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Naslov:Consensus clinical scoring for suspected perioperative immediate hypersensitivity reactions
Avtorji:ID Hopkins, Philip M. (Avtor)
ID Cooke, Peter J. (Avtor)
ID Clarke, Russel C. (Avtor)
ID Guttormsen, Anne Berit (Avtor)
ID Platt, Peter R. (Avtor)
ID Dewachter, Pascale (Avtor)
ID Ebo, Didier G. (Avtor)
ID Garcez, Tomaz (Avtor)
ID Garvey, Lene Heise (Avtor)
ID Hepner, David L. (Avtor)
ID Kopač, Peter, Klinika Golnik, Medicinska fakulteta UL (Avtor)
Datoteke:URL URL - Izvorni URL, za dostop obiščite https://bjanaesthesia.org/article/S0007-0912(19)30191-6/fulltext
 
Jezik:Angleški jezik
Tipologija:1.01 - Izvirni znanstveni članek
Organizacija:Logo UKPBAG - Univerzitetna klinika za pljučne bolezni in alergijo Golnik
Povzetek:Background: Grading schemes for severity of suspected allergic reactions have been applied to the perioperative setting, but there is no scoring system that estimates the likelihood that the reaction is an immediate hypersensitivity reaction. Such a score would be useful in evaluating current and proposed tests for the diagnosis of suspected perioperative immediate hypersensitivity reactions and culprit agents. Methods: We conducted a Delphi consensus process involving a panel of 25 international multidisciplinary experts in suspected perioperative allergy. Items were ranked according to appropriateness (on a scale of 1-9) and consensus, which informed development of a clinical scoring system. The scoring system was assessed by comparing scores generated for a series of clinical scenarios against ratings of panel members. Supplementary scores for mast cell tryptase were generated. Results: Two rounds of the Delphi process achieved stopping criteria for all statements. From an initial 60 statements, 43 were rated appropriate (median score 7 or more) and met agreement criteria (disagreement index <0.5); these were used in the clinical scoring system. The rating of clinical scenarios supported the validity of the scoring system. Although there was variability in the interpretation of changes in mast cell tryptase by the panel, we were able to include supplementary scores for mast cell tryptase. Conclusion: We used a robust consensus development process to devise a clinical scoring system for suspected perioperative immediate hypersensitivity reactions. This will enable objectivity and uniformity in the assessment of the sensitivity of diagnostic tests.
Ključne besede:alergy and immunology, anesthesia, anaphylaxis, drug hypersensitivity, drug-related side effects and adverse reactions, perioperative period, surgery, operative surgical procedures
Status publikacije:Objavljeno
Verzija publikacije:Objavljena publikacija
Kraj izida:Velika Britanija
Založnik:Elsevier
Leto izida:2019
Št. strani:str. e29-e37
Številčenje:Vol. 123, iss. 1
PID:20.500.12556/DiRROS-12544 Novo okno
UDK:616-097
ISSN pri članku:1471-6771
DOI:10.1016/j.bja.2019.02.029 Novo okno
COBISS.SI-ID:2048509297 Novo okno
Avtorske pravice:© 2019 British Journal of Anaesthesia
Opomba:Soavtor iz Slovenije: P. Kopac; Nasl. z nasl. zaslona; Opis vira z dne 4. 6. 2019;
Datum objave v DiRROS:09.10.2020
Število ogledov:2414
Število prenosov:554
Metapodatki:XML DC-XML DC-RDF
:
HOPKINS, Philip M., COOKE, Peter J., CLARKE, Russel C., GUTTORMSEN, Anne Berit, PLATT, Peter R., DEWACHTER, Pascale, EBO, Didier G., GARCEZ, Tomaz, GARVEY, Lene Heise, HEPNER, David L. in KOPAČ, Peter, 2019, Consensus clinical scoring for suspected perioperative immediate hypersensitivity reactions. British journal of anaesthesia [na spletu]. 2019. Vol. 123, no. 1, p. e29–e37. [Dostopano 21 april 2025]. DOI 10.1016/j.bja.2019.02.029. Pridobljeno s: https://bjanaesthesia.org/article/S0007-0912(19)30191-6/fulltext
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Gradivo je del revije

Naslov:British journal of anaesthesia
Skrajšan naslov:Br. j. anaesth.
Založnik:Oxford University Press.
ISSN:1471-6771
COBISS.SI-ID:515369241 Novo okno

Licence

Licenca:Drugo
Opis:Elsevier user licence
Začetek licenciranja:24.04.2019

Sekundarni jezik

Jezik:Ni določen
Ključne besede:alergija in imunologija, anestezija, anafilaksija, preobčutljivost za zdravila, stranski in škodljivi učinki zdravil, perioperativno obdobje, kirurgija, operativni kirurški postopki


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