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Abstracts from the Food Allergy and Anaphylaxis Meeting 2016

Article scientifique 2017 Anglais

Résumé

Introduction: Incidence of anaphylaxis is increasing. Data regarding anaphylaxis mortality are limited, but conflicting. Our objective was to document anaphylaxis mortality rate (deaths per million population), time trends and specificities according to triggers (iatrogenic, venom, food, unknown), age groups, sex and geographical regions (North and South) in France, between 1979 and 2011. Methods: Data were obtained (1) from database of the National Mortality Center (CEPIDC) to collect cases in which anaphylaxis was included as a cause of death, sex, age, and geographic region of death, (2) from the database of the National Institute for Economical and Statistical studies (INSEE) to define the referent populations. We used a multivariable log-linear Poisson regression model to assess the impact of time period, age, sex and geographic region on anaphylaxis deaths. Results: During the period study, 1603 deaths were collected: 1564 in adults and 39 in children (age <18 year). The overall prevalence of anaphylaxis fatalities was 0.84 per million population (95% IC 0.80-0.88), ranging from 0.08 per million (95% IC 0.05-0.10) in pediatric population to 1.12 per million (95% CI 1.06 to 1.17) in adult population. Annual percentage change for case fatality rate was -2.0% (95% CI -2.5 to -1.5; p < 10 -4 ) indicating a decrease in case fatality rate during the study period. Anaphylaxis fatality rate was higher in men (1.08 per million [95% IC 1.00 1.16] than women (0.86 per million [95% IC 0.80-0.92]) (p < 10 -4 ). Triggers of anaphylaxis fatalities were iatrogenic (63%), mostly drugs, venom (14%) and food (0.6%). Unspecified anaphylaxis was frequent (23%). The highest rate was in persons aged >70 years (3.50 per million population per year [95% IC 3.25-3.76]) and the lowest in the pediatric population (p < 10 -4 ). Only venom-induced mortality rate was higher in South of France (0.16 per million [95% IC 0.13-0.19]) compared with the North (0.11 per million [95% IC 0.09-0.13]) (p = 0.004). Only 8 food-induced fatalities were recorded (age <35 years in 7 cases).

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Pouessel, G., Claverie, C., Labreuche, J., Renaudin, J., Dorkenoo, A., Eb, M., Moneret-Vautrin, A., Deschildre, A., Leteurtre, S., Grabenhenrich, L., Worm, M., Dölle, S., Scherer, K., Hutteger, I., Christensen, M., Bindslev‐Jensen, C., Mørtz, C., Eller, E., Kjær, H., Carneiro‐Leão, L., Badas, J., Coimbra, A., Levy, D., Ben‐Shoshan, M., Rimon, A., Benor, S., Arends, N., Edelbroek, N., Groot, H., Emons, J., Brand, H., Verhoeven, D., Veen, L., Jong, N., Noh, G., Jang, E., Pascal, M., Domínguez, O., Piquer, M., Jiménez‐Feijoo, R., Lozano, J., Machinena, A., Folqué, M., Giner, M., Plaza, A., Turner, P., Patel, N., Vázquez‐Ortiz, M., Lindsley, S., Walker, L., Rosenberg, S., Mari, A., Alessandri, C., Giangrieco, I., Tuppo, L., Rafaiani, C., Mitterer, G., Ciancamerla, M., Ferrara, R., Bernardi, M., Zennaro, D., Tamburrini, M., Ciardiello, M., Harwanegg, C., Fernandez, A., Selb, R., Egenmann, P., Epstein, M., Hoffmann‐Sommergruber, K., Koning, F., Løvik, M., Mills, E., Moreno, J., Loveren, H., Wal, J., Diesner, S., Bergmayr, C., Pfitzner, B., Assmann, V., Starkl, P., Endesfelder, D., Eiwegger, T., Szépfalusi, Z., Fehrenbach, H., Jensen‐Jarolim, E., Hartmann, A., Pali‐Schöll, I., Untersmayr, E., Wille, S., Klingebiel, C., Lidholm, J., Ehrenberg, A., Östling, J., Cleach, I., Mège, J., Vitte, J. (2017). Abstracts from the Food Allergy and Anaphylaxis Meeting 2016. https://doi.org/10.1186/s13601-017-0142-2

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Auteur(s)

G. Pouessel Claire Claverie Julien Labreuche Jean‐Marie Renaudin Aimée Dorkenoo Mireille Eb Anne Moneret-Vautrin A. Deschildre Stéphane Leteurtre Linus Grabenhenrich Margitta Worm Sabine Dölle Kathrin Scherer Isidor Hutteger Morten J. Christensen Carsten Bindslev‐Jensen Charlotte G. Mørtz Esben Eller Henrik Fomsgaard Kjær Leonor Carneiro‐Leão Javier del Riego Badas Alice Coimbra Dikla Pivko Levy Moshe Ben‐Shoshan Ayelet Rimon Shira Benor Nicolette J. T. Arends Nikki Edelbroek Hans de Groot Joyce Emons H. Kim Brand Dirk H. J. Verhoeven Leonieke N. van Veen Nicolette W. de Jong Geunwoong Noh Eun Ha Jang Mariona Pascal Olga Domínguez M. Piquer Rosa Jiménez‐Feijoo Jaime Lozano Adriana Machinena Maria del Mar Folqué María Teresa Giner Ana María Plaza Paul Turner Nandinee Patel Marta Vázquez‐Ortiz Sarah Lindsley Lucy Walker S Rosenberg Adriano Mari Claudia Alessandri Ivana Giangrieco Lisa Tuppo Chiara Rafaiani Georg Mitterer Michela Ciancamerla Rosetta Ferrara Maria Livia Bernardi Danila Zennaro Maurizio Tamburrini Maria Antonetta Ciardiello Christian Harwanegg Antonio Fernandez Regina Selb Philippe Egenmann M. Epstein Karin Hoffmann‐Sommergruber Frits Koning Martinus Løvik E. N. Clare Mills Javier Moreno Henk Van Loveren Jean‐Michel Wal Susanne C. Diesner Cornelia Bergmayr Barbara Pfitzner Vera Elisabeth Assmann Philipp Starkl David Endesfelder Thomas Eiwegger Zsolt Szépfalusi Heinz Fehrenbach Erika Jensen‐Jarolim Anton Hartmann Isabella Pali‐Schöll Eva Untersmayr S Wille C. Klingebiel Jonas Lidholm Angelica E. Ehrenberg Jonas Östling I. Cleach Jean‐Louis Mège Joana Vitte

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