Metrics

  • citations in SCIndeks: 0
  • citations in CrossRef:0
  • citations in Google Scholar:[]
  • visits in previous 30 days:2
  • full-text downloads in 30 days:2

Contents

article: 5 from 5  
Back back to result list
2016, vol. 2, iss. 4, pp. 6-10
The advantages of prehospital severity classification of the anaphylaxis
Služba hitne medicinske pomoći, Tuzla, Bosna i Hercegovina

emailhajriz.a@hotmail.com
Keywords: anaphylaxis; severity classification system; clinical diagnoses; prehospital treatment; treatment outcome
Abstract
Introduction: In prehospital settings, the adequate estimation of severity of the anaphylaxis is a precondition in treatment choice, with efficiency to improve the symptoms caused by anaphylaxis and to prevent it's further development which can lead to critical conditions. The aim of this research was to demonstrate the usefulness of classification of the severity of anaphylaxis suggested by Müller et al. in prehospital settings as effective and uniform method. Materials and methods: this was a prospective study, with the length of 1 year in county of Tuzla. In first group, there were patients classified by Müller et al. and in the other group was including patients who has been treated in all primary health care units in Tuzla. They has been chose according to the principle of the study set by American Academy for allergy, asthma and immunology conducted in 2006. As the indicator of effectiveness and success of treatment we used the data of final treatment outcomes. For the success of treatment and the efficacy of severity classifications of anaphylaxis, we used data on the outcome of treatment and definitive treatment of the observed ones. Results: After the pre-hospital treatment successfully completed treatment of anaphylaxis using severity classification of anaphylaxis had 35 patients (77.8%). For clinical diagnosis in prehospital treatment of anaphylaxis had 10 patients (24.4%). 3.5 times greater chance had patients after the pre-hospital treatment to be clinically treated, and returned home without hospitalization (OR: 3.5, 95% CI: 1.14 to 11.3, P = 0, 03). The chance of a patient being hospitalized 5.1 times higher in the group treated where severity classification of anaphylaxis has not been used (OR: 5.1, 95% CI: 1.29 to 29.2, P = 0.02). Conclusion: Prehospital treatment and completed registration of patients with anaphylaxis by using the severity classification give advantage to improve the choice of treatment and effectiveness in successful treatment of anaphylaxis.
References
Alihodžić, H., Ilić, B., Mladina, N., Mršić, D. (2013) Akutni koronarni sindrom poslije uboda stršljena, Kounisov sindrom tip II. Liječ Vjesn, 82-85; 135
Clark, S., Bock, S., Gaeta, T.J., Brenner, B.E., Cydulka, R.K., Camargo, C.A. (2004) Multicenter study of emergency department visits for food allergies☆. Journal of Allergy and Clinical Immunology, 113(2): 347-352
Galli, S.J. (2005) Pathogenesis and management of anaphylaxis: Current status and future challenges. Journal of Allergy and Clinical Immunology, 115(3): 571-574
Gikas, A., Lazaros, G., Kontou-Fili, K. (2005) Acute ST-segment elevation myocardial infarction after amoxycillin-induced anaphylactic shock in a young adult with normal coronary arteries: a case report. BMC Cardiovascular Disorders, 5(1):
Kane, K.E., Cone, D.C. (2004) Anaphylaxis in the prehospital setting. Journal of Emergency Medicine, 27(4): 371-377
Lictenstein, L.M., Fauci, A.S. (1988) Curent therapy in allergy, immunology, and rheumatology 3. Toronto, Philadelphia: B.C. Decker Inc, 91-98
Lieberman, P., Camargo, C.A., Bohlke, K., Jick, H., Miller, R.L., Sheikh, A., Simons, F.E.R. (2006) Epidemiology of anaphylaxis: findings of the American College of Allergy, Asthma and Immunology Epidemiology of Anaphylaxis Working Group. Annals of Allergy, Asthma & Immunology, 97(5): 596-602
Lieberman, P., Nicklas, R.A., Oppenheimer, J., Kemp, S.F., Lang, D.M., Bernstein, D.I., Bernstein, J.A., Burks, A. W., Feldweg, A.M., Fink, J.N., Greenberger, P.A., Golden, D.B.K., James, J.M., Kemp (2010) The diagnosis and management of anaphylaxis practice parameter: 2010 Update. Journal of Allergy and Clinical Immunology, 126(3): 477-480.e42
Moneret-Vautrin, D.A., Morisset, M., Flabbee, J., Beaudouin, E., Kanny, G. (2005) Epidemiology of life-threatening and lethal anaphylaxis: a review. Allergy, 60(4): 443-451
Müller, U., Mosbech, H., Blaauw, P., Dreborg, S., Malling, H.J., Przybilla, B., Urbanek, R., Pastorelo, E., Blanca, M., Bousquet, J., Jarisch, R. (1991) Emergency treatment of allergic reactions to Hymenoptera stings. Clin Exp Allergy, 21: 281-288
Pumphrey, R.S. (2000) Lessons for management of anaphylaxis from a study of fatal reactions. Clin Exp Allergy, 30, 1144-1150
Sampson, H.A., Muñoz-Furlong, A. (2006) Campbell RL et all. in: Second symposium on the definition and management of anaphylaxis: summary report - Second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium. J Allergy, 117: 391-7
Sampson, H.A., Muñoz-Furlong, A., Bock, S. A., Schmitt, C., Bass, R., Chowdhury, B.A., Decker, W.W., Furlong, T.J., Galli, S.J., Golden, D.B. (2005) Symposium on the Definition and Management of Anaphylaxis: Summary report. Journal of Allergy and Clinical Immunology, 115(3): 584-591
Simons, F.E.R., Ardusso, L.R., Bilò, M., Cardona, V., Ebisawa, M., El-Gamal, Y.M., Lieberman, P., Lockey, R.F., Muraro, A., Roberts, G., Sanchez-Borges, M., Sheikh, A., Shek, L.P., Wallace, D.V., Worm (2014) International consensus on (ICON) anaphylaxis. World Allergy Organization Journal, 7(1): 9
Simons, F. E.R., Ardusso, L.R.F., Bilò, M. B., El-Gamal, Y.M., Ledford, D.K., Ring, J., Sanchez-Borges, M., Senna, G.E., Sheikh, A., Thong, B.Y. (2011) World Allergy Organization Guidelines for the Assessment and Management of Anaphylaxis. World Allergy Organization Journal, 4(2): 13-36
Simons, F.E., Ardusso, L.R., Bilo, al M.B. (2012) Update: World Allergy Organization Guidelines for the assessment and management of anaphylaxis. Curr Opin Allergy Clin Immunol, 12(4); 389-399
Simons, F.R. (2004) First-aid treatment of anaphylaxis to food: Focus on epinephrine☆. Journal of Allergy and Clinical Immunology, 113(5): 837-844
Soar, J., Deakin, C.D., Nolan, J.P., Abbas, G., Alfonzo, A., Handley, J.A., i dr. (2005) European Resuscitation Council Guidelines for Resuscitation Section 7: Cardiac arrest in special circumstances. Resuscitation, 67(Suppl 1):S135-70
Soar, J., Pumphrey, R., Cant, A., Clarke, S., Corbett, A., Dawson, P., Ewan, P., Foëx, B., Gabbott, D., Griffiths, M., Hall, J., Harper, N., Jewkes, F., Maconochie, I., Mitchell, S., Nasser, S., Nola (2008) Emergency treatment of anaphylactic reactions-Guidelines for healthcare providers. Resuscitation, 77(2): 157-169
Soar, J., Perkins, G.D., Abbas, G., Alfonzo, A., Barelli, A., Bierens, J.J.L.M., Brugger, H., Deakin, C.D., Dunning, J., Georgiou, M., Handley, A.J., Lockey, D.J., Paal, P., Sandroni, C. (2010) European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac arrest in special circumstances: Electrolyte abnormalities, poisoning, drowning, accidental hypothermia, hyperthermia, asthma, anaphylaxis, cardiac surgery, trauma, p. Resuscitation, 81(10): 1400-1433
Yocum, M.W., Butterfield, J.H., Klein, J.S., Volcheck, G.W., Schroeder, D.R., Silverstein, M.D. (1999) Epidemiology of anaphylaxis in Olmsted County: A population-based study☆☆☆★★★. Journal of Allergy and Clinical Immunology, 104(2): 452-456
 

About

article language: Bosnian
document type: unclassified
DOI: 10.5937/JRB1604006A
published in SCIndeks: 25/08/2017

Related records

Hosp Pharm Int Multi J (2016)
The modern aspects of anaphylaxis therapy
Puletić Neda M., et al.

Srps arh celokup lekarstvo (2015)
Anaphylaxis on graft reperfusion during orthotopic liver transplantation: A case study
Anđelić Nada, et al.

Srps arh celokup lekarstvo (2018)
Is there a doctor on the plane?: The distinctive conditions of cardiopulmonary resuscitation on commercial flights
Pavlović Aleksandar, et al.

show all [8]