Background and objective: Anaphylaxis is a serious
condition. Under diagnosis or under treatment could
lead to mortality. Srinagarind hospital has published
protocol for anaphylaxis to improve the quality of
treatment. The objective of this study was to
determine percentage of patients who get adrenaline
injection, route of adrenaline injection, time of
adrenaline injection and emergency department
length of stay after the anaphylaxis protocol used.
Methods: This was a retrospective descriptive study,
with medical record review was conducted. All
patients came to emergency room at Srinagarind
hospital during January 1st, 2014 and December 31st,
2015 who met criteria for diagnosis of anaphylaxis
were included.
Results: From 136,266 visitors, the number of
researched patients was 174 which was found with
using the protocol for anaphylaxis in 99 cases (56.9%)
and without using it in 75 cases (43.1%). All patients
in each group (100%) were injected with adrenaline.
Route of adrenaline injection was intramuscular
injection (100%) The median of time of patients
injected adrenaline were 12.5 and 15 minutes and
the median of emergency department length of stay
time were 53 and 69 minutes in group of the protocol
for anaphylaxis usage and unusage, respectively.
Conclusions: After the protocol for anaphylaxis was
established, all patients got adrenaline injection by using intramuscular injection as standard treatment.
There were no statistical significant difference in time
to receive adrenaline and emergency department
length of stay when compared the protocol for
anaphylaxis usage group with the protocol unusage
group.
Keywords
Anaphylaxis, Anaphylaxis protocol, Emergency department