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Table 4 Factors Associated with supply of Adrenaline Autoinjector (AAI) and Allergy/Anaphylaxis Plan (AAP) on hospital discharge

From: A retrospective audit of adult and paediatric anaphylaxis management from two Australian metropolitan mixed emergency departments

 

AAI supplied on dischargea

p-value

AAP supplied on dischargea

p-value

 

Yes

No

 

Yes

No

 
 

N = 180

N = 121

 

N = 91

N = 205

 

Sex

  

0.098

  

0.313

 Male

88 (49%)

47 (39%)

 

45 (49%)

88 (43%)

 

 Female

92 (51%)

74 (61%)

 

46 (51%)

117 (57%)

 

Age category

  

0.525

  

0.584

 Paediatric

57 (32%)

34 (28%)

 

30 (33%)

60 (29%)

 

 Adult

123 (68%)

87 (72%)

 

61 (67%)

145 (71%)

 

 History of anaphylaxis

101 (56%)

64 (53%)

0.637

32 (35%)

121 (59%)

 < 0.001

Comorbid conditions

 Asthma

59 (33%)

35 (29%)

0.527

32 (35%)

58 (28%)

0.274

 Eczema

17 (9%)

8 (7%)

0.523

8 (9%)

19 (9%)

1.000

 Allergic rhinitis

11 (6%)

4 (3%)

0.419

3 (3%)

12 (6%)

0.566

 Cardiovascular disease

30 (17%)

11 (9%)

0.086

17 (19%)

24 (12%)

0.144

Reacted to previously identified trigger

75 (50%)

45 (50%)

1.000

29 (38%)

82 (52%)

0.051

Suspected Trigger*

  

0.167

  

0.009

 Food

99 (55%)

57 (47%)

 

48 (53%)

103 (50%)

 

 Venom

31 (17%)

16 (13%)

 

23 (25%)

25 (12%)

 

 Unknown

41 (23%)

37 (31%)

 

17 (19%)

60 (29%)

 

 Other

9 (5%)

11 (9%)

 

3 (3%)

17 (8%)

 

Anaphylaxis symptoms

      

 Pre-hospital

174 (97%)

112 (93%)

0.175

82 (90%)

186 (91%)

0.833

 On arrival to ED

114 (63%)

61 (50%)

0.032

67 (74%)

102 (50%)

 < 0.001

 Deterioration in ED

27 (15%)

7 (6%)

0.015

22 (24%)

13 (6%)

 < 0.001

Received adrenaline

 Any time

160 (89%)

47 (39%)

 < 0.001

83 (91%)

121 (59%)

 < 0.001

 Pre-hospital

94 (52%)

20 (17%)

 < 0.001

34 (37%)

74 (36%)

0.896

 ED

80 (44%)

31 (26%)

 < 0.001

58 (64%)

54 (26%)

 < 0.001

Total adrenaline doses

  

 < 0.001

  

 < 0.001

 0

20 (11%)

74 (61%)

 

8 (9%)

84 (41%)

 

 1

114 (63%)

38 (31%)

 

55 (60%)

100 (49%)

 

 ≥ 2

46 (26%)

9 (7%)

 

28 (30%)

21 (9%)

 

Presented in business hours

(Mon-Fri 8am-4 pm)

89 (49%)

37 (31%)

0.001

64 (70%)

56 (27%)

 < 0.001

Length of stay in ED/hospital

  

 < 0.001

  

 < 0.001

 < 4 h

49 (27%)

57 (47%)

 

12 (13%)

93 (45%)

 

4–12 h

75 (42%)

49 (40%)

 

29 (32%)

86 (42%)

 

12–24 h

46 (26%)

11 (9%)

 

44 (48%)

18 (9%)

 

24 + hours

10 (6%)

4 (3%)

 

6 (7%)

8 (4%)

 

Discharge Unit

  

0.010

  

 < 0.001

ED

147 (82%)

112 (93%)

 

64 (70%)

187 (91%)

 

Inpatient Unit

33 (18%)

9 (7%)

 

27 (30%)

18 (9%)

 
  1. a Cohort excludes those where provision of AAI or AAP on discharge was not indicated or required
  2. *patients with medication trigger excluded from cohort