The advantages of prehospital severity classification of the anaphylaxis

Introduction: In prehospital settings, the adequate estimation of severity of the anaphylaxis is a precondition in treatment choice, with efficiency to improve the symptoms caused by anaphylaxis and to prevent it's further development which can lead to critical conditions. The aim of this research was to demonstrate the usefulness of classification of the severity of anaphylaxis suggested by Müller et al. in prehospital settings as effective and uniform method. Materials and methods: this was a prospective study, with the length of 1 year in county of Tuzla. In first group, there were patients classified by Müller et al. and in the other group was including patients who has been treated in all primary health care units in Tuzla. They has been chose according to the principle of the study set by American Academy for allergy, asthma and immunology conducted in 2006. As the indicator of effectiveness and success of treatment we used the data of final treatment outcomes. For the success of treatment and the efficacy of severity classifications of anaphylaxis, we used data on the outcome of treatment and definitive treatment of the observed ones. Results: After the pre-hospital treatment successfully completed treatment of anaphylaxis using severity classification of anaphylaxis had 35 patients (77.8%). For clinical diagnosis in prehospital treatment of anaphylaxis had 10 patients (24.4%). 3.5 times greater chance had patients after the pre-hospital treatment to be clinically treated, and returned home without hospitalization (OR: 3.5, 95% CI: 1.14 to 11.3, P = 0, 03). The chance of a patient being hospitalized 5.1 times higher in the group treated where severity classification of anaphylaxis has not been used (OR: 5.1, 95% CI: 1.29 to 29.2, P = 0.02). Conclusion: Prehospital treatment and completed registration of patients with anaphylaxis by using the severity classification give advantage to improve the choice of treatment and effectiveness in successful treatment of anaphylaxis