Evidence map›Paper›PMID 33832918›Full record

ArticleEuropean journal of hospital pharmacy : science and practice2023

Electronic monitoring of potential adverse drug events related to lopinavir/ritonavir and hydroxychloroquine during the first wave of COVID-19.

Christian Skalafouris, Caroline Samer, Jerome Stirnemann, Olivier Grosgurin, François Eggimann, Damien Grauser, Jean-Luc Reny, Pascal Bonnabry, Bertrand Guignard

Open access · greenAbstract read
In one paragraph

Article in European journal of hospital pharmacy : science and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Christian SkalafourisPharmacy, Geneva University Hospitals, Geneva, Switzerland christian.skalafouris@hcuge.ch.ORCID 0000-0002-1648-1422
Caroline SamerClinical Pharmacology and Toxicology Division, Geneva University Hospitals, Geneva, Switzerland.
Jerome StirnemannGeneral Internal Medicine Division, Geneva University Hospitals, Geneve, Switzerland.
Olivier GrosgurinGeneral Internal Medicine Division, Geneva University Hospitals, Geneve, Switzerland.
François EggimannInformation Systems Department, Geneva University Hospitals, Geneva, Switzerland.
Damien GrauserInformation Systems Department, Geneva University Hospitals, Geneva, Switzerland.
Jean-Luc RenyGeneral Internal Medicine Division, Geneva University Hospitals, Geneve, Switzerland.
Pascal BonnabryPharmacy, Geneva University Hospitals, Geneva, Switzerland.ORCID 0000-0002-8690-649X
Bertrand GuignardPharmacy, Geneva University Hospitals, Geneva, Switzerland.
University of Geneva · CHUniversity Hospital of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During Switzerland's first wave of COVID-19, clinical pharmacy activities during medical rounds in Geneva University Hospitals were replaced by targeted remote interventions. We describe using the electronic PharmaCheck system to screen high-risk situations of adverse drug events (ADEs), particularly targeting prescriptions of lopinavir/ritonavir (LPVr) and hydroxychloroquine (HCQ) in the presence of contraindications or prescriptions outside institutional guidelines. Of 416 patients receiving LPVr and/or HCQ, 182 alerts were triggered for 164 (39.4%) patients. The main associated risk factors of ADEs were drug-drug interactions, QTc interval prolongation, electrolyte disorder and inadequate LPVr dosage. Therapeutic optimisation recommended by a pharmacist or proposals for additional monitoring were accepted in 80% (n=36) of cases. Combined with pharmacist contextualisation to the clinical context, PharmaCheck made it possible to successfully adapt clinical pharmacist activities by switching from a global to a targeted analysis mode in an emergency context.

Indexed as

COVID-19Drug-Related Side Effects and Adverse ReactionsCOVID-19 Drug TreatmentHumansHydroxychloroquineLopinavirRitonavirSARS-CoV-2HydroxychloroquineLopinavirRitonavirautomationCOVID-19drug-related side effects and adverse reactionshospitalmedical informaticspharmacy service

Identifiers

PMID33832918
PMCPMC9986913
OpenAlexW3147893615

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.