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Naslov:Consensus clinical scoring for suspected perioperative immediate hypersensitivity reactions
Avtorji:Hopkins, Philip M. (Avtor)
Cooke, Peter J. (Avtor)
Clarke, Russel C. (Avtor)
Guttormsen, Anne Berit (Avtor)
Platt, Peter R. (Avtor)
Dewachter, Pascale (Avtor)
Ebo, Didier G. (Avtor)
Garcez, Tomaz (Avtor)
Garvey, Lene Heise (Avtor)
Hepner, David L. (Avtor)
Kopač, Peter (Avtor)
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
Leto izida:2019
Založnik:Elsevier
Izvor:Velika Britanija
UDK:616-097
ISSN pri članku:1471-6771
OceCobissID:515369241 Povezava se odpre v novem oknu
COBISS_ID:2048509297 Povezava se odpre v novem oknu
DOI:10.1016/j.bja.2019.02.029 Povezava se odpre v novem oknu
Opombe:Soavtor iz Slovenije: P. Kopac; Nasl. z nasl. zaslona; Opis vira z dne 4. 6. 2019;
Število ogledov:241
Število prenosov:95
Datoteke:URL URL - Izvorni URL, za dostop obiščite https://bjanaesthesia.org/article/S0007-0912(19)30191-6/fulltext
 
Nadgradivo:Br. j. anaesth.
Oxford University Press.
 
Metapodatki:XML RDF-CHPDL DC-XML DC-RDF
Avtorske pravice:© 2019 British Journal of Anaesthesia
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Licence

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

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