Outcome of Anaphylaxis Protocol at Emergency Department, Srinagarind Hospital

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Kamonwon Ienghong
Waranrat Saengpanasthada
Korakot Apiratwarakul
Wutchara Ruttanaseeha
Marturod Buranasakda

Abstract

Background and objective: Anaphylaxis is a serious condition. Under diagnosis or under treatment could lead to mortality. Srinagarind hospital has published protocol for anaphylaxis to improve the quality of treatment. The objective of this study was to determine percentage of patients who get adrenaline injection, route of adrenaline injection, time of adrenaline injection and emergency department length of stay after the anaphylaxis protocol used.


Methods: This was a  retrospective descriptive study, with medical record review was conducted. All patients came to emergency room at Srinagarind hospital during January 1st, 2014 and December 31st, 2015 who met criteria for diagnosis of anaphylaxis were included.


Results: From 136,266 visitors, the number of researched patients was 174 which was found with using the protocol for anaphylaxis in 99 cases (56.9%) and without using it in 75 cases (43.1%). All patients in each group (100%) were injected with adrenaline. Route of adrenaline injection was intramuscular injection (100%) The median of time of patients injected adrenaline were 12.5 and 15 minutes and the median of emergency department length of stay time were 53 and 69 minutes in group of the protocol for anaphylaxis usage and unusage, respectively.


Conclusions: After the protocol for anaphylaxis was established, all patients got adrenaline injection by using intramuscular injection as standard treatment. There were no statistical significant difference in time to receive adrenaline and emergency department length of stay when compared the protocol for anaphylaxis usage group with the protocol unusage group.

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