Risk factors for potential drug-drug interactions in intensive care unit patients

To determine risk factors for each severity-based category of potential drug-drug interactions (DDIs) encountered at intensive care unit (ICU) patients. This was a retrospective cohort analysis of patients treated at the ICU of the Clinical Center Kragujevac, a public tertiary care hospital in Kragu...

Full description

Saved in:

Bibliographic Details
Published in:	Journal of critical care 2018-02, Vol.43, p.1-6
Main Authors:	Janković, Slobodan M., Pejčić, Ana V., Milosavljević, Miloš N., Opančina, Valentina D., Pešić, Nikola V., Nedeljković, Tamara T., Babić, Goran M.
Format:	Article
Language:	eng
Subjects:	Aged Anticonvulsants Comorbidity Critical Care Dementia Drug Interactions Drug-drug interactions Drug-Related Side Effects and Adverse Reactions - prevention & control Female Health risk assessment Humans Intensive care Intensive care unit Intensive Care Units Male Middle Aged Pharmacology Polypharmacy Retrospective Studies Risk Factors Severity of Illness Index
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	To determine risk factors for each severity-based category of potential drug-drug interactions (DDIs) encountered at intensive care unit (ICU) patients. This was a retrospective cohort analysis of patients treated at the ICU of the Clinical Center Kragujevac, a public tertiary care hospital in Kragujevac, Serbia. Three interaction checkers were used to reveal drug-drug interactions: Medscape, Epocrates and Micromedex. The study included 201 patients, 66.19±16.11 years of age. Average number of DDIs per patient ranged from 10.49±8.80 (Micromedex) to 29.43±21.51 (Medscape). Antiarrhythmic or anticonvulsant drug prescription, Charlson Comorbidity Index, male sex, length of hospitalization, number of drugs or therapeutic groups prescribed and surgery increased the risk of DDIs in ICU patients, while presence of delirium or dementia and transfer from emergency department to ICU protected against. The rate of the DDIs in ICU patients at a tertiary care hospital is high, and adversely influenced by number of drugs or drug groups prescribed per patient, antiarrhythmic or anticonvulsant drug prescription, comorbidities, length of hospitalization and surgery. On the other hand, presence of cognitive deficit and transfer from emergency department to ICU protect ICU patients from the DDIs. •The rate of the DDIs in ICU patients at a tertiary care hospital is high.•Drug related risk factors for DDIs: antiarrhythmics, anticonvulsants, number of prescribed drugs and therapeutic groups.•Patient related risk factors for DDIs: higher Charlson Comorbidity Index, male sex, length of hospitalization and surgery.•Presence of delirium or dementia and transfer from emergency department to ICU seem to protect against DDIs.•The most frequently detected DDI was between midazolam and tramadol.
ISSN:	0883-9441 1557-8615