The Impact of Electronic Medical Records on Timeliness of Diagnosis ...

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... in epithelial cells points to a crucial role of these cells in asthma. Funding: NIH. J ALLERGY CLIN IMMUNOL. JANUARY 2007. S84 Abstracts. SUNDAY.
S84 Abstracts

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Measurement of Specific IgE Levels in Korean Allergic Disease Children by Using CAP system J. Lee1, J. Jung2, J. Kim3, C. Kim4, Y. Park5; 1Masan samsung hospital, Masan si, REPUBLIC OF KOREA, 2Dong A university, Busan, REPUBLIC OF KOREA, 3Ulsan university, Ulsan, REPUBLIC OF KOREA, 4 Kwan Dong University, Seoul, REPUBLIC OF KOREA, 5Konkuk university, Seoul, REPUBLIC OF KOREA. RATIONALE: Generally, aeroallergens and food allergens can exacerbate symptoms in allergic disease. we wanted to know the prevalence of each allergen in korean allergic disease children METHODS: We evaluated 103 patients(male 60, female 43) with allergic disease (Atopic dermatitis, Asthma, Allergic rhinitis). All patients had visited Masan Samsung Hospital From July 2005 to July 2006. The serum total IgE and specific IgE to Dust mite(Dp, Df), Egg white, Soy, Milk, Buckwheat, Peanut, Sesame. RESULTS: 36 patients had more than 0.64 kUA/L specific IgE to each allergen. 12 patients showed more than 0.64 kUA/L specific IgE level to Dp, 13 patients to Df, 15 patients to Egg white, 1 patient to Soy, 16 patients to Milk, 3 patients to Buckwheat, 1 patient to Peanut, 2 patients to Sesame.Non-atopic allergic disease is predominant in 1st years of life and male is predominant sex under 3 years in our patients. CONCLUSIONS: This is our national report and we found somewhat difference from other reports in other countries . We suggest that genetic and environmental factors may contribute to difference in allergen test results between countries.

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The Impact of Electronic Medical Records on Timeliness of Diagnosis of Asthma K. H. Yoo1, S. Bagniewski2, A. L. Weaver2, S. V. Pankrantz2, R. M. Jacobson2, Y. J. Juhn2; 1Mayo Clinic/Konkuk University, Rochester, MN, 2 Mayo Clinic, Rochester, MN. RATIONALE: Little is known about the impact of electronic medical records (EMR) on timeliness of diagnosis of asthma. We compared timeliness of diagnosis of asthma between before and after the inception of EMR. METHODS: Study subjects were obtained from a convenience sample of 839 healthy children, aged 5 to 12 years. Upon reviewing medical records, delay in diagnosis of asthma was defined as discrepancy between index date, when a patient met the criteria for asthma, and date of asthma diagnosis, when diagnosis of asthma was documented by physicians. RESULTS: Of 839 children, 276 children met the criteria for asthma. Of these subjects, 97 had no delay in asthma diagnosis while 179 did have a delay. The proportions of children with a delay in diagnosis of asthma before and after the inception of EMR were 67.2% and 60%, respectively (p50.24). The median durations for the delays before and after the inception of EMR were 510.5 and 519 days, respectively. The follow-up duration from index date to the last follow-up date or age of 18 years for the periods before and after the inception of EMR were 11.4 and 4.1 years, respectively (p