Evidence map›Paper›PMID 19294371›Full record

ArticleEuropean journal of clinical pharmacology2009

Regional surveillance of emergency-department visits for outpatient adverse drug events.

A Capuano, A Irpino, M Gallo, L Ferrante, M L Illiano, B Rinaldi, A Filippelli, F Rossi

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in European journal of clinical pharmacology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Estimating cost savings from reducing antibiotic overprescription in european general practices.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  3. Development and Validation of a Trigger Tool for Identifying Drug-Related Emergency Department Visits.International journal of environmental research and public health · 2021
    Article
  4. Article
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  6. Observational
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Adverse drug reactions in an emergency medical dispatching centre.European journal of clinical pharmacology · 2014
    Observational
  13. Article
  14. Article
  15. Article
  16. Article
  17. Pharmacovigilance in Italy: An overview.Journal of pharmacology & pharmacotherapeutics · 2013
    Review
  18. Article
  19. Complete resistance after maximal dose of rocuronium.Journal of pharmacology & pharmacotherapeutics
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

A CapuanoDepartment of Experimental Medicine, Section of Pharmacology Leonardo Donatelli, Center of Pharmacosurveillance and Pharmacoepidemiology, Faculty of Medicine and Surgery, Second University of Naples, Naples, Italy. annalisa.capuano@unina2.it
A Irpino
M Gallo
L Ferrante
M L Illiano
B Rinaldi
A Filippelli
F Rossi
University of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo determine the (1) incidence of adverse drug events (ADEs) in 10 emergency department (EDs) of general hospitals in the Regione Campania (southern Italy), (2) rate of ADE-related hospital admissions, (3) drug classes most frequently involved, and (4) the types of ADEs and their frequency.

methodsWe performed a cohort study of all patients attending the EDs. This study was carried out in two observational periods of 10 days each in 10 EDs. Demographic, clinical, and pharmacological data about all patients admitted to EDs were collected by trained and qualified monitors. Records related to ADEs were analyzed and validated by a specific scientific committee.

resultsOf 7,861 ED visits, 96 were ADE-related. The incidence of hospitalization was higher in patients who had taken medication than in patients with a negative drug history (24.9 vs. 16.4%). ADEs were significantly more frequent in women. Patients aged between 60 and 69 years and between 30 and 39 years were significantly more likely to experience an ADE. Serious ADEs were identified in 20 ED visits (20.8% of total sample). Antibiotics, NSAIDs, and agents acting on the renin-angiotensin system were the drugs most often involved in ADEs. In multivariate analyses, the adjusted odds ratio was 3.4 (95% CI: 1.07-2.84) for patients taking NSAIDs, 4.78 (95% CI: 2.26-10.12) for those taking beta(2)-adrenergic-receptor agonists, and 6.20 (95%CI: 2.74-14.06) for those taking beta-lactam antibiotics.

conclusionThis study shows that ADEs are an important problem in industrialized countries. Moreover, it shows that ADEs affect hospital admission rates and reinforces the importance of drug-induced disease as a public health problem.

Indexed as

Drug-Related Side Effects and Adverse ReactionsHospitalizationOutpatientsAdrenergic beta-AgonistsAdultAnti-Bacterial AgentsAnti-Inflammatory Agents, Non-Steroidalbeta-LactamasesCohort StudiesConfidence IntervalsDrug TherapyEmergency Service, HospitalFemaleGeographyHospitals, GeneralHumansAdrenergic beta-AgonistsAnti-Bacterial AgentsAnti-Inflammatory Agents, Non-Steroidalbeta-Lactamases

Identifiers

PMID19294371
OpenAlexW2024232960

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.