Evidence map›Paper›PMID 27536458›Full record

ArticleJournal of drug assessment2015

Occurrence of drug-drug interactions in Adama Referral Hospital, Adama city, Ethiopia.

Thirumurugan Gunasekaran, Natsanet Dejene, Vanapalli V Satyaveni, Magharla Dasaratha Dhanaraju

Open access · bronzeAbstract read
In one paragraph

Article in Journal of drug assessment, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 42% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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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 1 institution in 1 country.

Thirumurugan GunasekaranDepartment of Pharmacy, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia.
Natsanet DejeneDepartment of Pharmacy, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia.
Vanapalli V SatyaveniResearch Lab, GIET School of Pharmacy, Chaitanya Nagar, Rajahmundry, AP, India.
Magharla Dasaratha DhanarajuResearch Lab, GIET School of Pharmacy, Chaitanya Nagar, Rajahmundry, AP, India.
Ambo University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMany medications have potential interactions with other drugs or substances when prescribed together. This study was intended to investigate the extent of poly-pharmacy, event of drug-drug interactions and associated ADRs in Adama Referral Hospital, Oromia regional State, Ethiopia to create awareness of potential drug interactions and for development of clinical strategies to prevent the occurrence of DDIs.

methodsA retrospective study was done at Adama Referral hospital, Adama city, Ethiopia during March-May 2014. Medscape online were used for DDIs and ADRs detection purposes.

resultsThe average number of drugs prescribed per person (encounter) in this study was found to be 2.6, showing the presence of poly-pharmacy prescribing practice based on WHO recommendations (1.4-2.4). With 788 medications prescribed, 267 DDIs were found in this study and 62 (20.7%) were categorized as serious DDIs, 95 (31.7%) as significant DDIs, and 110 (36.7%) as minor DDIs. DDIs occurrence was also categorized according to the mechanisms, Pharmacokinetic and pharmacodynamic interactions; the highest frequency of DDIs was observed in 85 (31.8%), attributable to metabolism interaction followed by Antagonistic effect in 51 (21.4%), and Synergistic/Additive effect in 44 (16.5%). It was observed that serious DDIs most often caused possible cardiovascular ADRs.

conclusionsThe results of the study showed the high number of drugs per person compared to the WHO-reported average number of drugs per person and occurrence of DDIs associated with severe cardiovascular risk ADRs in the Adama Referral Hospital. This study recommends that the drug information center facilities and drug prescription validation is done by the pharmacist and the development of pharmacotherapeutic guidelines supporting selection of drugs in Ethiopian hospitals for preventing DDIs and ADRs.

Indexed as

Adama referral hospitalAdverse drug reactionDrugdrug interactionEthiopiaPolypharmacy

Identifiers

PMID27536458
PMCPMC4937627
OpenAlexW1764906808

What OpenQuestion holds

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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.