Evidence map›Paper›PMID 35628936›Full record

ArticleJournal of clinical medicine2022

Drug-Related Hypersensitivity Reactions Leading to Emergency Department: Original Data and Systematic Review.

Silvia Pagani, Niccolò Lombardi, Giada Crescioli, Violetta Giuditta Vighi, Giulia Spada, Paola Andreetta, Annalisa Capuano, Alfredo Vannacci, Mauro Venegoni, Giuseppe Danilo Vighi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  10. Drug-Induced Anaphylaxis: National Database Analysis.Pharmaceuticals (Basel, Switzerland) · 2024
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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

11 authors at 4 institutions in 1 country.

Silvia PaganiDepartment of Medicine, ASST Vimercate, 20871 Vimercate, Italy.ORCID 0000-0002-1493-2269
Niccolò LombardiSection of Pharmacology and Toxicology, Department of Neurosciences, Psychology, Drug Research and Child Health, University of Florence, 50139 Florence, Italy.ORCID 0000-0002-9666-0438
Giada CrescioliSection of Pharmacology and Toxicology, Department of Neurosciences, Psychology, Drug Research and Child Health, University of Florence, 50139 Florence, Italy.ORCID 0000-0002-1071-6120
Violetta Giuditta VighiHospital Pharmacy, ASST Vimercate, 20871 Vimercate, Italy.
Giulia SpadaHospital Pharmacy, ASST Vimercate, 20871 Vimercate, Italy.
Paola AndreettaDepartment of Medicine, ASST Vimercate, 20871 Vimercate, Italy.ORCID 0000-0002-1851-3141
Annalisa CapuanoSection of Pharmacology "L. Donatelli", Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Alfredo VannacciSection of Pharmacology and Toxicology, Department of Neurosciences, Psychology, Drug Research and Child Health, University of Florence, 50139 Florence, Italy.ORCID 0000-0001-5259-2026
Mauro VenegoniDepartment of Medicine, ASST Vimercate, 20871 Vimercate, Italy.
Giuseppe Danilo VighiDepartment of Medicine, ASST Vimercate, 20871 Vimercate, Italy.
On Behalf Of The MEREAFaPS Study Group
Azienda Ospedaliera di Desio e Vimercate · ITAgenzia Regionale di Sanità della Toscana · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Verona · IT

Funding

Italian Medicines Agency DGRT 790/2016 All. C.
6 · The paper itself

Abstract

The aim of the present study is to describe pharmacological characteristics of drug-related allergies and anaphylaxis leading to the emergency department (ED). An 8-year post hoc analysis on the MEREAFaPS Study database was performed (2012−2019). Subjects who experienced drug-related hypersensitivity leading to an ED visit were selected. Logistic regression analyses were used to estimate the reporting odds ratios (RORs) of drug-related allergies and anaphylaxis adjusting for sex, age classes, and ethnicity. In addition, a systematic review of observational studies evaluating drug-related hypersensitivity reactions leading to ED visits in outpatients was performed. Out of 94,073 ED visits, 14.4% cases were drug-related allergies and 0.6% were anaphylaxis. Females accounted for 56%. Multivariate logistic regression showed a higher risk of drug-related allergy among males and all age classes < 65 years, while a higher risk of anaphylaxis was observed for females (ROR 1.20 [1.01−1.42]) and adults (ROR 2.63 [2.21−3.14]). The systematic review included 37 studies. ED visits related to allergy and anaphylaxis ranged from 0.004% to 88%, and drug-related allergies and anaphylaxis ranged from 0.007% to 88%. Both in our analysis and in primary studies, antibacterials, analgesics, and radiocontrast agents were identified as the most common triggers of hypersensitivity.

Indexed as

anaphylaxisdrug allergyemergency departmenthospitalizationhypersensitivitypharmacovigilance

Identifiers

PMID35628936
PMCPMC9143688
OpenAlexW4280546142

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.