Evidence map›Paper›PMID 36835854›Full record

ArticleJournal of clinical medicine2023

Which Adverse Events and Which Drugs Are Implicated in Drug-Related Hospital Admissions? A Systematic Review and Meta-Analysis.

Annette Haerdtlein, Elisabeth Debold, Marietta Rottenkolber, Anna Maria Boehmer, Yvonne Marina Pudritz, Faiza Shahid, Jochen Gensichen, Tobias Dreischulte

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 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

8 authors at 2 institutions in 1 country.

Annette HaerdtleinInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, 80336 Munich, Germany.
Elisabeth DeboldInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, 80336 Munich, Germany.
Marietta RottenkolberInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, 80336 Munich, Germany.
Anna Maria BoehmerInstitute of Pharmacy, Department of Clinical Pharmacy, University of Bonn, 53121 Bonn, Germany.
Yvonne Marina PudritzHospital Pharmacy, University Hospital, LMU Munich, 81377 Munich, Germany.ORCID 0000-0001-9247-530X
Faiza ShahidInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, 80336 Munich, Germany.
Jochen GensichenInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, 80336 Munich, Germany.
Tobias DreischulteInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, 80336 Munich, Germany.
LMU Klinikum · DEUniversity of Bonn · DE

Funding

Federal Ministry of Education and Research 01ZZ1910L
6 · The paper itself

Abstract

Adverse drug events (ADEs) and adverse drug reactions (ADRs) are leading causes of iatrogenic injury, which can result in emergency department (ED) visits or admissions to inpatient wards. The aim of this systematic review and meta-analysis was to provide up-to-date estimates of the prevalence of (preventable) drug-related ED visits and hospital admissions, as well as the type and prevalence of implicated ADRs/ADEs and drugs. A literature search of studies published between January 2012 and December 2021 was performed in PubMed, Medline, EMBASE, Cochrane Library, and Web of Science. Retrospective and prospective observational studies investigating acute admissions to EDs or inpatient wards due to ADRs or ADEs in the general population were included. Meta-analyses of prevalence rates were conducted using generalized linear mixed models (GLMM) with the random-effect method. Seventeen studies reporting ADRs and/or ADEs were eligible for inclusion. The prevalence rates of ADR- and ADE-related admissions to EDs or inpatient wards were estimated at 8.3% ([95% CI, 6.4-10.7%]) and 13.9% ([95% CI, 8.1-22.8%]), respectively, of which almost half (ADRs: 44.7% [95% CI: 28.1; 62.4]) and more than two thirds (ADEs: 71.0% [95% CI, 65.9-75.6%]) had been classified as at least possibly preventable. The ADR categories most frequently implicated in ADR-related admissions were gastrointestinal disorders, electrolyte disturbances, bleeding events, and renal and urinary disorders. Nervous system drugs were found to be the most commonly implicated drug groups, followed by cardiovascular and antithrombotic agents. Our findings demonstrate that ADR-related admissions to EDs and inpatient wards still represent a major and often preventable health care problem. In comparison to previous systematic reviews, cardiovascular and antithrombotic drugs remain common causes of drug-related admissions, while nervous system drugs appear to have become more commonly implicated. These developments may be considered in future efforts to improve medication safety in primary care.

Indexed as

adverse drug eventadverse drug reactionemergency departmenthospital admissionhospitalizationmeta-analysissystematic review

Identifiers

PMID36835854
PMCPMC9963366
OpenAlexW4319600685

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.