Evidence map›Paper›PMID 31130787›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2019

Identification and Assessment of Potential Drug-Drug Interactions in Intensive Care Unit Patients.

Bhavika Ravindra Wagh, Deepa Dhananjay Godbole, Shubham Shivaji Deshmukh, Shivakumar Iyer, Prasanna R Deshpande

Abstract read
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Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2019. 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
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1 · What the graph read from it

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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.

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2 · The registry

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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.

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  6. Are We fulfilling the Hippocratic Oath?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2019
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Bhavika Ravindra WaghDepartment of Clinical Pharmacy, Poona College of Pharmacy, Bharati Vidyapeeth Deemed University, Pune, Maharashtra, India.
Deepa Dhananjay GodboleDepartment of Clinical Pharmacy, Poona College of Pharmacy, Bharati Vidyapeeth Deemed University, Pune, Maharashtra, India.
Shubham Shivaji DeshmukhDepartment of Clinical Pharmacy, Poona College of Pharmacy, Bharati Vidyapeeth Deemed University, Pune, Maharashtra, India.
Shivakumar IyerDepartment of Critical Care Medicine, Bharati Hospital and Research Centre, Pune, Maharashtra, India.
Prasanna R DeshpandeDepartment of Clinical Pharmacy, Poona College of Pharmacy, Bharati Vidyapeeth Deemed University, Pune, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextIntensive care unit (ICU) patients suffer from various comorbidities and usually receive complex pharmacotherapy which increases the risk of drug-drug interactions (DDIs).

aimTo identify and assess potential DDIs (pDDIs) in ICU patients. SETTINGS AND

designA prospective observational study conducted in ICU of a tertiary care hospital for a period of 6 months. MATERIALS AND

methodsPatient information was noted in the data collection form and pDDIs were assessed using Micromedex®database. STATISTICAL ANALYSIS USED: Chi-square test was used to find correlation of pDDIs with patient parameters.

resultsTotal 400 subjects were included; having an average age of 55.99 ± 15.62 years with a higher percentage of males (61.75%). About 305 (76.25%) patients were found with pDDIs, showing an average of 2.93 pDDIs/patient. The findings of this study were as follows: Total interactions = 1171, contraindicated = 6 (1%), major = 715 (61%), moderate = 428 (36%), and minor = 22 (2%) pDDIs. Further, majority of pDDIs had onset of action "not specified" documentation "fair" and probable mechanism "pharmacodynamic" in nature. Significant association of occurrence of pDDIs was found with number of drugs prescribed to patients in ICU.

conclusionThis study demonstrated a high prevalence of pDDI in ICU due to the complexity of pharmacotherapy which showed major pDDIs as the most evident (61%) while contraindicated were 1%. Further studies are needed to better explore this area which may help in realizing the goal of good clinical practice and may offer a methodology to further increase drug safety. KEY MESSAGES: "Monitoring and assessment of DDIs is needed for better patient care". HOW TO CITE THIS ARTICLE: Wagh BR, Godbole DD,

Indexed as

Intensive care unitMonitoring and assessmentPotential drug-drug interaction

Identifiers

PMID31130787
PMCPMC6521822

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