A population‐based epidemiologic analysis of deaths from anaphylaxis in Florida

Abstract

Death from anaphylaxis in Florida was more likely to occur in older individuals, in an emergency department, and in the months of March and April and July and August.

Anaphylaxis

“…16,17 In a recent nationally representative probability sample from hospital emergency departments in the United States, 57% of likely episodes of anaphylaxis to food did not receive an emergency department diagnosis of anaphylaxis. 13 Death from anaphylaxis is considered rare 8,14,[18][19][20][21][22][23] ; however, underreporting of fatalities likely occurs for a variety of reasons.…”

Over- and underestimated parameters in severe Hymenoptera venom–induced anaphylaxis: Cardiovascular medication and absence of urticaria/angioedema

“…[1][2][3][4] Along with IgEmediated allergy to food and drugs, it represents a predominant cause of severe and potentially fatal anaphylaxis. [5][6][7][8] It is generally assumed that subsequent episodes of sting-related anaphylaxis will follow a similar clinical pattern as the preceding one, suggesting that a severe reaction constitutes a risk factor for serious anaphylaxis after future stings. 1,3,4,9 An accurate patient history focusing on recall of the evolution of anaphylaxis symptoms is essential to correctly identify severe anaphylaxis.…”

Anaphylaxis epidemic: Fact or fiction?

“…Correcting for the 25% of cases identified in the Decker et al 8 study because of the broader search methods used compared with the Yocum et al 9 study, there is still a 71% increase in the average annual incidence of anaphylaxis in the subsequent decade (36/100,000 person-years), clearly indicating an increase in the rate of occurrence in this geographic area. Based on this new evidence 8 and that previously published, [2][3][4][5][6] we therefore conclude that the term ''epidemic'' can correctly be applied to anaphylaxis, as it is to asthma, allergic rhinitis, and eczema.…”

“…[1][2][3][4][5][6]8 It is unlikely that this happened in studies in which all the International Classification of Diseases, 9th Revision (ICD-9), codes and most of the ICD-10 codes used to identify admissions to the hospital for anaphylaxis included the word ''shock.'' In some other studies, such as that reported here by Decker et al, 8 a broader definition of anaphylaxis has been used, and therefore persons with a history of subjective and nonspecific symptoms such as tingling of the lips, axillae, hands, or feet, or subjective respiratory symptoms, such as throat tightness or dyspnea, might be given diagnoses of anaphylaxis and included.…”