Evidence map›Paper›PMID 27194906›Full record

ReviewClinical interventions in aging2016

Hospitalization in older patients due to adverse drug reactions -the need for a prediction tool.

Nibu Parameswaran Nair, Leanne Chalmers, Gregory M Peterson, Bonnie J Bereznicki, Ronald L Castelino, Luke R Bereznicki

Registry-linked trialAbstract readReview
In one paragraph

Review in Clinical interventions in aging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05589870 (A Retrospective, Comparative Study, for the Assessment of a Novel System, an Algorithm for Medication Safety and Consultation for Chronic Polypharmacy Patients), which is not on this map. Cited by 69 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT05589870 completednot on this mapstarted 2021, after this paper: background citation

A Retrospective, Comparative Study, for the Assessment of a Novel System, an Algorithm for Medication Safety and Consultation for Chronic Polypharmacy Patients

TypeobservationalSponsorMDI HealthRan2021 to 2021Enrolled91ConditionsPolypharmacy PatientsArmsMulti-drug analysis of polypharmacy treatment
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  6. The other side of the coin: The case for deprescribing competencies in medical education.Canadian family physician Medecin de famille canadien · 2026
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9 more citing papers are in PubMed but not listed here.

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.

Nibu Parameswaran NairDivision of Pharmacy, School of Medicine, Faculty of Health, University of Tasmania, Hobart, TAS, Australia.
Leanne ChalmersDivision of Pharmacy, School of Medicine, Faculty of Health, University of Tasmania, Hobart, TAS, Australia.
Gregory M PetersonDivision of Pharmacy, School of Medicine, Faculty of Health, University of Tasmania, Hobart, TAS, Australia.
Bonnie J BereznickiDivision of Pharmacy, School of Medicine, Faculty of Health, University of Tasmania, Hobart, TAS, Australia.
Ronald L CastelinoDivision of Pharmacy, School of Medicine, Faculty of Health, University of Tasmania, Hobart, TAS, Australia.
Luke R BereznickiDivision of Pharmacy, School of Medicine, Faculty of Health, University of Tasmania, Hobart, TAS, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adverse drug reactions (ADRs) represent a major burden on society, resulting in significant morbidity, mortality, and health care costs. Older patients living in the community are particularly susceptible to ADRs, and are at an increased risk of ADR-related hospitalization. This review summarizes the available evidence on ADR-related hospital admission in older patients living in the community, with a particular focus on risk factors for ADRs leading to hospital admission and the need for a prediction tool for risk of ADR-related hospitalization in these individuals. The reported proportion of hospital admissions due to ADRs has ranged from 6% to 12% of all admissions in older patients. The main risk factors or predictors for ADR-related admissions were advanced age, polypharmacy, comorbidity, and potentially inappropriate medications. There is a clear need to design intervention strategies to prevent ADR-related hospitalization in older patients. To ensure the cost-effectiveness of such strategies, it would be necessary to target them to those older individuals who are at highest risk of ADR-related hospitalization. Currently, there are no validated tools to assess the risk of ADRs in primary care. There is a clear need to investigate the utility of tools to identify high-risk patients to target appropriate interventions toward prevention of ADR-related hospital admissions.

Indexed as

PolypharmacyAgedComorbidityDrug-Related Side Effects and Adverse ReactionsHospitalizationHumansPrimary Health CareRisk Factorsadverse drug reactionshospital admissionolder patientspredictionprimary carerisk factors

Identifiers

PMID27194906
PMCPMC4859526

What OpenQuestion holds

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Registered trials

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.