Evidence map›Paper›PMID 31786720›Full record

ArticleIrish journal of medical science2020

Risk of drug interactions and prescription appropriateness in elderly patients.

Elisa Petrini, Gian Paolo Caviglia, Rinaldo Pellicano, Giorgio Maria Saracco, Mario Morino, Davide Giuseppe Ribaldone

Open access · greenAbstract read
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In one paragraph

Article in Irish journal of medical science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 26 citations in OpenAlex.

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    Review
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  9. Using INTERCheckDrugs - real world outcomes · 2020
    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

6 authors at 3 institutions in 2 countries.

Elisa PetriniASL Città di Torino, Turin, Italy.
Gian Paolo CavigliaDepartment of Medical Sciences, Division of Gastroenterology, University of Turin, Turin, Italy.ORCID http://orcid.org/0000-0002-0529-9481
Rinaldo PellicanoUnit of Gastroenterology, Molinette Hospital, Turin, Italy.ORCID http://orcid.org/0000-0003-3438-0649
Giorgio Maria SaraccoDepartment of Medical Sciences, Division of Gastroenterology, University of Turin, Turin, Italy.ORCID http://orcid.org/0000-0001-5310-4143
Mario MorinoDepartment of Surgical Sciences, University of Turin, Turin, Italy.ORCID http://orcid.org/0000-0003-4540-1409
Davide Giuseppe RibaldoneDepartment of Surgical Sciences, University of Turin, Turin, Italy. davrib_1998@yahoo.com.ORCID http://orcid.org/0000-0002-9421-3087
University of Turin · ITDepartment of Medical Sciences · BYFondazione Ricerca Molinette · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Europe, adverse drug reactions and drug interactions are the cause of considerable morbidity and mortality. In over 75s, hospital access due to adverse drug reactions can be as high as 1 in every 3.

aimsTo assess the quality of the prescribed polytherapies in the territory, in terms of the risk of drug interactions and of prescription appropriateness, in over 75s.

methodsRandomly selected patients, over 75s, were analysed among the patients of 3 general practitioners. Their data were analysed with the INTERCheck® software. This software provided the list of drug interactions deriving from the chronic therapies. The program also provided the Beers criteria and the STOPP criteria related to the drugs, highlighting potentially inappropriate drugs.

resultsA total of 188 patients were included in the study. A total of 216 serious or very serious drug interactions have been identified. A total of 92 patients (48.9%) were at risk of at least one serious or very serious interaction. The cut-off of the correlation between the number of drugs taken and the risk of incurring a serious or very serious interaction was found to be 5 (AUC = 0.833, sensitivity = 87%, p < 0.001). Patients on ≥ 4 drugs were at risk of prescriptive inappropriateness with a sensitivity of 84% (AUC = 0.781, p < 0.0001).

conclusionsFocusing on patients with at least 4 drugs in therapy is the right strategy to reduce the risks associated with polypharmacy.

Indexed as

AgedAged, 80 and overDrug InteractionsDrug-Related Side Effects and Adverse ReactionsFemaleHumansInappropriate PrescribingMalePolypharmacyAcetylsalicylic acidBenzodiazepinesEscitalopramFurosemidePPISertraline

Identifiers

PMID31786720
OpenAlexW2990428611

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.