Simulation of Health and Economic Benefits of Extended Observation of Resolved Anaphylaxis | Zendy

Marcus Shaker | Zendy; Dana Wallace | Zendy; David B.K. Golden | Zendy; John Oppenheimer | Zendy; Matthew Greenhawt | Zendy

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Simulation of Health and Economic Benefits of Extended Observation of Resolved Anaphylaxis

Author(s) -

Marcus Shaker,

Dana Wallace,

David B.K. Golden,

John Oppenheimer,

Matthew Greenhawt

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2019.13951

Subject(s) - anaphylaxis , medicine , allergy , emergency medicine , immunology

Key Points Question What is the cost-effectiveness of 1 hour vs 6 to 24 hours of medical observation for biphasic anaphylaxis? Findings In this economic evaluation, routine use of prolonged medical observation costs $62 374 to $230 202 per case of biphasic anaphylaxis observed, depending on the hourly costs of observation and duration of stay, with costs of prolonged observation approaching or exceeding $10 million per death prevented. Meaning Routine use of 6- to 24-hour medical observation for unselected patients with resolved anaphylaxis is a low-value medical practice unless the risk of biphasic anaphylaxis is significantly pronounced.

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