Login to MyKarger

New to MyKarger? Click here to sign up.



Login with Facebook

Forgot your password?

Authors, Editors, Reviewers

For Manuscript Submission, Check or Review Login please go to Submission Websites List.

Submission Websites List

Institutional Login
(Shibboleth or Open Athens)

For the academic login, please select your country in the dropdown list. You will be redirected to verify your credentials.

Original Paper

Hospitalizations for Anaphylaxis in Florida: Epidemiologic Analysis of a Population-Based Dataset

Mulla Z.D.a · Simon M.R.b

Author affiliations

aDivision of Epidemiology, The University of Texas School of Public Health at Houston, and Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center School of Medicine at El Paso, El Paso, Tex., b Division of Allergy and Immunology, William Beaumont Hospital, Royal Oak, Mich., Asthma Allergy Care Center, Ypsilanti, Mich., and Departments of Internal Medicine and Pediatrics, Wayne State University School of Medicine, Detroit, Mich., USA

Related Articles for ""

Int Arch Allergy Immunol 2007;144:128–136

Do you have an account?

Login Information





Contact Information











I have read the Karger Terms and Conditions and agree.



Login Information





Contact Information











I have read the Karger Terms and Conditions and agree.



To view the fulltext, please log in

To view the pdf, please log in

Buy

  • FullText & PDF
  • Unlimited re-access via MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

CHF 38.00 *
EUR 35.00 *
USD 39.00 *

Select

KAB

Buy a Karger Article Bundle (KAB) and profit from a discount!

If you would like to redeem your KAB credit, please log in.


Save over 20% compared to the individual article price.
Learn more

Rent/Cloud

  • Rent for 48h to view
  • Buy Cloud Access for unlimited viewing via different devices
  • Synchronizing in the ReadCube Cloud
  • Printing and saving restrictions apply

Rental: USD 8.50
Cloud: USD 20.00


Select

Subscribe

  • Access to all articles of the subscribed year(s) guaranteed for 5 years
  • Unlimited re-access via Subscriber Login or MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

Subcription rates


Select

* The final prices may differ from the prices shown due to specifics of VAT rules.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: July 06, 2006
Accepted: March 14, 2007
Published online: May 25, 2007
Issue release date: September 2007

Number of Print Pages: 9
Number of Figures: 1
Number of Tables: 7

ISSN: 1018-2438 (Print)
eISSN: 1423-0097 (Online)

For additional information: https://www.karger.com/IAA

Abstract

Background: Previous epidemiologic studies of anaphylaxis have been single-institution investigations. The objective of this study was to determine the annual hospital discharge rate and risk factors for anaphylaxis outcomes throughout Florida. Methods: 464 patients who were hospitalized in Florida for anaphylaxis and discharged in 2001 were identified using a statewide database and ICD-9-CM (International Classification of Diseases, 9th revision, Clinical Modification) codes. Linear regression was used to determine the predictors of length of stay (LOS) and total charges. Relative risks (RR) for ventilator-assisted respiration and anaphylaxis due to food were calculated using binomial regression. Results: Annual hospital discharge rate for anaphylaxis was 2.8/100,000 population. Hospital mortality rate was 0.86%. Median LOS was 1 day. Median total charges was USD 4,982. Asthmatics had increased risk of receiving ventilator-assisted respiration (adjusted RR = 2.72, p = 0.04). Likelihood of hospitalization for anaphylaxis increased with age for both sexes (p < 0.0001). Patients who were <18 years old were three times as likely to be hospitalized for food anaphylaxis (versus other causes) compared to patients who were 71+ years old (adjusted RR = 3.25, p = 0.004). Conclusion: Young age was associated with increased risk of hospitalization for anaphylaxis to foods. Asthmatics had increased risk of receiving ventilator-assisted respiration. Likelihood of hospitalization increased with age.

© 2007 S. Karger AG, Basel


References

  1. Lieberman P: Anaphylaxis and anaphylactoid reactions; in Adkinson FNJ, Yunginger JW, Busse WW, Bochner BS, Holgate ST, Simons F, Estelle R (eds): Middleton’s Allergy Principles and Practice. Philadelphia, Mosby, 2003, pp 1497–1522.
  2. Yocum MW, Butterfield JH, Klein JS, Volcheck GW, Schroeder DR, Silverstein MD: Epidemiology of anaphylaxis in Olmsted County, a population-based study. J Allergy Clin Immunol 1999;104:452–456.
  3. Bohlke K, Davis RL, DeStefano F, Marcy SM, Braun MM, Thompson RS: Vaccine Safety Datalink Team. Epidemiology of anaphylaxis among children and adolescents enrolled in a health maintenance organization. J Allergy Clin Immunol 2004;113:536–542.
  4. Clark S, Gaeta TJ, Kamarthi GS, Camargo CA: ICD-9-CM coding of emergency department visits for food and insect sting allergy. Ann Epidemiol 2006;16:696–700.
  5. Florida Vital Statistics Annual Report, Population 2001: Available at http://www.flpublichealth.com/VSBOOK/pdf/2001/Population.pdf. Accessed 10 April 2006.
  6. Cole SR: Analysis of complex survey data using SAS. Comput Methods Programs Biomed 2001;64:65–69.
  7. Hosmer DW, Lemeshow S: Applied Logistic Regression, ed 2. New York, Wiley, 2000, p 313.
  8. Szklo M, Nieto FJ: Epidemiology: Beyond the Basics. Gaithersburg, Aspen Publishers, 2000, p 180.
  9. Rothman KJ, Greenland S: Modern Epidemiology, ed 2. Philadelphia, Lippincott Williams & Wilkins, 1998, p 125.
  10. Robbins AS, Chao SY, Fonseca VP: What’s the relative risk? A method to directly estimate risk ratios in cohort studies of common outcomes. Ann Epidemiol 2002;12:452–454.
  11. Historic Population of Olmsted County and the City of Rochester dating from 1860 to 2000 available at http://www.co.olmsted.mn.us/upload_dir/demographics/historicpopulation.pdf.
  12. Bock SA, Munoz-Furlong A, Sampson HA: Fatalities due to anaphylactic reactions to foods. J Allergy Clin Immunol 2001;107:191–193.
  13. Sheikh A, Alves B: Age, sex, geographical and socio-economic variations in admissions for anaphylaxis: analysis of four years of English hospital data. Clin Exp Allergy 2001;31:1571–1576.
  14. Weiler JM: Anaphylaxis in the general population: A frequent and occasionally fatal disorder that is underrecognized. J Allergy Clin Immunol 1999;104:271–273.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: July 06, 2006
Accepted: March 14, 2007
Published online: May 25, 2007
Issue release date: September 2007

Number of Print Pages: 9
Number of Figures: 1
Number of Tables: 7

ISSN: 1018-2438 (Print)
eISSN: 1423-0097 (Online)

For additional information: https://www.karger.com/IAA


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.