Akademik Veri Yönetim Sistemi
3rd INTERNATIONAL CONGRESS ON EMERGENCY MEDICINE “ICON-EM, Antalya, Türkiye, 5 - 08 Kasım 2023, ss.195-197, (Özet Bildiri)
10-YEAR EVALUATION OF ANAPHYLAXIA CASES IN A TERTIARY CARE EMERGENCY DEPARTMENT
Resul Ecer1
, Emre Üstül1
, Mehmet Erişen1
, Gürkan Ersoy1
, Ahmet Çağdaş Acara1
, Figen Coşkun1
1
Dokuz Eylül Üniversitesi
Background and Aim: This study aimed to investigate the clinical characteristics and risk factors of patients experiencing
anaphylaxis.
Methods: We conducted a retrospective analysis of demographic data for 169 adult patients with anaphylaxis who were
admitted to the emergency department between June 2013 and June 2023.
Results: The average age of the patients was 49.5 ± 14.7 years, with a female-to-male ratio of 77 to 92. Among these
patients, 38 had a history of previous anaphylactic episodes, with 21 (55.3%) of them having had contact with a known
allergen. Additionally, 52 (30.8%) of the patients had a history of accompanying allergic diseases, with the most common
being drug allergies and asthma. A total of 23 (13.6%) patients were on regular medication, predominantly ACE inhibitors
(57.1%). The commonly triggering agents were drugs (45%), bee stings (11.8%), and foods (8.9%). Almost half of the
drug-induced cases were mostly related with antibiotics (45%) and of those, penicillin group antibiotics were the most
common (32.8%). We detected skin and mucosal involvement in 161 (95.3%), respiratory involvement in 138 (81.7%), and
cardiovascular system involvement in 53 (31.4%) patients. Adrenaline was administered to all patients. For the additional
treatment agent were steroids in 162 (95.9%), antihistamines in 162 (95.9%), and intravenous fluid therapy in 130 (76.9%)
patients. Biphasic reactions occurred only in 4 (2.4%) of the patients. The mean length of emergency visit was 9.47 ± 6.5
hours while the total hospital stay was 25 ± 26.6 hours. A small proportion of patients required ward (2.4%) or the ICU
(7.1%) admission. Fatality was seen in only one case.
Tab