From: Downstream consequences of diagnostic error in pediatric anaphylaxis
Overall (n = 211) n(%) | ED Dx anaphylaxis (n = 105) n(%) | ED NOT Dx anaphylaxis (n = 106) n(%) | Odds ratio (95% CI) | P value | |
---|---|---|---|---|---|
Demographics | |||||
Age in years, median (IQR) | 6 (2–11) | 6 (3–11.5) | 5 (2–10.3) | N/A | 0.18 |
Boys, n (%) | 131 (62.1) | 64 (60.9) | 67 (62.2) | N/A | 0.74 |
Allergen class | |||||
Food | 173 (82.0) | 91 (86.7) | 82 (77.4) | N/A | 0.35 |
Drugs | 8 (3.8) | 3 (2.9) | 5 (4.7) | ||
Insect | 2 (0.9) | 1 (0.9) | 1 (0.9) | ||
Other / unknown | 28 (13.3) | 10 (9.5) | 18 (16.9) | ||
Organ system involved | |||||
Cutaneous | 203 (96.2) | 97 (92.4) | 105 (99.1) | 0.12 (0.02–0.94) | 0.02 |
Respiratory | 159 (75.3) | 70 (66.7) | 89 (84.0) | 0.38 (0.20–0.74) | < 0.01 |
Gastrointestinal | 53 (25.1) | 32 (30.5) | 21 (19.8) | 1.77 (0.94–3.34) | 0.08 |
Cardiovascular | 23 (10.9) | 14 (13.3) | 9 (8.5) | 1.66 (0.68–4.02) | 0.28 |
Neurological | 27 (12.8) | 19 (18.1) | 8 (7.5) | 2.71 (1.13–6.50) | 0.02 |
Median (IQR) number of organ systems involved during episode | 2 (2–2) | 2 (2–2) | 2 (2–3) | N/A | 0.62 |
Median (IQR) number of organ systems involved at time of ED arrival | 1 (0–1) | 1 (0–1) | 1 (0–2) | N/A | 0.29 |
At least one organ system resolved prior to ED | 157 (74.4) | 68 (64.7) | 89 (83.4) | 0.35 (0.18–0.68) | 0.001 |
All symptoms resolved prior to ED arrival | 60 (28.4) | 28 (26.7) | 32 (30.2) | 0.84 (0.45–1.54) | 0.65 |
Severe anaphylaxis | 28 (13.3) | 20 (19.0) | 8 (7.5) | 2.88 (1.21–6.88) | 0.02 |