Document Detail


Analysis of food-allergic and anaphylactic events in the National Electronic Injury Surveillance System.
MedLine Citation:
PMID:  18206508     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The National Electronic Injury Surveillance System (NEISS) captures a nationally representative probability sample from hospital emergency departments (EDs) in the United States. OBJECTIVE: Emergency department data from NEISS were analyzed to assess the magnitude and severity of adverse events attributable to food allergies. METHODS: Emergency department events describing food-related allergic symptomatology were identified from 34 participating EDs from August 1 to September 30, 2003. RESULTS: Extrapolation of NEISS event data predicts a total of 20,821 hospital ED visits, 2333 visits for anaphylaxis, and 520 hospitalizations caused by food allergy in the United States during the 2-month study period. The median age was 26 years; 24% of visits involved children < or =5 years old. Shellfish was the most frequently implicated food in persons > or =6 years old, whereas children < or =5 years old experienced more events from eggs, fruit, peanuts, and tree nuts. There were no reported deaths. Review of medical records found that only 19% of patients received epinephrine, and, using criteria established by a 2005 anaphylaxis symposium, 57% of likely anaphylactic events did not have an ED diagnosis of anaphylaxis. CONCLUSION: Analysis of NEISS data may be a useful tool for assessing the magnitude and severity of food-allergic events. A criteria-based review of medical records suggests underdiagnosis of anaphylactic events in EDs.
Authors:
Marianne Phelan Ross; Martine Ferguson; Debra Street; Karl Klontz; Tom Schroeder; Stefano Luccioli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of allergy and clinical immunology     Volume:  121     ISSN:  1097-6825     ISO Abbreviation:  J. Allergy Clin. Immunol.     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-21     Completed Date:  2008-02-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1275002     Medline TA:  J Allergy Clin Immunol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  166-71     Citation Subset:  AIM; IM    
Affiliation:
Food and Drug Administration, Center for Food Safety and Applied Nutrition, College Park, MD 20740, USA. Marianne.Ross@fda.hhs.gov
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Adverse Drug Reaction Reporting Systems*
Anaphylaxis / epidemiology,  etiology
Child
Child, Preschool
Eggs / adverse effects
Emergency Service, Hospital / statistics & numerical data
Food Hypersensitivity / epidemiology,  etiology
Fruit / adverse effects
Hospitalization / statistics & numerical data
Humans
Infant
Nuts / adverse effects
Peanut Hypersensitivity
Population Surveillance / methods*
Shellfish / adverse effects
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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