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ABSTRACT: Background
Although the prevalence of anaphylaxis is increasing worldwide, the large-scale studies in Asia evaluating anaphylaxis in all age groups are limited. We aimed to collect more precise and standardized data on anaphylaxis in Korea using the first multicenter web-based registry.Methods
Twenty-two departments from 16 hospitals participated from November 2016 to December 2018. A web-based case report form, designed by allergy specialists, was used to collect anaphylaxis data.Results
Within the 2-year period, 558 anaphylaxis cases were registered. The age of registered patients ranged from 2 months to 84 years, and 60% were aged <18 years. In children and adolescents, foods (84.8%) were the most common cause of anaphylaxis, followed by drugs (7.2%); in adults, drugs (58.3%) were the most common cause, followed by foods (28.3%) and insect venom (8.1%). The onset time was ≤10 min in 37.6% of patients. Among the 351 cases registered via the emergency department (ED) of participating hospitals, epinephrine was administered to 63.8% of patients. Among those receiving epinephrine in the ED, 13.8% required 2 or more epinephrine shots. Severe anaphylaxis accounted for 23.5% cases (38.1% in adults; 13.7% in children); patients with drug and insect venom-induced anaphylaxis had higher rates of severe anaphylaxis.Conclusion
This multicenter registry provides data on anaphylaxis for all age groups for the first time in Asia. The major causes and severity of anaphylaxis were remarkably different according to age group, and the acute treatment features of anaphylaxis in the EDs were examined in detail.
SUBMITTER: Jeong K
PROVIDER: S-EPMC7426446 | biostudies-literature | 2020 Aug
REPOSITORIES: biostudies-literature
Jeong Kyunguk K Ye Young-Min YM Kim Sang-Ha SH Kim Kyung Won KW Kim Jeong Hee JH Kwon Ji-Won JW Yang Song-I SI Lee So-Yeon SY Chung Eun Hee EH Kim Mi-Ae MA Kim Yoon Hee YH Kim Hye-Young HY Jang Gwang Cheon GC Kim Joo-Hee JH Lee Eunjoo E Kim Jihyun J Ahn Kangmo K Chang Yoon-Seok YS Hur Gyu-Young GY Lee Jeongmin J Min Taek Ki TK Pyun Bok-Yang BY Park Kyung Hee KH Lee Jaechun J Song Tae Won TW Jee Hye Mi HM Shin Yoo Seob YS Yoon Dankyu D Lee Jeom-Kyu JK Lee Sooyoung S
The World Allergy Organization journal 20200811 8
<h4>Background</h4>Although the prevalence of anaphylaxis is increasing worldwide, the large-scale studies in Asia evaluating anaphylaxis in all age groups are limited. We aimed to collect more precise and standardized data on anaphylaxis in Korea using the first multicenter web-based registry.<h4>Methods</h4>Twenty-two departments from 16 hospitals participated from November 2016 to December 2018. A web-based case report form, designed by allergy specialists, was used to collect anaphylaxis dat ...[more]