{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:05:59Z","timestamp":1778803559754,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,9,8]],"date-time":"2017-09-08T00:00:00Z","timestamp":1504828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001537","name":"University of Auckland","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001537","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Globally, rates of paediatric food\u2010induced anaphylaxis (<jats:styled-content style=\"fixed-case\">FIA<\/jats:styled-content>) are increasing. Little data is available regarding the epidemiology of <jats:styled-content style=\"fixed-case\">FIA<\/jats:styled-content> among New Zealand (<jats:styled-content style=\"fixed-case\">NZ<\/jats:styled-content>) children. This study investigated the incidence of paediatric (0\u201314 years) <jats:styled-content style=\"fixed-case\">FIA<\/jats:styled-content> hospital presentations in <jats:styled-content style=\"fixed-case\">NZ<\/jats:styled-content> over a 10\u2010year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ministry of Health public hospital discharge data from 2006 to 2015 were analysed using <jats:styled-content style=\"fixed-case\">FIA<\/jats:styled-content>\u2010related International Classification of Diseases codes (<jats:styled-content style=\"fixed-case\">T78<\/jats:styled-content>.0 \u2013 anaphylactic shock due to adverse food reaction and <jats:styled-content style=\"fixed-case\">T78<\/jats:styled-content>.2 \u2013 anaphylactic shock unspecified and\u2009free text qualifier) to identify acute hospital presentations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall annualised <jats:styled-content style=\"fixed-case\">FIA<\/jats:styled-content> hospital presentation rate was 16.2 per 100\u2009000 children. Subgroup analysis indicated a significantly higher rate in males (19.1\/100\u2009000) than in females (13.1\/100\u2009000), and among children aged less than 2 years of age (50.5\/100\u2009000) compared with older children. Rates among Asian and Pacific children were higher than M\u0101ori and <jats:styled-content style=\"fixed-case\">NZ<\/jats:styled-content> European children. In 67.7% of cases, a single specific allergen was suggested by the information provided; among these cases, nuts (48%), specifically peanuts (26%), were the most commonly reported allergen, followed by cow's milk (21%). Time trend analysis showed a 2.8\u2010fold increase in the overall annualised rate for the 10\u2010year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These findings are consistent with other international studies indicating increasing rates of <jats:styled-content style=\"fixed-case\">FIA<\/jats:styled-content> in children. These data will provide information for a review of <jats:styled-content style=\"fixed-case\">NZ<\/jats:styled-content> paediatric allergy services to ensure current international standards with regard to the equitable delivery of timely, appropriate and accessible care are being met. Reasons for differences by gender, age and ethnicity require further investigation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.13705","type":"journal-article","created":{"date-parts":[[2017,9,8]],"date-time":"2017-09-08T13:32:40Z","timestamp":1504877560000},"page":"254-259","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Paediatric food\u2010induced anaphylaxis hospital presentations in New Zealand"],"prefix":"10.1111","volume":"54","author":[{"given":"Sophie","family":"Speakman","sequence":"first","affiliation":[{"name":"Faculty of Medical and Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bridget","family":"Kool","sequence":"additional","affiliation":[{"name":"Section of Epidemiology and Biostatistics, School of Population Health University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Sinclair","sequence":"additional","affiliation":[{"name":"Starship Paediatric Immunology and Allergy Starship Children's Health  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Penny","family":"Fitzharris","sequence":"additional","affiliation":[{"name":"Immunology Department Auckland City Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,8]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1939-4551-6-21"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyu261"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2011.01.039"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.12630"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2013.01.017"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2010.03.029"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.12487"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2015.05.006"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2222.2011.03954.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2006.tb00563.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1081-1206(10)62258-2"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2222.2007.02758.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2010.02342.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2015.05.009"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2007.tb01077.x"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2007.07.040"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2010.05.018"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3038.2009.00962.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1081-1206(10)60265-7"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2014.10.021"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2015-0153"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2014.06.018"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2014.12.1912"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2010.06.011"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2015-133530"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.WOX.0000301916.94370.dd"},{"key":"e_1_2_9_28_1","unstructured":"Statistics New Zealand.Data Tables 2013 Census. 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