4122 Management and education status of anaphylaxis patients who visit our emergency room (ER)

Saturday, 17 October 2015
Hall D1 Foyer (Floor 3) (Coex Convention Center)

Mi Yeoung Kim, MD , Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea

Chansun Park, MD , Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Korea

Jaewon Jeong, MD , Ilsan Paik Hospital, Inje University College of Medicine, Goyang, South Korea


We evaluate the relevance of management and education to anaphylaxis patients and emphasize the importance of education and understanding the disease.


One hundred and ninety five patients who visited ER were enrolled from three hospitals. We analyzed clinical features, prior history of anaphylaxis, management and education. For analyzing associated factors with injection of epinephrine, Pearson chi-square test was used by SPSS version 21.


Ninety nine (51%) patient visited ER by oneself. Time latency from symptom onset to ER visit was 82±161.5 min. Drug (56.2%) was the most frequency suspicious cause of anaphylaxis. Cutaneous (88.7%) and respiratory (72.7%) symptoms were frequent. Hypotension was presented in 114 (58.8%) patients. 47 (24.2%) patients had history of anaphylaxis and 33 patients had same suspicious cause with current anaphylaxis. Mean observation time in ER was 12±25.7 hrs. Epinephrine was injected in 114 (62%) patients. In 68 patients, epinephrine were injected via muscle with mean dose of 0.3±0.10mg. Associated factor with injection of epinephrine in patients of anaphylaxis was hypotension (p value=0.000). Twenty four patients needed to hospitalize to ICU or ward. Auto-injective epinephrine were prescribed only in 5 patents and just 34 (19%) patients were consulted to allergist in ER and 72 (40%) patients were consulted to outpatient department of allergy.


We suggested that management and education of anaphylaxis were not fully carried out in ER. For avoidence of re-experience of anaphylaxis and the education of action plan in emergency state, it is necessary to consult to allergists.