adverse drug reactions;
hospital;
prevalence;
databases;
pharmacovigilance;
pharmacoepidemiology;
EVENTS;
SURVEILLANCE;
D O I:
10.1002/pds.3348
中图分类号:
R1 [预防医学、卫生学];
学科分类号:
1004 ;
120402 ;
摘要:
Purpose To evaluate a methodology for adverse drug reactions (ADRs) detection through hospital databases. Methods A retrospective analysis was conducted to identify ADRs using diagnostic codes from databases, later validated by chart review. An independent chart review was performed for comparison, as well as assessment of spontaneous reports. Results 325 ADRs were identified (prevalence of 2.41%, positive predictive value of 87.6%). Independent chart review identified 9% of ADRs at a cost of 35 person-hours (versus two person-hours in databases). There were seven spontaneous reports of ADRs. Conclusions Although not frequently used, the detection of ADRs through databases is a relatively less expensive, fast and effective methodology that can improve current pharmacovigilance systems. Copyright (C) 2012 John Wiley & Sons, Ltd.
机构:
Univ Hosp Ctr Porto, Allergy & Clin Immunol Serv, Largo Prof Abel Salazar, P-4099001 Porto, PortugalUniv Hosp Ctr Porto, Allergy & Clin Immunol Serv, Largo Prof Abel Salazar, P-4099001 Porto, Portugal
Rebelo Gomes, Eva
Ribeiro-Vaz, Ines
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h-index: 0
机构:
Univ Porto, Fac Med, Porto Pharmacovigilance Ctr, Porto, Portugal
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, PortugalUniv Hosp Ctr Porto, Allergy & Clin Immunol Serv, Largo Prof Abel Salazar, P-4099001 Porto, Portugal
Ribeiro-Vaz, Ines
Santos, Cristina Costa
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h-index: 0
机构:
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal
Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, PortugalUniv Hosp Ctr Porto, Allergy & Clin Immunol Serv, Largo Prof Abel Salazar, P-4099001 Porto, Portugal
Santos, Cristina Costa
Herdeiro, Maria Teresa
论文数: 0引用数: 0
h-index: 0
机构:
Univ Aveiro, Dept Med Sci, Aveiro, Portugal
Univ Aveiro, Inst Biomed iBiMED, Aveiro, PortugalUniv Hosp Ctr Porto, Allergy & Clin Immunol Serv, Largo Prof Abel Salazar, P-4099001 Porto, Portugal