Many kids are spending a lot of unnecessary time under observation in a hospital following a sudden allergic emergency, a new study concludes. About 17% of kids are admitted for overnight observation following a scary allergic reaction to food, medicine or insect bites, researchers reported. But 95% of children treated for allergic reactions can be safely discharged within two hours after receiving a dose of epinephrine, according to results published in The Lancet: Child and Adolescent Health. That number rises to 98% if doctors err on the side of caution and keep kids under observation for four hours, researchers found. “For most patients, we are probably observing them too long,” said researcher Dr. Kenneth Michelson, a pediatric emergency specialist at Ann & Robert H. Lurie Children’s Hospital of Chicago. “This might sound minor, but if you brought your toddler in for a scary allergic reaction, it’s the difference between going home at 11 p.m. versus going home at 1 a.m. or 3 a.m.,” he said in a news release. “Our finding gives us more confidence that after a couple of hours, if symptoms are improving in specific ways, we can probably send the child home.” Most kids who’d had an allergic reaction can be routinely treated with an epinephrine jab and sent home, researchers said in background notes. However, about 5% experience a “biphasic reaction,”… read on > read on >

















