Pediatric emergency department visits and hospitalizations due to food-induced anaphylaxis in Illinois
Pediatric emergency department visits and hospitalizations due to food-induced anaphylaxis in Illinois
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DOI：
10.1016/j.anai.2015.05.006
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发表时间：
2015-07-01
影响因子：
5.9
通讯作者：
Gupta, Ruchi S.
中科院分区：
文献类型：
--
作者：
Dyer, Ashley A.;Lau, Claudia H.;Gupta, Ruchi S.
背景：儿童中食物引起的过敏反应的发生率仍不确定。此外，对于经历过食物引起的过敏反应并导致急诊科 (ED) 就诊和/或随后住院的儿童的人口统计数据知之甚少。 目标：评估伊利诺伊州儿童因食物引起的过敏反应而就诊和入院的趋势，并确定趋势分布的社会经济差异。方法：使用伊利诺伊州医院协会编制的伊利诺伊州出院数据来识别 ED 2008 年至 2012 年伊利诺伊州医院因食物引起的过敏反应就诊或住院的情况。对伊利诺伊州居民 0 至 19 岁儿童的数据进行分析，这些儿童根据国际疾病分类第九版修订版临床修改代码（995.60 至 995.69）被诊断为食物引起的过敏反应。结果：5 年间，伊利诺伊州儿童因食物引起的过敏反应而就诊的急诊室和入院率显着增加，每年发生过敏反应的比例显着增加。 百分比增加了 29.1%，从 2008 年每 100,000 名儿童 6.3 次急诊就诊和入院到 2012 年的 17.2 次（P < .001）。所有研究变量的访问频率均有所增加，包括年龄、性别、种族/民族、保险类型、大都市状况、医院类型和过敏食物。每年访问最频繁的是亚洲儿童和拥有私人保险的儿童。然而，西班牙裔儿童（44.3%，P < .001）和有公共保险的儿童（30.2%，P < .001）的每年就诊百分比增幅最为显着。结论：五年期间，伊利诺伊州儿童因食物引起的过敏反应而就诊的急诊和入院人数有所增加，无论种族/族裔和社会经济地位如何。 (C) 2015 年美国过敏、哮喘和免疫学学院。由爱思唯尔公司出版。保留所有权利。
Background: Rates of food-induced anaphylaxis among children remain uncertain. In addition, little is known about the demographics of children who have experienced food-induced anaphylaxis resulting in emergency department (ED) visits and/or subsequent hospitalizations.Objectives: To evaluate trends in ED visits and hospital admissions due to food-induced anaphylaxis among Illinois children and to identify socioeconomic variation in trend distribution.Methods: Illinois hospital discharge data compiled by the Illinois Hospital Association were used to identify ED visits or hospitalizations for food-induced anaphylaxis in Illinois hospitals from 2008-2012. Data for children aged 0 to 19 years who were Illinois residents and received a diagnosis of food-induced anaphylaxis based on International Classification of Diseases, Ninth Revision, Clinical Modification codes (995.60 through 995.69) were included for analysis.Results: There was a significant increase in the rate of ED visits and hospital admissions due to food-induced anaphylaxis among children in Illinois during the 5-year period, with an annual percent increase of 29.1% from 6.3 ED visits and hospital admissions per 100,000 children in 2008 to 17.2 in 2012 (P < .001). Increases in visit frequency were observed for all study variables, including age, sex, race/ethnicity, insurance type, metropolitan status, hospital type, and allergenic food. Visits were most frequent each year for Asian children and children with private insurance. However, the annual percent increase in visits was most pronounced among Hispanic children (44.3%, P < .001) and children with public insurance (30.2%, P < .001).Conclusion: ED visits and hospital admissions for food-induced anaphylaxis have increased during a 5-year period among children in Illinois, regardless of race/ethnicity and socioeconomic status. (C) 2015 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.