Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
January 1, 2016Annals of Intensive CareOpen Access

An observational study of adult admissions to a medical ICU due to adverse drug events

View Full Paper
Ask AI
Bookmark
Share

Key result

Adverse drug events accounted for 23.3% of medical ICU admissions, of which 59% were preventable and most frequently caused by medication non-compliance.

Population

743 consecutive adult admissions (701 patients) to a medical ICU in a teaching hospital in Paris, France.

Design

Cohort

Follow-up

until hospital discharge

Authors

PJPierre-Alain JolivotHôpital du Jura BernoisCPClaire PichereauInsermPHPatrick HindletInserm

Discussion

Loading...

Member takes

Implication

ADEs drive nearly one-quarter of medical ICU admissions with 59% preventable; leaves open optimal prevention strategies before practice change.

Study Design

Type

Observational (n=743)

Multicenter

No

Structured PICO

P
Population
743 consecutive adult admissions to a medical ICU over a one-year period, evaluated for the incidence and preventability of adverse drug events.
O
Outcome
Incidence of ICU admissions due to adverse drug events (ADEs), preventability, severity, and costssafety

Adverse drug events are a major cause of medical ICU admissions, with over half being preventable, highlighting a significant area for quality improvement and cost reduction.

Limitations

  • Monocentric study in a hospital with specialized oncology, hematology, and hepatology departments, which may affect generalizability
  • Did not attempt to assess ADE-attributed mortality due to the difficulty of separating the contribution of underlying disease and drugs
  • Monocentric study in a hospital with specialized oncology, hematology, and hepatology departments
  • Did not assess ADE-attributed mortality

Cite This Study

Jolivot et al. (2016) conducted an observational in ICU admissions (n=743). Adverse drug events vs. Admissions not related to adverse drug events was evaluated on Incidence of ICU admissions due to an adverse drug event (95% CI 20.4-26.5). Adverse drug events accounted for 23.3% of medical ICU admissions, of which 59% were preventable and most frequently caused by medication non-compliance.

synapsesocial.com/papers/6a9563221ff8c23876f23670https://doi.org/10.1186/s13613-016-0109-9
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A systematic review of adult admissions to ICUs related to adverse drug events2014 · 39 citations
  2. 2Adverse Drug Events in Hospitalized Patients Excess Length of Stay, Extra Costs, and Attributable Mortality1997 · 1,137 citations
  3. 3Approximate is Better than “Exact” for Interval Estimation of Binomial Proportions1998 · 3,251 citations