Evidence map›Paper›PMID 25362509›Full record

ArticleDrug safety2014

Multiple drug intolerance syndrome: a large-scale retrospective study.

Hisham M R B Omer, James Hodson, Sarah K Thomas, Jamie J Coleman

Open access · hybridAbstract read
In one paragraph

Article in Drug safety, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 46 citations in OpenAlex.

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  8. Validation of a Brief Screening Instrument for Chemical Intolerance in a Large U.S. National Sample.International journal of environmental research and public health · 2021
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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

4 authors at 2 institutions in 1 country.

Hisham M R B OmerCollege of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
James Hodson
Sarah K Thomas
Jamie J Coleman
University Hospitals Birmingham NHS Foundation Trust · GBUniversity of Birmingham · GB

Funding

Department of Health DRF-2013-06-003Department of Health WMCLAHRC-2014-1
6 · The paper itself

Abstract

backgroundThe term multiple drug intolerance syndrome (MDIS) has been used to describe patients who express adverse drug reactions to three or more drugs without a known immunological mechanism.

objectiveTo identify patient factors that could increase the risk of MDIS.

methodInpatient records over a 5-year period were captured from an electronic prescribing system to identify patients with at least one documented drug allergy. Univariable and multivariable analyses were used to compare the rates of MDIS across age, sex, weight, ethnicity, history of atopy or psychological disorders, and previous admissions.

resultsA total of 25,695 patients had a documented drug intolerance, 4.9% of whom had MDIS. MDIS was significantly more likely in women (p < 0.001), patients with multiple comorbidities (p < 0.001), and patients with previous hospital admissions (p < 0.001). With the exception of penicillin (p = 0.749), MDIS was more frequent in those with allergies to other drugs (p < 0.001).

conclusionMDIS was associated with female gender, multiple comorbidities, and previous hospital admissions. A documented allergy to penicillin did not increase the likelihood of MDIS.

Indexed as

AdultAdverse Drug Reaction Reporting SystemsAgedAge FactorsDrug HypersensitivityFemaleHumansMaleMiddle AgedPenicillinsPrevalenceRetrospective StudiesRisk FactorsSex FactorsState MedicineUnited KingdomPenicillins

Identifiers

PMID25362509
PMCPMC4243008
OpenAlexW2091870760

What OpenQuestion holds

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LicenceCC BY-NC
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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.