Research Article
Missed Registration of Disease Codes for Pediatric Anaphylaxis at the Emergency Department
Table 3
Clinical characteristics of anaphylaxis cases accurately or inaccurately.
| | | Overall (n = 184) | Accurate (n = 23) | Inaccurate coding (n = 161) | |
| | Symptoms (%) | | Cutaneous | 180 (97.8) | 22 (95.7) | 158 (98.1) | 0.417† | | Respiratory | 83 (45.1) | 15 (65.2) | 68 (42.2) | 0.038 | | Cardiovascular | 18 (9.8) | 9 (39.1) | 9 (5.6) | 0.001† | | Gastrointestinal | 116 (63.0) | 6 (26.1) | 110 (68.3) | 0.001 | | Neurologic | 7 (3.8) | 3 (13.0) | 4 (2.5) | 0.043† |
| | Blood pressure (mmHg) | | Systolic blood pressure | 98.0 (95–105) | 104.0 (95–111) | 98.0 (95–105) | 0.104‡ | | Diastolic blood pressure | 60.5 (58–69) | 69.0 (58–76) | 60.0 (57–67) | 0.095‡ | | Severe symptoms | 10 (5.4) | 7 (30.4) | 3 (1.9) | 0.001† | | Nonalert consciousness | 2 (1.1) | 2 (8.7) | 0 (0.0) | 0.015† |
| | ED treatment | | Oxygen supply | 7 (3.8) | 2 (8.7) | 5 (3.1) | 0.213† | | Fluid administration | 64 (34.8) | 19 (82.6) | 45 (28.0) | 0.001 | | Antihistamine use | 177 (96.2) | 22 (95.7) | 155 (96.3) | 1.000† | | Steroid use | 51 (27.7) | 14 (60.9) | 37 (23.0) | 0.001 | | Epinephrine use | 36 (19.6) | 15 (65.2) | 21 (13.0) | 0.001† | | Bronchodilator use | 27 (14.7) | 7 (30.4) | 20 (12.4) | 0.051† |
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Median (interquartile range); †Fisher’s exact test; ‡Mann–Whitney test. ED = emergency department. |
