Evaluation of the prevalence and economic burden of adverse drug reactions presenting to the medical emergency department of a tertiary referral centre: a prospective study
2007

Study on Adverse Drug Reactions in Emergency Department

Sample size: 6899 publication Evidence: moderate

Author Information

Author(s): Patel KJ, Kedia MS, Bajpai D, Mehta SS, Kshirsagar NA, Gogtay NJ

Primary Institution: Seth GS Medical College and KEM Hospital

Hypothesis

What is the prevalence and economic burden of adverse drug reactions presenting to the medical emergency department?

Conclusion

ADRs leading to hospitalization are frequent and constitute a significant economic burden.

Supporting Evidence

  • 265 out of 6899 patients had ADRs, which is 3.84%.
  • 141 of the 265 patients with ADRs were admitted to the hospital.
  • 74.71% of ADRs were of moderate severity.
  • 59.62% of ADRs were found to be avoidable.

Takeaway

Sometimes, medicines can make people sick and send them to the hospital. This study found that many of these cases could be avoided with better education.

Methodology

A prospective, observational study of adult patients carried out over a 6 week period in 2005.

Potential Biases

Causality assessment was done independently by physicians on duty, which may have led to inconsistencies.

Limitations

The study was limited to a short duration of 6 weeks and only included adults in the medicine ED.

Participant Demographics

Mean age of patients with ADRs was 40 years.

Statistical Information

Confidence Interval

95% CI 5.37 to 7.11

Digital Object Identifier (DOI)

10.1186/1472-6904-7-8

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