Perioperative medicine & outcomes

Relationship between perioperative anaphylaxis and history of allergies or allergic diseases: A systematic review and meta-analysis with meta-regression

J Clin AnesthPublished Systematic review and meta-analysis of observational studies

Authors' conclusion

Patients with previous drug allergies, food allergies, a history of allergies, or atopy are more likely to develop anaphylaxis during the perioperative period.

Study context

Population
Patients undergoing the perioperative period (perioperative anaphylaxis)19 studies
Comparison
History of allergies/allergic diseases vs none
Outcome
Perioperative anaphylaxis
Methodological detailsmeta-regression, subgroup analysis, sensitivity analysis, 2 investigators independently searched, screened and collected data (MEDLINE, EMBASE, Cochrane CENTRAL)
  • Meta-regression
  • Subgroup analysis
  • Sensitivity analysis
  • 2 investigators independently searched, screened and collected data (MEDLINE, EMBASE, Cochrane CENTRAL)

Pooled result

As reported in the abstract

Incidence of perioperative anaphylaxis
Odds ratio (95% CI)
Drug allergies
3.54(1.07–11.69)
Food allergies
2.29(1.23–4.26)
A history of allergies
4.86(3.65–6.49)
Atopy
3.58(1.47–8.71)

Further pooled results

History of allergies/allergic diseases did not increase the presence of immune-mediated reactions or the severity of perioperative anaphylaxis

Original publication

Relationship between perioperative anaphylaxis and history of allergies or allergic diseases: A systematic review and meta-analysis with meta-regression. J Clin Anesth. Published 22 February 2024. doi:10.1016/j.jclinane.2024.111408

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