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https://hdl.handle.net/10316/114740
Title: | Hospital admissions for urticaria in a pediatric emergency department of a tertiary care hospital | Authors: | Farinha, Inês Filipa da Costa Pereira, Helena Sofia Pires Aguiar Lemos, Sónia Cristina Gaspar de Faria, Emília Maria Antunes Gomes de Rodrigues, Fernanda Maria Pereira |
Keywords: | acute urticaria; chronic urticaria; emergency department; pediatric age; urticaria | Issue Date: | 2023 | Publisher: | Codon Publications | Serial title, monograph or event: | Allergologia et Immunopathologia | Volume: | 51 | Issue: | 3 | Abstract: | Background: Urticaria is a common disorder, estimated to affect 2.1 to 6.7% of children and adolescents, and is a frequent cause of emergency department (ED) admissions. Methods: The aim of this study was to retrospectively characterize the clinical features of children and adolescents with a diagnosis of urticaria, evaluated in a tertiary care pediatric ED between 2015 and 2019. Statistical analysis was performed using IBM SPSS Statistics®, version 27.0. Results: A total of 2254 episodes of urticaria were counted with 98.1% corresponding to acute urticaria (AU). A suspected trigger factor was identified in 51.6% of the episodes, namely infections (27.8%), drugs (9.9%) and food (7.6%). From these episodes, excluding infections, only 59.2% were referred to an Allergy Consultation for further study, with only 18.8% (drug) and 28.3% (food) confirmed as the AU trigger. Of the 43 episodes of chronic urticaria (CU), 79% were referred to consultation, with 23 being diagnosed with chronic spontaneous urticaria, 8 with inducible urticaria and 3 with both entities. Older age (p < 0.001), personal history of atopy (p = 0.019) and angioedema (p = 0.003) were factors associated with CU, while the presence of other accompanying symptoms (p = 0.007) was associated with AU. Older age (OR = 1.2; p < 0.001) and the presence of angioedema (OR = 2.7; p = 0.007) were identified as independent factors for CU. Conclusion: The majority of episodes corresponded to AU. Infections were the main suspected trigger, followed by drugs and food, with an overall confirmation rate ranging from 18 to 30%, highlighting the importance of an allergologic follow-up evaluation. | URI: | https://hdl.handle.net/10316/114740 | ISSN: | 0301-0546 | DOI: | 10.15586/aei.v51i3.820 | Rights: | openAccess |
Appears in Collections: | FMUC Medicina - Artigos em Revistas Internacionais |
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