The role of an allergy and clinical Immunology department in supporting inpatients admitted to care in other specialties [O papel da Imunoalergologia no apoio a doentes internados ao cuidado de outras especialidades]

• Type: Article in National Scientific Journal
• Date: 2022

Authors

Miranda, J (Author) Other; Vasconcelos, MJ (Author) Other; Mesquita, AM (Author) Other; Tiago Rama (Author) FMUP; Rodolfo, A (Author) Other; Carneiro Leão, L (Author) Other; Cernadas, JR (Author) Other

Journal

Title: Revista Portuguesa de Imunoalergologia

ISSN: 0871-9721

Publisher: Publicacoes Ciencia e Vida

Indexing

Scopus - 0 Citations

Other information

Authenticus ID: P-00X-KK0

DOI: 10.32932/rpia.2022.12.093

Abstract (EN): Objective: Characterizing the role of an Allergy and Clinical Immunology (ACI) department in the evaluation of patients admitted to care in other specialties. Methods: Review of all inpatient collaboration requests to the ACI department between January 2018 and June 2019. Analysis of patients¿ clinical and demographic data, causes of admission, aim of the collaboration request, evaluation and case management was performed. Results: We identif ied 177 collaboration requests, corresponding to 157 admissions of patients with an age range from 7 months to 89 years, 52% of which were women. The majority of the requests (83%) were due to suspected drug hypersensitivity reaction, followed by guidance on the treatment of allergic comor-bidity and asthma exacerbations. These 177 requests resulted in 446 medical visits (average of 2.6 visits per admission). Drug hypersensitivity reaction was conf irmed in 64%, with SCAR (severe cutaneous adverse reactions) in 19% and anaphylaxis in 6%. Mortality rate was 5.1%; 46.2% had a re-evaluation at the outpatient clinic. Conclusions: Allergy and Clinical Immunology specialists primarily work at the outpatient setting. However, they can have a very signif icant role in the management of hospitalized patients particularly in the diagnosis and treatment of uncommon and allergy related diseases. © 2022 Sociedade Portuguesa de Alergologia e Imunologia Clínica. Published by Publicações Ciência & Vida.

Language: Portuguese

Type (Professor's evaluation): Scientific