Heart Failure and Adverse Drug Reactions Among Hospitalized Older Adults

被引:25
作者
Catananti, C. [1 ]
Liperoti, R. [1 ]
Settanni, S. [1 ]
Lattanzio, F. [2 ]
Bernabei, R. [1 ]
Fialova, D. [3 ]
Landi, F. [1 ]
Onder, G. [1 ]
机构
[1] Univ Cattolica Sacro Cuore, Dept Geriatr, Ctr Med Invecchiamento, Rome, Italy
[2] Italian Natl Res Ctr Aging, Res Dept, Ancona, Italy
[3] Charles Univ Prague, Dept Geriatr & Gerontol, Fac Med 1, Prague, Czech Republic
关键词
COGNITIVE IMPAIRMENT; DIGITALIS THERAPY; SERUM CREATININE; RISK-FACTORS; EVENTS; ASSOCIATION; POPULATION; MORTALITY; ADMISSION; REASONS;
D O I
10.1038/clpt.2009.89
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The aim of this study was to assess whether heart failure (HF) could be a risk factor for adverse drug reactions (ADRs) among hospitalized older adults. This study included 19,496 patients admitted to community-and university-based hospitals in Italy (mean age 70 +/- 14 years; 49.7% female). ADRs were identified in 207 of the 2,413 (8.6%) patients with HF and in 855 (5.0%) of the 17,083 patients without HF (P < 0.001). after adjusting for potential confounders, HF was shown to be associated with an increased likelihood of experiencing an ADR (odds ratio (or) 1.29; 95% confidence interval (CI) 1.06-1.56). after stratifying the sample by gender, the association continued to be seen in the women (or 1.58; 95% CI 1.22-2.05) but not in the men (or 0.99; 95% CI 0.74-1.34). in conclusion, HF appears to be associated with a higher rate of ADRs among hospitalized patients. gender may influence the effect of HF on the risk of ADRs.
引用
收藏
页码:307 / 310
页数:4
相关论文
共 36 条
[1]   Somatic symptom reporting in women and men [J].
Barsky, AJ ;
Peekna, HM ;
Borus, JF .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2001, 16 (04) :266-275
[2]   Patient risk factors for adverse drug events in hospitalized patients [J].
Bates, DW ;
Miller, EB ;
Cullen, DJ ;
Burdick, L ;
Williams, L ;
Laird, N ;
Petersen, LA ;
Small, SD ;
Sweitzer, BJ ;
Vander Vliet, M ;
Leape, LL .
ARCHIVES OF INTERNAL MEDICINE, 1999, 159 (21) :2553-2560
[3]   AN ANALYSIS OF PHYSICIANS REASONS FOR PRESCRIBING LONG-TERM DIGITALIS THERAPY IN OUTPATIENTS [J].
CARLSON, KJ ;
LEE, DCS ;
GOROLL, AH ;
LEAHY, M ;
JOHNSON, RA .
JOURNAL OF CHRONIC DISEASES, 1985, 38 (09) :733-739
[4]   PREDICTION OF CREATININE CLEARANCE FROM SERUM CREATININE [J].
COCKCROFT, DW ;
GAULT, MH .
NEPHRON, 1976, 16 (01) :31-41
[5]   Adverse drug events in the elderly [J].
Cresswell, Kathrin M. ;
Fernando, Bernard ;
McKinstry, Brian ;
Sheikh, Aziz .
BRITISH MEDICAL BULLETIN, 2007, 83 (01) :259-274
[6]   Risk factors for adverse drug events among nursing home residents [J].
Field, TS ;
Gurwitz, JH ;
Avorn, J ;
McCormick, D ;
Jain, S ;
Eckler, M ;
Benser, M ;
Bates, DW .
ARCHIVES OF INTERNAL MEDICINE, 2001, 161 (13) :1629-1634
[7]   The problem of polypharmacy in heart failure [J].
Flesch M. ;
Erdmann E. .
Current Cardiology Reports, 2006, 8 (3) :217-225
[8]   Improving the quality of medication use in elderly patients - A not-so-simple prescription [J].
Gurwitz, JH ;
Rochon, P .
ARCHIVES OF INTERNAL MEDICINE, 2002, 162 (15) :1670-1672
[9]   Incidence and preventability of adverse drug events among older persons in the ambulatory setting [J].
Gurwitz, JH ;
Field, TS ;
Harrold, LR ;
Rothschild, J ;
Debellis, K ;
Seger, AC ;
Cadoret, C ;
Garber, L ;
Kelleher, M ;
Bates, DW .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (09) :1107-1116
[10]   Reasons prompting digitalis therapy in the acute care hospital [J].
Incalzi, RA ;
Pedone, C ;
Pahor, M ;
Carosella, L ;
Bernabei, R ;
Carbonin, P .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2001, 56 (06) :M361-M365