Evidence map›Paper›PMID 27134536›Full record

ArticleSaudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society2015

Clinical relevancy and risks of potential drug-drug interactions in intensive therapy.

Aline Teotonio Rodrigues, Rebeca Stahlschmidt, Silvia Granja, Antonio Luis Eiras Falcão, Patricia Moriel, Priscila Gava Mazzola

Open access · hybridAbstract read
In one paragraph

Article in Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
1.3field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. An update on drug-drug interactions for care of the acutely ill in the era of COVID-19.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2023
    Article
  7. Identification and Assessment of Potential Drug-Drug Interactions in Intensive Care Unit Patients.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2019
    Article
  8. Article
  9. Potential Drug Interactions and Drug Risk during Pregnancy and Breastfeeding: An Observational Study in a Women's Health Intensive Care UnitRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2017
    Observational
  10. 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

6 authors at 1 institution in 1 country.

Aline Teotonio RodriguesDepartment of Clinical Pathology, Faculty of Medical Sciences (FCM), State University of Campinas (UNICAMP), Alexander Fleming, 105, 13083-881 Campinas, SP, Brazil.
Rebeca StahlschmidtDepartment of Clinical Pathology, Faculty of Medical Sciences (FCM), State University of Campinas (UNICAMP), Alexander Fleming, 105, 13083-881 Campinas, SP, Brazil.
Silvia GranjaPharmacy Service, Hospital of Clinics of State University of Campinas (HC/UNICAMP), Vital Brasil, 251, 13083-888 Campinas, SP, Brazil.
Antonio Luis Eiras FalcãoDepartment of Surgery, Intensive Care Unit, Faculty of Medical Sciences, University of Campinas (FCM-UNICAMP), Campinas, SP, Brazil.
Patricia MorielDepartment of Clinical Pathology, Faculty of Medical Sciences (FCM), State University of Campinas (UNICAMP), Alexander Fleming, 105, 13083-881 Campinas, SP, Brazil; Faculty of Pharmaceutical Sciences, University of Campinas (UNICAMP), Sérgio Buarque de Holanda, 250, Piso II, E06, 13083-859 Campinas, SP, Brazil.
Priscila Gava MazzolaDepartment of Clinical Pathology, Faculty of Medical Sciences (FCM), State University of Campinas (UNICAMP), Alexander Fleming, 105, 13083-881 Campinas, SP, Brazil; Faculty of Pharmaceutical Sciences, University of Campinas (UNICAMP), Sérgio Buarque de Holanda, 250, Piso II, E06, 13083-859 Campinas, SP, Brazil.
Universidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEvaluate the potential Drug-Drug Interactions (pDDI) found in prescription orders of adult Intensive Care Unit (ICU) of a Brazilian public health system hospital; quantify and qualify the pDDI regarding their severity and risks to the critical patient, using the database from Micromedex®.

methodsProspective study (January-December of 2011) collecting and evaluating 369 prescription orders (convenient sampling), one per patient.

resultsDuring the study 1844 pDDIs were identified and distributed in 405 pairs (medication A × medication B combination). There was an average of 5.00 ± 5.06 pDDIs per prescription order, the most prevalent being moderate and important interactions, present in 74% and 67% of prescription orders, respectively. In total, there were 9 contraindicated, 129 important and 204 moderate pDDIs. Among them 52 had as management recommendation to "avoid concomitant use" or "suspension of medication", while 306 had as recommendation "continuous and adequate monitoring".

conclusionThe high number of pDDIs found in the study combined with the evaluation of the clinical relevancy of the most frequent pDDIs in the ICU shows that moderate and important interactions are highly incident. As the majority of them demand monitoring and adequate management, being aware of these interactions is major information for the safe and individualized risk management.

Indexed as

ATC, Anatomical Therapeutic ChemicalCYP, Cytochrome PICU, Intensive Care UnitIntensive Care UnitpDDI, Potential Drug–Drug InteractionPotential drug–drug interactionsPrescription orders

Identifiers

PMID27134536
PMCPMC4834694
OpenAlexW2087988262

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.