ICJEM
Intercontinental Journal of Emergency Medicine

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

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Original Article
Assessment of emergency physicians’ awareness and knowledge of hereditary angioedema
Abstract
Aims: Hereditary angioedema can occur with life-threatening attacks of severe laryngeal edema, and epinephrine is insufficient in the treatment of attacks. We sought an answer to the question, 'Do emergency physicians, who frequently encounter angioedema cases that are so important for the emergency department, have sufficient awareness about this issue?'
Methods: In this study, the online questionnaire was conducted among physicians working in adult emergency departments between April and August 2022. The questionnaire form consisted of two parts. The first part contained three questions about medical experience, academic degree, and encounter with hereditary angioedema patients. The second part of the questionnaire contained seven questions about the diagnosis and treatment of hereditary angioedema.
Results: A total of 103 physicians working in emergency departments participated in the survey. The proportion of physicians is as follows: The percentage of physicians with less than 15 years of experience was 92.2%. Research assistants represented the largest group of participants at 51.5%. When asked "What is not a symptom of hereditary angioedema?" Only 40.6% of physicians could answer the question correctly. While 39.8% of physicians thougt that epinephrine and antihistamines were useful in treating these attacks, 53.4% felt that epinephrine and antihistamines were not. While there was a difference in hereditary angioedema awareness between the group with more than 15 years of professional experience and the group with less experience, there was no meaningful difference between research assistants, specialists, and academicians. According to this survey, professional experience was important, but academic title did not make a difference in terms of disease awareness.
Conclusion: It is necessary to increase the awareness of emergency physicians about hereditary angioedema, which can cause fatal attacks and whose diagnosis and treatment are different from other angioedemas.

Keywords : Hereditary angioedema, HAE, survey, emergency

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1. Özdemir Ö. Acil serviste herediter anjioödem’e yaklaşım. Sakarya TıpDerg. 2020;10(1):152-161. doi.org/10.31832/smj.627591
2. Orhan F, Civelek E, Şahiner Ü, et al. Anaphylaxis: Turkish nationalguideline. 2018. doi.org/10.21911/aai.2018.1
3. Busse PJ, Christiansen SC, Riedl MA et al. US HAEA medical advisoryboard 2020 guidelines for the management of hereditary angioedema.JAllergy Clin Immunol: In Practice.2021;9(1):132-150. doi.org/10.1016/j.jaip.2020.08.046
4. Bork K, Meng G, Staubach P et al. Hereditary angioedema: newfindings concerning symptoms, affected organs, and course. Am J Med.2006;119:267-74. doi.org/10.1016/j.amjmed.2005.09.064
5. Baran M. Hekimlerin herediter anjioödem hastalığı hakkındafarkındalık düzeylerinin değerlendirilmesi. Necmettin ErbakanÜniversitesi, Meram Tıp Fakültesi, İç Hastalıkları Anabilim DalıUzmanlık Tezi, Konya, 2016.
6. Locascio EJ, Mahler SA, Arnold TC. Intestinal angioedemamisdiagnosed as recurrent episodes of gastroenteritis.Western J EmergMed. 2010;11(4):391.
7. Ertekin A. Anjioödem/Angioedema. Bozok Tıp Derg. 2019;9(1):160-165.
8. Özdemir Ö, Elmas B. Prevalence and clinical manifestations ofhereditary angioedema in untested close and distant blood relatives ofhereditary angioedema ındex patients in a city, Turkey. J Acad Res Med.2017;7(2). doi: 10.15406/moji.2016.03.00075
9. Riedl MA, Banerji A, Gower R. Current medical management ofhereditary angioedema: follow-up survey of US physicians.AnnalsAllergy Asthma Immunol. 2021;126(3):264-272. doi.org/10.1016/j.jaip.2014.08.017
10. Mete Gökmen N, Gülbahar O, PekerKoç Z, et al. How familiar areinternists with a potentially deadly orphan disease? Hereditaryangioedema. Turkiye Klinikleri J Med Sci. 2015;35:72.
11. Cansever Z, Avşar UZ, Acemoğlu H, Deniz A. Tıp fakültesiöğrencilerinin sürekli mesleksel gelişime yaklaşımları. Ankara Med J.2016;16:2.
12. Bowen T, Cicardi M, Farkas H, et al. 2010 International consensusalgorithm for the diagnosis, therapy and management of hereditaryangioedema. Allergy Asthma Clin Immunol. 2010; 6(1):24. doi.org/10.1186/1710-1492-6-24.
13. Fu L, Kanani A, Lacuesta G, Waserman S, Betschel S. Canadianphysician survey on the medical management of hereditaryangioedema.Annals Allergy Asthma Immunol. 2018;121(5):598-603.
14. Terzioglu K, Ediger D, Ozdemir E, TulumenOzturk R, Dogan F, SancarO. How physicians approach hereditary angioedema: a single centerstudy.Asia Pacific Allergy. 2022;12(4):e40.
15. Jaiganesh T, Hugha C, Webster A, et al. Hereditary angioedema: asurvey of UK emergency departments and recommendations formanagement. Eur J Emerg Med. 2012;19(4):271-274. doi: 10.1097/MEJ.0b013e32834c9e1f
16. Salter SM, Vale S, Sanfilippo FM, et al. Long-term effectiveness ofonline anaphylaxis education for pharmacists.Am J Pharmaceut Educ.2014;78(7). doi.org/10.5688/ajpe787136
17. Chong-Neto HJ, Aroni BP, Mansour E, et al. Are pediatriciansfamiliar with hereditary angioedema? World Allergy Organ J.2023;10;16(6):100783. doi: 10.1016/j.waojou.2023.100783
Article available in :
Volume 2, Issue 3, 2024
Page : 50-55
https://doi.org/10.51271/ICJEM-0038
Article Information
Received : 19 Tem 2024
Accepted : 12 Eyl 2024
Published : 28 Eyl 2024
Corresponding Author :

Nihal Ertürk: Department of Emergency Medicine, Ankara Bilkent City Hospital, Ankara, Turkiye

[email protected]
Citation : Ertürk N, Soyyiğit Ş, Kurtoğlu Çeluk G, Varan E. Assessment of emergency physicians’ awareness and knowledge of hereditary angioedema. Intercont J Emerg Med. 2024;2(3):50-55.

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