Referral to a pediatric outpatient Immunology and Allergy consultation at a university hospital

Authors

  • Filipa Rodrigues dos Santos Department of Immunoalergology, Centro Hospitalar Universitário de Santo António https://orcid.org/0000-0003-2323-4734
  • Joana Gouveia Department of Immunoalergology, Centro Hospitalar Universitário de Santo António https://orcid.org/0000-0002-8951-1848
  • Inês Falcão Department of Immunoalergology, Centro Hospitalar Universitário de Santo António https://orcid.org/0000-0002-4783-2539
  • Maria Luís Marques Department of Immunoalergology, Centro Hospitalar Universitário de Santo António https://orcid.org/0000-0003-2241-7889
  • Isabel Rezende Department of Immunoalergology, Centro Hospitalar Universitário de Santo António https://orcid.org/0000-0001-7903-1384
  • Inês Cunha Department of Immunoalergology, Centro Hospitalar Universitário de Santo António
  • Eva Gomes Department of Immunoalergology, Centro Hospitalar Universitário de Santo António https://orcid.org/0000-0001-8956-9145
  • Leonor Cunha Department of Immunoalergology, Centro Hospitalar Universitário de Santo António
  • Helena Falcão Department of Immunoalergology, Centro Hospitalar Universitário de Santo António

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v32.i2.26194

Keywords:

allergy, immunology, outpatient clinic, pediatric age, referral pattern

Abstract

Introduction: Allergic diseases are common in pediatric age and their prevalence has increased in recent years. The literature is scarce regarding the referral of pediatric patients to the Allergy and Clinical Immunology outpatient clinic at tertiary hospitals, but this is relevant because, in addition to being responsible for the diagnosis and management of allergic diseases, this specialty mainly provides outpatient care.
Objective: This study aimed to describe the origin and reason for referral of patients to the Pediatric Allergy and Clinical Immunology outpatient clinic of a tertiary hospital.
Material and Methods: Retrospective study including all first appointments of patients referred to the Pediatric Allergy and Clinical Immunology outpatient clinic of a tertiary hospital between January and December 2020. Patients’ demographic data, as well as origin and reason for referral were recorded.
Results: A total of 751 patients were included in the study, 52.5% (n=394) of whom were male. The mean age of referral was nine years (σ ± 5), with most children being under the age of 10. General practitioners were responsible for most referrals (41%) and respiratory diseases were the main reason for referral. Pediatrics was the second most referring specialty overall, mainly due to drug allergy, and the first most referring specialty regarding preschool-aged children. Otorhinolaryngology was responsible for 20% of pediatric referrals, solely due to respiratory diseases. Dermatology was responsible for 1.5%, Stomatology for 0.5%, and Medical Genetics for 0.3% of referrals.
Conclusion: The authors highlight the importance of inter-specialty communication to avoid unnecessary delays in patient management, with quality of life implications.

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References

Pawankar R. Allergic diseases and asthma: a global public health concern and a call to action. World Allergy Organ J. 2014;7(1):12. doi: https://doi.org/10.1186/1939-4551-7-12.

Asher MI, Montefort S, Björkstén B, Lai CKW, Strachan DP, Weiland SK, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross‐sectional surveys. Lancet. 2006;368(9537):733-43. doi: https://doi.org/10.1016/S0140-6736(06)69283-0.

Pawankar R, Canonica GW, Holgate ST, Lockey R. WAO White Book on Allergy 2011–2012: Executive Summary. 1st Edition. UK. 2011; p.27.

Prescott S, Allen KJ. Food allergy: riding the second wave of the allergy epidemic. Pediatr Allergy Immunol. 2011; 22(2):155-60. doi: https://doi.org/10.1111/j.1399-3038.2011.01145.x.

Loftus PA, Wise SK. Epidemiology of asthma. Curr Opin Otolaryngol Head Neck Surg. 2016; 24(3): 245-9. doi: https://doi.org/10.1097/MOO.0000000000000262.

Brożek JL , Bousquet J, Agache I, Agarwal A, Bachert C, Bosnic-Anticevich S, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines-2016 revision. J Allergy Clin Immunol. 2017; 140(4): 950-8. doi: https://doi.org/10.1016/j.jaci.2017.03.050.

Demoly P, Adkinson NF, Brockow K, Castells M, Chiriac AM, Greenberger PA, et al. International Consensus on drug allergy. Allergy. 2014; 69(4): 420-37. doi: https://doi.org/10.1111/all.12350.

Prescott SL, Pawankar R, Allen KJ, Campbell DE, Sinn J, Fiocchi A, et al. A global survey of changing patterns of food allergy burden in children. World Allergy Organ J. 2013; 4;6(1):21. doi: https://doi.org/10.1186/1939-4551-6-21.

Sicherer SH, Noone SA, Munoz‐Furlong A. The impact of childhood food allergy on quality of life. Ann Allergy Asthma Immunol. 2001;87(6):461-4. doi: 10.1016/S1081-1206(10)62258-2.

Simon D. Recent Advances in Clinical Allergy and Immunology. Int Arch Allergy Immunol. 2018; 177(4): 324-33. doi: https://doi.org/10.1159/000494931.

Del Giacco S, Rosenwasser LJ, Crisci CD, Frew AJ, Kaliner MA, Lee BW, et al. Position statement of the WAO Specialty and Training Council: What is an Allergist?: Reconciled Document Incorporating Member Society Comments, September 3, 2007. World Allergy Organ J. 2008; 1(1): 19-20. doi: https://doi.org/10.1097/wox.0b013e3181651679.

Falcão H, Rocha A, Miguel N, Morais L. Consulta Externa de Imunoalergologia num hospital pediátrico. Cadernos de Imunoalergologia Ped. 1988; 13(1): 11-6.

Gomes, ER, Brockow, K, Kuyucu, S, Saretta, F, Mori, F, Blanca-Lopez, et al. ENDA/EAACI Drug Allergy Interest Group. Drug hypersensitivity in children: report from the pediatric task force of the EAACI Drug Allergy Interest Group. Allergy. 2016;71(2):149-61. doi: https://doi.org/10.1111/all.12774.

Sobrino, Miriam Macías E, Lázaro-Sastre M, de Arriba-Méndez S, Dávila I. A Prospective Study of Costs Associated with the Evaluation of β-Lactam Allergy in Children. J Pediatr. 2020;223:108-13.e2. doi: https://doi.org/10.1016/j.jpeds.2020.04.018.

Mir E, Panjabi C, Shah A. Impact of allergic rhinitis in school going children. Asia Pac Allergy. 2012;2(2):93-100. doi: https://doi.org/10.5415/apallergy.2012.2.2.93.

Wahn U. Allergic March. September 2015. Accessed 2021 Oct. Available at https://www.worldallergy.org/education-and-programs/education/allergic-disease-resource-center/professionals/the-allergic-march.

Renz H, Allen KJ, Sicherer SH, Sampson HA, Lack G, Beyer K, et al. Food allergy. Nat Rev Dis Primers. 2018; 4:17098. doi: 10.1038/nrdp.2017.98.

Morais A, Prates S, Pargana E, Arêde C, Godinho N, Tavares C, et al. Alergia alimentar em crianças numa consulta de Imunoalergologia. Rev. Port. Imunoalergol. 7(3): 167-71.

ISAAC (International Study of Asthma and Allergies in childhood). Accessed in 2021 Oct. Available at http://isaac.auckland.ac.nz/.

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Published

2023-09-14

How to Cite

1.
Rodrigues dos Santos F, Gouveia J, Falcão I, Marques ML, Rezende I, Cunha I, Gomes E, Cunha L, Falcão H. Referral to a pediatric outpatient Immunology and Allergy consultation at a university hospital. REVNEC [Internet]. 2023Sep.14 [cited 2024Jun.21];32(2):77-81. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/26194

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