Inpatient consultation of allergy/immunology in a tertiary care setting. Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology. [Ann Allergy Asthma Immunol] Journal article | | Title | Inpatient consultation of allergy/immunology in a tertiary care setting. | | Author(s) | England RW, Ho TC, Napoli DC, Quinn JM | | Institution | Department of Allergy/Immunology, Wilford Hall Medical Center, Lackland AFB, Texas 78236-5300, USA. Ronald.England@lackland.af.mil | | Source | Ann Allergy Asthma Immunol 2003 Apr; 90(4):393-7. | | MeSH | Adolescent
Adult
Aged
Allergy and Immunology
Anaphylaxis
Angioneurotic Edema
Asthma
Child
Child, Preschool
Diagnosis-Related Groups
Drug Hypersensitivity
Female
Hospitals, Military
Humans
Immunologic Deficiency Syndromes
Infant
Inpatients
Male
Middle Aged
Referral and Consultation
Retrospective Studies
Texas
| | Abstract | BACKGROUND: Few studies examine the referral patterns for allergy/immunology (A/I) inpatient consultation.
OBJECTIVE: The purpose of this study was to examine the primary reason and trends for A/I inpatient consultation to improve fellowship training.
METHODS: We performed a retrospective chart review of all inpatient A/I consults from July 1, 1987 to June 30, 2001 to determine the primary reason for consultation. We also reviewed trends in the total admissions and the average daily patient load compared with A/I consultation.
RESULTS: A total of 1,284 A/I inpatient consults were reviewed. Thirty-six percent (460 of 1,284) of inpatient consults were for evaluation of adverse drug reactions, 21% (270 of 1,284) asthma, 21% (272 of 1,284) miscellaneous reasons, 8% (109 of 1,284) possible immunodeficiency, 7% (93 of 1,284) angioedema/urticaria, and 6% (80 of 1,284) anaphylaxis. Our results demonstrated a fall in inpatient consults that correlated with a similar fall in total hospital admissions. The ratio of A/I inpatient consults to total admissions remained constant. Additionally, the ratio of A/I consults to average daily patient load increased over the study period. There was a decrease in asthma and adverse drug reaction consults, whereas immunodeficiency and anaphylaxis referrals remained stable.
CONCLUSIONS: Identifying the most common reasons for inpatient consultation provides a guide for the education of A/I fellows and primary care residents. Inpatient consultation continues to play a crucial role in A/I training as it provides unique opportunities to evaluate serious life threatening diseases. An unchanged trend of consultation for immunodeficiency and anaphylaxis reaffirms the importance of the allergist/immunologist as a valuable resource for inpatient consultation. | | Language | eng | | Pub Type(s) | Journal Article
Review
| | PubMed ID | 12722960 |
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