Campania Region (Italy) spontaneous reporting system and preventability assessment through a case-by-case approach: a pilot study on psychotropic drugs
| Autor: | Liberata Sportiello, Annamaria Mascolo, Liberato Berrino, Annalisa Capuano, Maurizio Sessa, Alessandra Maccariello, Francesco Rossi, Michele Fabrazzo, Cristina Scavone, T. Iannaccone, Concetta Rafaniello |
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| Přispěvatelé: | Sessa, Maurizio, Rafaniello, Concetta, Sportiello, Liberata, Mascolo, Annamaria, Scavone, Cristina, Maccariello, Alessandra, Iannaccone, Teresa, Fabrazzo, Michele, Berrino, Liberato, Rossi, Francesco, Capuano, Annalisa |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Drug medicine.medical_specialty Drug-Related Side Effects and Adverse Reactions media_common.quotation_subject Pilot Projects Young Adult 03 medical and health sciences 0302 clinical medicine Adverse events preventability psychotropic drugs drug-drug interactions pharmacovigilance drug safety Pharmacovigilance medicine Adverse Drug Reaction Reporting Systems Humans Pharmacology (medical) Drug reaction Adverse effect Psychiatry Aged media_common Psychotropic Drugs Dose-Response Relationship Drug business.industry General Medicine Middle Aged Mood Italy 030220 oncology & carcinogenesis Spontaneous reporting Emergency medicine Female business 030217 neurology & neurosurgery |
| DOI: | 10.6084/m9.figshare.4249154 |
| Popis: | Objective: We conducted the first pilot Italian study to assess the preventability of adverse drug reactions involving psychotropic drugs reported through spontaneous reporting system from 01/07/2012 to 31/12/2014 in Campania Region. Methods: Preventability was assessed, case-by-case, using an adapted version of the P-method. The evaluation was performed only for those reports that had, as suspected drug, antipsychotics, mood stabilizers, antidepressants, anxiolytic and/or sedative-hypnotic. Results: Eighty-one cases (19.2%) out of 421 reported during the study period were preventable. In seventy-seven (95.1%) out of 81 preventable cases, the underlying mechanism of the adverse drug reactions was dose-related, in four (4.9%) preventable cases the underlying mechanism of the adverse drug reactions was respectively susceptibility- (1; 1.2%), unknown- (1; 1.2%) and time-related (2; 2.5%). In the 81 preventable cases, 97 critical criteria were detected of which 29/97 (29.9%) related to healthcare professionals’ practices, 0/97 (0.0%) to drug quality and 68/97 (70.1%) to patient behaviour. Conclusions: We proved that it was possible to apply and adapt the P-Method to assess the preventability of the adverse drug reactions involving psychotropic drugs, analysing individual case safety report sent through Campania Region spontaneous reporting system. Information acquired will be used to organize educational activities for both physicians and patients to promote a more appropriate drug use. |
| Databáze: | OpenAIRE |
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