Evidence map›Paper›PMID 37009927›Full record

ArticleEuropean journal of clinical pharmacology2023

Analysis of heat stroke and heat exhaustion cases in EudraVigilance pharmacovigilance database.

Lorea Gamboa, Arantza Sáez Lafuente, Teresa Morera-Herreras, Montserrat Garcia, Carmelo Aguirre, Unax Lertxundi

Open access · bronzeAbstract read
In one paragraph

Article in European journal of clinical pharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Medications, epilepsy and climate change: Added layers of complexity.British journal of clinical pharmacology · 2025
    Review
  3. 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 4 institutions in 1 country.

Lorea GamboaDepartment of Pharmacology, School of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain.
Arantza Sáez LafuenteBioaraba Health Research Institute, Vitoria-Gasteiz, Spain.ORCID http://orcid.org/0000-0001-6247-0030
Teresa Morera-HerrerasDepartment of Pharmacology, School of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain.ORCID http://orcid.org/0000-0002-7601-4914
Montserrat GarciaBiocruces Bizkaia Health Research Institute, Osakidetza Basque Health Service, Galdakao-Usansolo Hospital, Basque Country Pharmacovigilance Unit, Galdakao, Spain.ORCID http://orcid.org/0000-0001-7026-1079
Carmelo AguirreDepartment of Pharmacology, School of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain.ORCID http://orcid.org/0000-0003-3555-1550
Unax LertxundiBioaraba Health Research Institute, Osakidetza Basque Health Service, Araba Mental Health Network, Araba Psychiatric Hospital, Pharmacy Service, c/Alava 43, 01006, Vitoria-Gasteiz, Alava, Spain. Unax.lertxundietxebarria@osakidetza.net.ORCID http://orcid.org/0000-0002-9575-1602
University of the Basque Country · ESBioCruces Health research Institute · ESHospital de Galdakao · ESHospital Universitario Araba · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe frequency and intensity of heat waves have increased and will keep increasing. This meteorological phenomenon, which is considered one of the most dangerous, can affect the entire population, but certain populations are at greater risk. Concretely, elderly people are more prompt to suffer from chronic diseases and therefore to be on medication that can interact with the different temperature-regulating systems of the body. So far, there are no published studies that have analyzed pharmacovigilance databases to characterize the association between specific pharmaceuticals and heat-related adverse reactions.

objectiveTherefore, in this study, we aimed to investigate the reported cases of heat exhaustion or heat stroke, associated with any drug notified to the European pharmacovigilance database (EudraVigilance).

methodThe Basque Country Pharmacovigilance Unit selected spontaneous reports recorded in EudraVigilance from January 1, 1995, to January 10, 2022. "Heat Stroke" and "Heat Exhaustion" preferred terms were selected. Non-cases, used as controls, were all the other adverse drug reaction reports recorded in EudraVigilance for the same time period.

resultsIn total, 469 cases were obtained. Mean age: 49.74 ± 8 years, 62.5% were male, and the majority (94.7%) were considered serious by EU criteria. Fifty-one active substances fulfilled the criteria to generate a signal of disproportionate reporting.

conclusionsThe majority of implicated drugs belong to therapeutic groups that are already mentioned in different heat-illness prevention plans. But we also show that drugs aimed to treat multiple sclerosis and several cytokines were also associated with heat-related adverse effects.

Indexed as

Drug-Related Side Effects and Adverse ReactionsStrokeAdultAdverse Drug Reaction Reporting SystemsAgedDatabases, FactualFemaleHot TemperatureHumansMaleMiddle AgedPharmacovigilanceClimate changeHeat wavesPharmaceuticalsPharmacovigilanceThermoregulation

Identifiers

PMID37009927
PMCPMC10068193
OpenAlexW4362507469

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.