Abstract PS1-52: Reasons for Diabetes Clinical Inertia in Primary Care Practice

J. M. Sperl-Hillen, W. A. Rush, H. L. Ekstrom, P. E. Johnson, G. R. Biltz, P. J. O'Connor
2008 Clinical Medicine & Research  
Background/Aims: Using Kaiser Permanente Northwest's electronic medical record and linked databases, we sought to estimate the incidence of serious hypersensitivity reactions among a community-based cohort of patients with clinically confirmed food allergies. Methods: We conducted a retrospective, dynamic cohort study, which enrolled patients as early as January 2000 and as late as December 2004. We followed patients 6 to 75 years old until they experienced their first serious hypersensitivity
more » ... s hypersensitivity reaction requiring medical assistance: urgent care visit, emergency department visit, or hospitalization. Patients' food allergies-peanut, tree nut, fish, shellfish, egg, and milk-were confirmed through radioallergosorbent test (RAST) food panel findings or skin prick test findings and an allergy diagnosis documented in the notes of their electronic medical record. Results: We identified 97 patients with a clinically confirmed food allergy who experienced 5 hypersensitivity reactions. The 1-year cumulative incidence was 4.3% (95% CI, 1.6% to 11.0%). All the reactions were emergency department visits. Conclusions: The electronic medical record can be used to identify efficiently those patients with clinically confirmed food allergies. Our incidence estimate is imprecise, in part, because so few patients had undergone recent RAST or skin prick testing and very few of them met allergists' strict criteria for a clinically confirmed allergy. Abstract PS1-52
doi:10.3121/cmr.6.3-4.142-a fatcat:ij3ckyobwreohj5egsqngm62xm