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在过敏反应呈现给急诊室后,处方上腺素自注射器
Nicole M Acquisto1, Ryan P Bodkin1, Yulia Vabishchevich1
1From the Department of Emergency Medicine, University of Rochester Medical Center, Rochester, New York.
Allergy and asthma proceedings
|July 22, 2023
概括
大多数过敏症患者都获得了上腺素自注射器 (EAI) 处方,但提取和训练并不频繁. 需要加强合作,以更好地管理过敏反应和后续护理.
科学领域:
- 紧急医疗 紧急医疗
- 过敏和免疫学 过敏和免疫学
- 临床药房 临床药房
背景情况:
- 指南建议上腺素自注射器 (EAI) 用于过敏反应患者,但存在管理障碍.
- 患者需要EAI,适当的培训和过敏学家的转诊,以有效地治疗过敏反应.
- 了解患者遵守和随访对于优化过敏反应护理至关重要.
研究的目的:
- 为了确定EAI处方和过敏学家转诊的频率,ED患者有过敏反应.
- 评估EAI接收率,自费成本,设备更换和患者培训.
- 调查与EAI处方,接收和过敏学家转诊相关的患者特异性因素.
主要方法:
- 对102名被诊断患有过敏反应的成人和儿科ED患者进行了回顾性观察研究.
- 通过医疗记录和药房呼叫收集数据,包括人口统计数据,ED治疗,EAI详细信息和转诊状态.
- 描述性统计和双变量分析,以确定与EAI处方,取药和转诊相关的因素.
主要成果:
- 在79%的患者中,EAI处方发生了;71%的人选择了EAI,平均成本为5.5美元.
- 18%的人经历了EAI设备更改,只有23%的人接受了EAI培训.
- 22%的患者转诊过敏科医生,28%的患者在60天内进行了随访. 与处方和提取相关的特定症状.
结论:
- 虽然大多数过敏反应患者都接受了EAI处方,但坚持,设备更换和训练仍然不理想.
- 过敏学家推和随访率较低,表明需要改善护理协调.
- 紧急医疗,过敏和药房专业人员之间的加强合作对于简化过敏管理和患者随访至关重要.
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