Secondary prevention measures in anaphylaxis patients: Data from the anaphylaxis registry.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Kraft Magdalena, Knop Macarena Pia, Renaudin Jean-Marie, Scherer Hofmeier Kathrin, Pföhler Claudia, Bilò Maria Beatrice, Lang Roland, Treudler Regina, Wagner Nicola, Spindler Thomas, Hourihane Jonathan O'B, Maris Ioana, Koehli Alice, Bauer Andrea, Lange Lars, Müller Sabine, Papadopoulos Nikolaos G, Wedi Bettina, Moeser Anne, Ensina Luis F, Fernandez-Rivas Montserrat, Cichocka-Jarosz Ewa, Christoff George, Garcia Blanca E, Poziomkowska-Gęsicka Iwona, Cardona Victoria, Mustakov Tihomir B, Rabe Uta, Mahler Vera, Grabenhenrich Linus, Dölle-Bierke Sabine, Worm Margitta, Network for Online Registration of Anaphylaxis (NORA)
Аннотация
METHODS: Data from the Anaphylaxis Registry were analyzed to identify secondary prevention measures offered to patients who experienced anaphylaxis. Our analysis included 7788 cases from 10 European countries and Brazil.
RESULTS: The secondary prevention measures offered varied across the elicitors. A remarkable discrepancy was observed between prevention measures offered in specialized allergy centers (84% of patients were prescribed adrenaline autoinjectors following EAACI guidelines) and outside the centers: Here, EAACI guideline adherence was only 37%. In the multivariate analysis, the elicitor of the reaction, age of the patient, mastocytosis as comorbidity, severity of the reaction, and reimbursement/availability of the autoinjector influence physician's decision to prescribe one.
CONCLUSIONS: Based on the low implementation of guidelines concerning secondary prevention measures outside of specialized allergy centers, our findings highlight the importance of these specialized centers and the requirement of better education for primary healthcare and emergency physicians.