Emergency Monitoring Following A Diagnosis of Anaphylaxis.

IF 5.4 2区医学 Q1 ALLERGY

Current Allergy and Asthma Reports Pub Date : 2025-07-08 DOI:10.1007/s11882-025-01210-z

Hannah Wangberg, Andrew A White

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引用次数: 0

Abstract

Purpose of the review: In this review we explore expanding options for monitoring following anaphylaxis in the home or community setting. We review recent literature to help identify who might benefit from watchful waiting at home versus immediate emergency medical service (EMS) activation following anaphylaxis.

Recent findings: Recent studies confirm that most patients respond promptly, completely, with a durable response to a single dose of epinephrine for anaphylaxis. In monophasic anaphylaxis, reflexive emergency monitoring has been found to have minimal benefit. In recent years, studies show increasing emergency department utilization for anaphylaxis, though the risk of fatal anaphylaxis remains exceedingly low. Identifying patients at risk for severe anaphylaxis is imprecise, though several risk factors have been associated with higher chances of severe reactions. Reflexive emergency monitoring following anaphylaxis is not necessary in all cases of anaphylaxis. Carefully selected patients may benefit from watchful waiting at home. Engaging in shared decision making is critical in this new era of personalized allergy action plans. Future studies are necessary to refine our understanding of the full risks and benefits of home monitoring following anaphylaxis.

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诊断为过敏反应后的紧急监测。

本综述的目的：在本综述中，我们探讨了在家庭或社区环境中扩大过敏反应后监测的选择。我们回顾了最近的文献，以帮助确定谁可能受益于观察在家等待与紧急医疗服务（EMS）激活后的过敏反应。最近的发现：最近的研究证实，大多数患者对单剂量肾上腺素过敏反应反应迅速，完全，持久。在单相过敏反应中，已发现反射性紧急监测的益处极小。近年来，研究表明急诊科对过敏反应的使用率越来越高，尽管致死性过敏反应的风险仍然极低。确定有严重过敏反应风险的患者是不精确的，尽管有几个风险因素与严重反应的高风险相关。过敏反应后的反射性紧急监测并非所有过敏反应病例都需要。精心挑选的病人可能会受益于在家观察等待。在这个个性化过敏行动计划的新时代，参与共同决策至关重要。未来的研究有必要完善我们对过敏反应后家庭监测的全部风险和益处的理解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Allergy and Asthma Reports 医学-过敏

CiteScore

11.20

自引率

1.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The aim of Current Allergy and Asthma Reports is to systematically provide the views of highly selected experts on current advances in the fields of allergy and asthma and highlight the most important papers recently published. All reviews are intended to facilitate the understanding of new advances in science for better diagnosis, treatment, and prevention of allergy and asthma. We accomplish this aim by appointing international experts in major subject areas across the discipline to review select topics emphasizing recent developments and highlighting important new papers and emerging concepts. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. Over a one- to two-year period, readers are updated on all the major advances in allergy and asthma.