Incidence of Adverse Drug Reactions in Hospitalized Patients
JAMAPublished 15 April 1998
Jason Lazarou, Bruce Pomeranz, Paul Corey
Citations4,782
SJR quartileQ1
SJR score5.35
SNIP10.71
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The incidence of serious and fatal adverse drug reactions in US hospitals was found to be extremely high, and data suggest that ADRs represent an important clinical issue.
Abstract
The incidence of serious and fatal ADRs in US hospitals was found to be extremely high. While our results must be viewed with circumspection because of heterogeneity among studies and small biases in the samples, these data nevertheless suggest that ADRs represent an important clinical issue.
Keywords
MedicinePharmacology, Toxicology and Pharmaceutics
Controlled Clinical TrialsMeta-analysis in clinical trials
39,316 Citations1986Rebecca DerSimonian, Nan M. Laird
This paper examines eight published reviews each reporting results from several related trials in order to evaluate the efficacy of a certain treatment for a specified medical condition and suggests a simple noniterative procedure for characterizing the distribution of treatment effects in a series of studies.
JAMAIncidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group
2,509 Citations1995David W. Bates
Adverse drug events were common and often preventable; serious ADEs were more likely to be preventable and prevention strategies should target both stages of the drug delivery process.
Controlled Clinical TrialsA method for assessing the quality of a randomized control trial
1,370 Citations1981Thomas C. Chalmers, Harry Smith +5 more
A reasonable standard design and conduct of trials will facilitate the interpretation of those with conflicting results and help in making valid combinations of undersized trials.
Journal of General Internal MedicineRelationship between medication errors and adverse drug events
987 Citations1995David W. Bates, Deborah L Boyle +3 more
Statistics in MedicineA random‐effects regression model for meta‐analysis
914 Citations1995Catherine S. Berkey, David C. Hoaglin +2 more
The random-effects regression method performs well in the context of a meta-analysis of the efficacy of a vaccine for the prevention of tuberculosis, where certain factors are thought to modify vaccine efficacy.
Archives of Internal MedicineThe Role of Medication Noncompliance and Adverse Drug Reactions in Hospitalizations of the Elderly
763 Citations1990Nananda F. Col
Many elderly admissions are drug related; noncompliance accounting for a substantial fraction of these; economic factors were important in predicting admissions due to noncompliance as well as adverse drug reactions.
New England Journal of MedicineIatrogenic Illness on a General Medical Service at a University Hospital
574 Citations1981Knight Steel, Paul M. Gertman +2 more
Annals of PharmacotherapyDrug-Related Hospital Admissions
522 Citations1993Thomas R. Einarson
Drug-induced hospitalizations account for approximately five percent of all admissions, and should include the Third World and nonindustrialized nations as well as specific cultural groups.
Journal of General Internal MedicineIncidence and preventability of adverse drug events in hospitalized adults
378 Citations1993David W. Bates, Lucian L. Leape +1 more
It is concluded that ADEs are not infrequent, often preventable, and usually caused by physician decisions and Optimal prevention strategies should cover many types of drugs and target physicians’ ordering practices.
JAMADrug-Induced Illness Leading to Hospitalization
363 Citations1974George J. Caranasos
During a three-year period, drug-induced illness, excluding suicide attempts and drug abuse, accounted for 2.9% of admissions to a medical service and a considerably greater number of white women than black men were affected.
Annals of Internal MedicineStudies on the Epidemiology of Adverse Drug Reactions
312 Citations1966Jay W. Smith, LARRY G. SEIDL +1 more
BMJIntensive Hospital Monitoring of Adverse Reactions to Drugs
301 Citations1969N. Hurwitz, O. L. Wade
Though only four reactions were of life-threatening seriousness, 80% of the 129 reactions observed were of moderate severity, and it is suggested that larger surveys of adverse reactions in relation to drug usage would make a useful contribution to the problem.
Journal of the American Geriatrics SocietyIs Age an Independent Risk Factor of Adverse Drug Reactions in Hospitalized Medical Patients?*
293 Citations1991Pierugo Carbonin, Roberto Bernabei +1 more
Objective: To study the incidence and the risk factors of adverse drug reactions and the impact of prescription drug use on these factors in patients with history of adverse reactions.
PubMedNational hospital discharge survey: annual summary, 1994.
292 Citations1997Graves Ej, Gillum Bs
National estimates of the use of non-Federal short-stay hospitals in the United States during 1994 are presented by demographic characteristics of patients discharged, geographic region of hospitals, conditions diagnosed, and surgical and nonsurgical procedures performed.
American Journal of EpidemiologyHeterogeneity in Meta-analysis of Data from Epidemiologic Studies: A Commentary
244 Citations1995Graham A. Colditz, Elisabeth Burdick +1 more
Archives of Internal MedicineHospital admissions due to adverse drug reactions. A report from the Boston Collaborative Drug Surveillance Program
175 Citations1974R. R. Miller
Annals of PharmacotherapyPreventing Adverse Drug Events in Hospitalized Patients
165 Citations1994R. Scott Evans, Stanley L. Pestotnik +4 more
Prospective surveillance of computer-based medical records for known drug allergies and appropriate drug administration rates can reduce the number of type B ADEs in hospitalized patients.
Pharmacotherapy The Journal of Human Pharmacology and Drug TherapyDrug‐Related Hospital Admissions
158 Citations1996Kent Nelson, Robert L. Talbert
Targeting patients taking several drugs and with a history of noncompliance may reduce the frequency and pattern of drug‐related morbidity in hospital admission and the extent to which these admissions are avoidable.
Mechanisms of Adverse Drug Reactions
150 Citations2014Munir Pirmohamed
Clinical Pharmacology & TherapeuticsAdverse drug reactions—a matter of opinion
140 Citations1976Fred E. Karch, Carol L. Smith +4 more
A study evaluated 60 selected cases to determine if medication, alcohol, or “recreational” drugs had caused the hospitalization and found a degree of disparity in the clinical identification of ADRs that shows that the evaluation ofADRs is subjective and imprecise.
PEDIATRICSAdverse Drug Reactions in Children Leading to Hospital Admission
140 Citations1988Allen A. Mitchell, Peter G. Lacouture +3 more
The proportion of admissions prompted by drug reactions increased between infancy and 5 years of age and tended to be relatively stable thereafter and may serve as a baseline to which other pediatric facilities can compare their experience.
JAMAAssessment of Adverse Reactions Within a Drug Surveillance Program
139 Citations1968Ivan T. Borda
The data collected thus far suggest that drug reactions represent a major health hazard and must be evaluated for careful consideration of total drug usage, the reasons for prescribing the drug, and its overall efficacy.
American Journal of Health-System PharmacyDrug-related hospital admissions
130 Citations1976James M. McKenney, Willard L. Harrison
A need for the improvement of drug monitoring and education services available to patients in outpatient settings is indicated, as a result of the association between hospital admissions and drug-related problems.
Archives of Internal MedicineHospital Admissions Caused by Iatrogenic Disease
123 Citations1986Mark Lakshmanan
Though the incidence of iatrogenic admissions in this study is similar to that in previous reports, the profile of the responsible agents is different and there are no relationships with age, number or type of diagnoses, or number of medications on admission.
JAMAStudies on the Epidemiology of Adverse Drug Reactions
111 Citations1964Leighton E. Cluff, George F. Thornton +1 more
Most often, adverse drug reactions are not severe, but the predictability of seriousness usually is not possible, and when reactions occur they are unexpected.
The American Journal of MedicineAssessing the preventability of emergency hospital admissions
77 Citations1987JudyAnn Bigby, Jocelyn Dunn +5 more
It is concluded that a small percentage of emergency hospitalizations may be preventable and that systematic review of emergencyhospitalizations may provide a means of measuring the quality of primary medical care.
PubMedSex-related variations in the frequency and characteristics of adverse drug reactions.
63 Citations1980C Domecq, Naranjo Ca +2 more
Findings suggest that sex is a determinant of the frequency and characteristics of ADR, which was significantly higher in females than in males.
American Journal of Health-System PharmacyComparative study of prospective surveillance and voluntary reporting in determining the incidence of adverse drug reactions
61 Citations1977Bette S. Bennett, Arthur G. Lipman
The operation of an ADR monitoring and reporting system for the purpose of maintaining incidence data was not judged to be cost effective and periodic prospective surveillance programs on representative patient population samples may be valuable in determining true incidence figures.
American Journal of EpidemiologyDRUG UTILIZATION AND REPORTED ADVERSE REACTIONS IN HOSPITALIZED CHILDREN
60 Citations1979Allen A. Mitchell, Peter Goldman +2 more
Both drug use and reported adverse reactions tended to increase with age, except that newborns received many drugs but had the lowest reported adverse reaction rates.
American Journal of Health-System PharmacyA pharmacist-based study of the epidemiology of adverse drug reactions in pediatric medicine patients
53 Citations1973Michael W. McKenzie, Ronald B. Stewart +2 more
Clinical Pharmacology & TherapeuticsAdverse drug reactions: A pharmacist‐based monitoring system
49 Citations1970Pierce Gardner, L. Jeannine Watson
Compared with a physician‐based system of daily monitoring, the pharmacist‐based surveillance system detected more drug reactions, provided a more uniform method of study, and had greater acceptance by house physicians.
The Journal of PediatricsAdverse drug reactions leading to hospitalization in children
35 Citations1976Michael W. McKenzie, Gerald L. Marchall +2 more
During a three-year period of prospective epidemiologic surveillance for adverse drug reactions in a pediatric population, 72 (2.0%) of 3,556 medical admissions were the result of adverse drug reaction, and approximately 40% of the reactions were severe, and four reactions contributed to death.
The Medical Journal of AustraliaReporting of adverse events in hospitals in Victoria, 1994‐1995
31 Citations1997Denise A O'Hara, Norman Carson
The nature and frequency of adverse events reported in routine inpatient data collection are described to describe the nature and severity of these events in hospitals.
PubMedIncidence of adverse drug reactions in adult medical inpatients.
30 Citations1994Lee Bowman, Bruce C. Carlstedt +1 more
This study was a prospective observational study of ADR occurrence and evaluation in adult internal medicine inpatients conducted over a 120-day period and found many frequently implicated medications were newer agents and the severity of events was less than previously reported.
American Journal of PsychiatryDrug-related admissions to an inpatient psychiatric unit
25 Citations1980Ronald B. Stewart, P K Springer +1 more
The authors prospectively monitored 60 consecutive admissions to an inpatient psychiatry service to determine the role of drugs in psychiatric hospitalization and categorized drug-related problems as drug intoxication, drug abuse, side effects of therapeutic drugs, and noncompliance with prescribed medications.
American Journal of Health-System PharmacyCommunity-hospital pharmacist detection of drug-related problems upon patient admission to small hospitals
19 Citations1977P. Allen Frisk, James W. Cooper +1 more
A method was developed to increase community-hospital pharmacist consultation on patient drug use in order to detect drug-related problems upon patient admission to the hospital, and it was found by pharmacist-acquired drug histories that one of five criteria-selected patients had a preexisting drug- related problem that the admitting physician acknowledged probably contributed to the admission and necessitated professional and patient communication.
Drug Intelligence & Clinical PharmacyDrug-Related Admissions to a Veterans' Administration Psychiatric Unit
14 Citations1984Ronald B. Salem, Terence M. Keane +1 more
Significant differences were found in the length of hospitalization, age, and race when the group with drug- related problems was compared with a group with non-drug-related problems.
PubMedInfluence of the assessment of the severity on the frequency of adverse drug reactions (ADRs).
8 Citations1987I Zilleruelo, Eduardo Espinoza +1 more
In both studies similar characteristics of beginning and probability of ADRs were found, and the highest part of the reactions was dose-dependent, but when mild reactions were excluded (study II) an increase on the proportion of dose-independent ADRs was observed.
