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Pediatría (Asunción)
versión On-line ISSN 1683-9803
Resumen
RICARDO, Iramain et al. Experience in the management of anaphylaxis in a Pediatric Emergency Department. Pediatr. (Asunción) [online]. 2023, vol.50, n.3, pp.172-178. ISSN 1683-9803. https://doi.org/10.31698/ped.50032023005.
Introduction:
Anaphylaxis is a potentially fatal multisystem reaction; early recognition and timely approach are essential. The variability in its presentation and severity requires the use of diagnostic criteria to improve emergency care.
Objective:
To describe the clinical characteristics, diagnostic criteria and treatment of patients with anaphylaxis treated in a Pediatric Emergency Department (PED).
Materials and methods:
This was a retrospective and descriptive review of cases admitted to the PED from January 2015 to December 2020. The diagnostic criteria were applied by two emergentologist observers; Cohen's к index was used to evaluate their agreement. Descriptive statistics were used: proportions, medians and interquartile range.
Results:
The NIAID/FAAN criteria were applied to 65 medical records with a discharge diagnosis of anaphylaxis, finding an agreement of 0.64 (95% CI: 0.41-0.88). Of these, 35 (54%) met the diagnostic criteria. 66% (23/35) received adrenaline. The median age was 7 years (IQR: 3-11.5). 9/35 had a history of asthma, 7/35 had atopy and previous anaphylaxis was noted in 7/35. As a triggering factor, medication consumption was found in 16/35, and food in 8/35. The hospital stay had a median of 18 hours (IQR: 12-24).
Conclusions:
The results suggest a gap between accurate recognition of anaphylaxis cases and timely treatment with adrenaline when standardized criteria are used.
Palabras clave : Anaphylaxis; adrenaline; pediatric emergency medicine..