Use of the severity grading system for acute allergic reactions (SGS-AR) to evaluate allergic reactions during peanut oral food challenges in a pediatric allergy center

Abstract

We utilized a newly devised severity grading system for acute allergic reactions (SGS-AR) to assess clinical responses during oral food challenges (OFC). The SGS-AR was developed by allergists and emergency physicians via Delphi consensus methodology. It requires validation in a variety of clinical settings, and the highly granular data collected during OFC allergic reactions lends itself to scoring. We hypothesized that patients who required epinephrine would have higher SGS-AR grades, and higher SGS-AR grades would be associated with more extensive post-reaction monitoring.