Determination of incidence and characteristics of preventable adverse drug reactions: A study in Phrae Hospital
The characteristics of preventable adverse drug reaction (pADR) in hospitalized patients in Phrae Hospital were identified by a retrospective descriptive analysis. All ADR report forms of patient during fiscal year 2003 were explored. From 189 reports, 188 ADR reports were analyzed. Sixty-eight case...
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th-cmuir.6653943832-495082018-08-16T02:19:35Z Determination of incidence and characteristics of preventable adverse drug reactions: A study in Phrae Hospital Kannika Thiankhanithikun Sayam Kaewvichit Multidisciplinary The characteristics of preventable adverse drug reaction (pADR) in hospitalized patients in Phrae Hospital were identified by a retrospective descriptive analysis. All ADR report forms of patient during fiscal year 2003 were explored. From 189 reports, 188 ADR reports were analyzed. Sixty-eight cases (36.17%) were classified with Schumock and Thornton criteria as pADR. Mean age of pADR patient was 42.97 years. Female was of the same number as male. Top- three underlying diseases were chronic renal failure, HIV and hypertension. Eight pADR (11.76%) were related to hospital admission and mostly (80.88%) considered non-serious ADR. Nine cases (13.24%) were considered severe to initial or prolonged hospitalization and required life-threatening management. The relationship of pADR to drug exposure was determined to be probable. Half of them occurred in skin and appendage system and body as a whole-general disorders system organ class of WHO. Most outcome (91.18%) was recovered without sequelae. "Antibiotics", "contrast media" and "miscellaneous" were top-three classes of drugs causing pADR. The third high-priority pADR code which accounted for 90% of all reports were (1) required therapeutic drug monitoring or other necessary laboratory tests were not performed or not performed frequently enough criteria (45.95%), (2) dose, route or frequency of administration was not appropriate for the patient's age, weight or disease criteria (24.32%), and (3) drugs involved were not appropriate for the patient's clinical condition criteria (19.82%). The data from this study reflected the importance and urgency for better understanding of pADRs in Thai-hospitalized patients and suggestion of the better interventions or model to prevent patients suffering from ADRs. Further nationwide studies are needed to determine ADR-associated factors and to develop strategies for prevention of pADR in hospitalized patients. 2018-08-16T02:19:35Z 2018-08-16T02:19:35Z 2009-01-01 Journal 16851994 2-s2.0-70350055476 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=70350055476&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/49508 |
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Multidisciplinary Kannika Thiankhanithikun Sayam Kaewvichit Determination of incidence and characteristics of preventable adverse drug reactions: A study in Phrae Hospital |
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The characteristics of preventable adverse drug reaction (pADR) in hospitalized patients in Phrae Hospital were identified by a retrospective descriptive analysis. All ADR report forms of patient during fiscal year 2003 were explored. From 189 reports, 188 ADR reports were analyzed. Sixty-eight cases (36.17%) were classified with Schumock and Thornton criteria as pADR. Mean age of pADR patient was 42.97 years. Female was of the same number as male. Top- three underlying diseases were chronic renal failure, HIV and hypertension. Eight pADR (11.76%) were related to hospital admission and mostly (80.88%) considered non-serious ADR. Nine cases (13.24%) were considered severe to initial or prolonged hospitalization and required life-threatening management. The relationship of pADR to drug exposure was determined to be probable. Half of them occurred in skin and appendage system and body as a whole-general disorders system organ class of WHO. Most outcome (91.18%) was recovered without sequelae. "Antibiotics", "contrast media" and "miscellaneous" were top-three classes of drugs causing pADR. The third high-priority pADR code which accounted for 90% of all reports were (1) required therapeutic drug monitoring or other necessary laboratory tests were not performed or not performed frequently enough criteria (45.95%), (2) dose, route or frequency of administration was not appropriate for the patient's age, weight or disease criteria (24.32%), and (3) drugs involved were not appropriate for the patient's clinical condition criteria (19.82%). The data from this study reflected the importance and urgency for better understanding of pADRs in Thai-hospitalized patients and suggestion of the better interventions or model to prevent patients suffering from ADRs. Further nationwide studies are needed to determine ADR-associated factors and to develop strategies for prevention of pADR in hospitalized patients. |
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Kannika Thiankhanithikun Sayam Kaewvichit |
author_facet |
Kannika Thiankhanithikun Sayam Kaewvichit |
author_sort |
Kannika Thiankhanithikun |
title |
Determination of incidence and characteristics of preventable adverse drug reactions: A study in Phrae Hospital |
title_short |
Determination of incidence and characteristics of preventable adverse drug reactions: A study in Phrae Hospital |
title_full |
Determination of incidence and characteristics of preventable adverse drug reactions: A study in Phrae Hospital |
title_fullStr |
Determination of incidence and characteristics of preventable adverse drug reactions: A study in Phrae Hospital |
title_full_unstemmed |
Determination of incidence and characteristics of preventable adverse drug reactions: A study in Phrae Hospital |
title_sort |
determination of incidence and characteristics of preventable adverse drug reactions: a study in phrae hospital |
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2018 |
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https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=70350055476&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/49508 |
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