Evidence map›Paper›PMID 27350063›Full record

ArticleDrug safety2016

Innovative Digital Tools and Surveillance Systems for the Timely Detection of Adverse Events at the Point of Care: A Proof-of-Concept Study.

Christian Hoppe, Patrick Obermeier, Susann Muehlhans, Maren Alchikh, Lea Seeber, Franziska Tief, Katharina Karsch, Xi Chen, Sindy Boettcher, Sabine Diedrich and 3 more

Abstract read
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In one paragraph

Article in Drug safety, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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.

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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Vienna Vaccine Safety Initiative.Human vaccines & immunotherapeutics · 2018
    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

13 authors.

Christian HoppeDepartment of Pediatrics, Charité University Medical Center Berlin, Berlin, Germany.
Patrick ObermeierDepartment of Pediatrics, Charité University Medical Center Berlin, Berlin, Germany.
Susann MuehlhansDepartment of Pediatrics, Charité University Medical Center Berlin, Berlin, Germany.
Maren AlchikhDepartment of Pediatrics, Charité University Medical Center Berlin, Berlin, Germany.
Lea SeeberDepartment of Pediatrics, Charité University Medical Center Berlin, Berlin, Germany.
Franziska TiefDepartment of Pediatrics, Charité University Medical Center Berlin, Berlin, Germany.
Katharina KarschDepartment of Pediatrics, Charité University Medical Center Berlin, Berlin, Germany.
Xi ChenDepartment of Pediatrics, Charité University Medical Center Berlin, Berlin, Germany.
Sindy BoettcherNational Reference Centre for Poliomyelitis and Enteroviruses, Robert Koch Institute, Berlin, Germany.
Sabine DiedrichNational Reference Centre for Poliomyelitis and Enteroviruses, Robert Koch Institute, Berlin, Germany.
Tim ConradDepartment of Mathematics and Computer Sciences, Freie Universität Berlin, Berlin, Germany.
Bron KislerVienna Vaccine Safety Initiative, Berlin, Germany.
Barbara RathDepartment of Pediatrics, Charité University Medical Center Berlin, Berlin, Germany. barbara.rath@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION AND

objectiveRegulatory authorities often receive poorly structured safety reports requiring considerable effort to investigate potential adverse events post hoc. Automated question-and-answer systems may help to improve the overall quality of safety information transmitted to pharmacovigilance agencies. This paper explores the use of the VACC-Tool (ViVI Automated Case Classification Tool) 2.0, a mobile application enabling physicians to classify clinical cases according to 14 pre-defined case definitions for neuroinflammatory adverse events (NIAE) and in full compliance with data standards issued by the Clinical Data Interchange Standards Consortium.

methodsThe validation of the VACC-Tool 2.0 (beta-version) was conducted in the context of a unique quality management program for children with suspected NIAE in collaboration with the Robert Koch Institute in Berlin, Germany. The VACC-Tool was used for instant case classification and for longitudinal follow-up throughout the course of hospitalization. Results were compared to International Classification of Diseases , Tenth Revision (ICD-10) codes assigned in the emergency department (ED).

resultsFrom 07/2013 to 10/2014, a total of 34,368 patients were seen in the ED, and 5243 patients were hospitalized; 243 of these were admitted for suspected NIAE (mean age: 8.5 years), thus participating in the quality management program. Using the VACC-Tool in the ED, 209 cases were classified successfully, 69 % of which had been missed or miscoded in the ED reports. Longitudinal follow-up with the VACC-Tool identified additional NIAE.

conclusionMobile applications are taking data standards to the point of care, enabling clinicians to ascertain potential adverse events in the ED setting and during inpatient follow-up. Compliance with Clinical Data Interchange Standards Consortium (CDISC) data standards facilitates data interoperability according to regulatory requirements.

Indexed as

Mobile ApplicationsAdverse Drug Reaction Reporting SystemsAlgorithmsChildDrug-Related Side Effects and Adverse ReactionsEmergency Service, HospitalFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleNervous System DiseasesPoint-of-Care Systems

Identifiers

What OpenQuestion holds

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Registered trials

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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.