Evidence map›Paper›PMID 40838776›Full record

SynthesisAge and ageing2025

Hospital admissions due to adverse drug reactions and adverse drug events in older adults: a systematic review.

Nicole Cosgrave, Juliane Frydenlund, Francis Beirne, Stuart Lee, Iman Faez, Caitriona Cahir, David Williams

Abstract readSystematic Review
In one paragraph

Synthesis in Age and ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Diuretics in Cardiovascular Disease: For How Long and at What Dose?Journal of cardiovascular development and disease · 2026
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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

7 authors.

Nicole CosgraveRoyal College of Surgeons in Ireland-Department of Medicine, Smurfit Building Beaumont Hospital Dublin 7, Dublin, Ireland.ORCID 0000-0003-3801-7791
Juliane FrydenlundRoyal College of Surgeons in Ireland-Data Science Centre, Department of Population Health Sciences, Lower Mercer Street Dublin 2, Dublin, Ireland.
Francis BeirneRoyal College of Surgeons in Ireland-Department of Medicine, Dublin, Ireland.
Stuart LeeBeaumont Hospital-Department of Medicine, Dublin, Ireland.
Iman FaezBeaumont Hospital-Department of Medicine, Dublin, Ireland.
Caitriona CahirRCSI University of Medicine and Health Sciences-Department of Population Health Sciences, Beaux Lane House Mercer Street, Dublin DO2 YN77, Ireland.ORCID 0000-0002-7137-5737
David WilliamsRCSI-Department of Medicine, Dublin, Leinster, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdverse drug reactions (ADRs) and adverse drug events (ADEs) are consistently reported to cause up to 30% of hospital admissions in older adults, resulting in significant morbidity, mortality and an added health economic burden.This systematic review aimed to establish the frequency of ADRs and ADEs as a cause of hospitalisation in older adults.

methodsStandard databases and citations were searched from 2015 to 2025. Studies specifically assessing ADR and ADE prevalence and risk factors in older adults were included. The review was registered in PROSPERO (CRD42024613426) and quality was assessed using the Joanna Briggs Institute criteria with bias determined via ROBINS-E.

resultsNine studies underwent full evaluation. The reported prevalence of ADRs ranged from 3.3% to 23.1% and ADEs ranged from 11.75% to 18% as causes of hospitalisation. The median age of those included, in the respective studies, was between 77 and 86 years. Falls (19.4%-20.9%), delirium (7.3%-12.9%) and bleeding (8%-30.2%) were the most frequently encountered ADR/ADEs causing hospitalisation. Anti-thrombotics (11.5%-30.2%) diuretics (14.7%-30.2%) and renin-angiotensin-aldosterone system (RAAS) inhibitors (7.5%-8.9%) accounted for the highest proportion of ADR/ADE causative agents.

conclusionThis review has limitations stemming from the heterogeneity of the included studies and the exclusion of the grey literature. However, ADRs and ADEs remain a significant cause of hospital admissions in older patients. The possible preventability of these and their possible hospital admission avoidance highlights the critical need for further research into ADR/ADE risk prediction methods in addition to co-morbidity and medication optimisation for older adults.

Indexed as

Drug-Related Side Effects and Adverse ReactionsHospitalizationPatient AdmissionAgedAged, 80 and overAge FactorsFemaleHumansMalePrevalenceRisk Factorsadverse drug eventsadverse drug reactionshospitalisationolder peoplesystematic review

Identifiers

PMID40838776
PMCPMC12454932

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.