology and Allergology, Wroclaw Medical University, Chałbińskiego 1a, 50-368 Wrocław, Poland.ORCID 0000-0002-1437-1668
Marta Rosiek-BiegusClinical Department of Internal Medicine, Pneumology and Allergology, Wroclaw Medical University, Chałbińskiego 1a, 50-368 Wrocław, Poland.
Agnieszka KopećClinical Department of Internal Medicine, Pneumology and Allergology, Wroclaw Medical University, Chałbińskiego 1a, 50-368 Wrocław, Poland.ORCID 0000-0002-5771-2530
Małgorzata Gillert-SmutnickaIVth Pediatric Departament, Provincial Specialist Hospital, ul. Koszarowa 5, 51-149 Wrocław, Poland.
Małgorzata SobieszczańskaClinical Department of Geriatrics, Wroclaw Medical University, Chałbińskiego 1a, 50-368 Wrocław, Poland.ORCID 0000-0003-4374-9866
Marita Nittner-MarszalskaClinical Department of Internal Medicine, Pneumology and Allergology, Wroclaw Medical University, Chałbińskiego 1a, 50-368 Wrocław, Poland.
Wroclaw Medical University · PLMedical University of Silesia · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Insect venom is one of the most common triggers of anaphylaxis in the elderly population. Venom immunotherapy (VIT) remains the only treatment for Hymenoptera venom allergy (HVA). However, little is known about the differences in indication for VIT in the group of patients aged 60 years and older. The objective of this study was to assess the clinical and diagnostic differences of HVA in elderly patients. The study compared data from patients aged ≥ 60 (N = 132) to data from patients aged from 11 to 60 years (N = 750) in terms of HVA severity, comorbidities, and immunological parameters, namely, intradermal testing (IDT), specific IgE (sIgE) levels against extracts and major allergenic molecules, and serum tryptase level (sBT). The severity of systemic HVA (I-IV Müller scale) did not differ between adults and seniors. However, the severity of cardiovascular reactions (IV) increased with age, while the frequency of respiratory reactions (III) decreased. No differences were found in the immunological parameters of sensitization IDT, venom-specific IgE concentrations, or sIgE against Api m 1, 2, 4, 5, and 10 between patients below and above 60 or 65 years of age. Differences were noted for sIgE against Ves v1 and Ves v5; they were higher and lower, respectively, in seniors. In the seniors group, sBT levels were higher. Elevated tryptase levels, along with the aging process, can represent a risk factor within this age category. Nevertheless, advanced age does not influence the immunological parameters of immediate HVA reactions, nor does it impact the diagnosis of HVA.

Indexed as

elderly peopleHymenoptera venom allergy (HVA)immunological parametersimmunotherapy

Identifiers

PMID38675776
PMCPMC11053896
OpenAlexW4394604055

What OpenQuestion holds

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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.