Evidence map›Paper›PMID 27640819›Full record

Observational studyBritish journal of clinical pharmacology2016

Prevalence and characteristics of adverse drug reactions at admission to hospital: a prospective observational study.

Sze Ling Chan, Xiaohui Ang, Levana L Sani, Hong Yen Ng, Michael D Winther, Jian Jun Liu, Liam R Brunham, Alexandre Chan

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in British journal of clinical pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
6.0field-weighted citation impact, top 4% 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

49 citing papers in PubMed, 3 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Drug-related deaths among inpatients: a meta-analysis.European journal of clinical pharmacology · 2022
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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

8 authors at 5 institutions in 2 countries.

Sze Ling ChanTranslational Laboratory in Genetic Medicine, Agency for Science, Technology and Research, Singapore and the National University of Singapore.
Xiaohui AngGenome Institute of Singapore, Agency for Science, Technology and Research, Singapore.
Levana L SaniGenome Institute of Singapore, Agency for Science, Technology and Research, Singapore.
Hong Yen NgDepartment of Pharmacy, Singapore General Hospital, Singapore.
Michael D WintherGenome Institute of Singapore, Agency for Science, Technology and Research, Singapore.
Jian Jun LiuGenome Institute of Singapore, Agency for Science, Technology and Research, Singapore.
Liam R BrunhamTranslational Laboratory in Genetic Medicine, Agency for Science, Technology and Research, Singapore and the National University of Singapore.
Alexandre ChanDepartment of Pharmacy, National University of Singapore, Singapore.
Agency for Science, Technology and Research · SGChild and Family Research Institute · CAGenome Institute of Singapore · SGNational Cancer Centre Singapore · SGSingapore General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsAdverse drug reactions (ADRs) contribute to poorer patient outcomes and additional burden to the healthcare system. However, data on the true burden, relevant types and drugs causing ADRs are lacking. The aim of this study was to determine the prevalence of ADR-related hospitalization in the general adult population in Singapore and to investigate their characteristics.

methodsWe prospectively recruited 1000 adult patients with unplanned admission to a large tertiary-care hospital. Two independent reviewers evaluated all suspected ADRs for causality, type, severity and avoidability. The prevalence of ADR-related hospitalization was calculated based on 'definite' and 'probable' ADRs. Logistic regression was used to evaluate predictors for having an ADR at admission.

resultsThe prevalence of all ADRs at admission was 12.4% (95% CI: 10.5-14.6%) and ADRs causing admission was 8.1% (95% CI: 6.5-10.0%). The most common ADRs were gastrointestinal-related. The most common drug category causing ADRs were cardiovascular drugs. Patients with ADRs had a longer length of stay than those who did not (median 4 vs. 3 days, P = 1.70 × 10

conclusionsWe have quantified the burden and characteristics of clinically impactful ADRs in the Singaporean general adult population. Our results will provide vital information for efforts in reducing ADRs through targeted vigilance, patient education and pharmacogenomics in Singapore.

Indexed as

Drug-Related Side Effects and Adverse ReactionsAdultCardiovascular AgentsFemaleGastrointestinal DiseasesHumansMaleMiddle AgedPatient AdmissionPrevalenceProspective StudiesSingaporeTertiary Care CentersCardiovascular Agentsadverse drug reactionshospital admissionpharmacogenomic testingprevalence

Identifiers

PMID27640819
PMCPMC5099543
OpenAlexW2522694534

What OpenQuestion holds

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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.