| Title |
Drug Complications in Outpatients
|
|---|---|
| Published in |
Journal of General Internal Medicine, December 2001
|
| DOI | 10.1046/j.1525-1497.2000.04199.x |
| Pubmed ID | |
| Authors |
Tejal K. Gandhi, Helen R. Burstin, E. Francis Cook, Ann L. Puopolo, Jennifer S. Haas, Troyen A. Brennan, David W. Bates |
| Abstract |
Outpatient drug complications have not been well studied. We sought to assess the incidence and characteristics of outpatient drug complications, identify their clinical and nonclinical correlates, and evaluate their impact on patient satisfaction. Retrospective chart reviews and patient surveys. Eleven Boston-area ambulatory clinics. We randomly selected 2,248 outpatients, 20 to 75 years old. Among 2,248 patients reporting prescription drug use, 394 (18%) reported a drug complication. In contrast, chart review revealed an adverse drug event in only 64 patients (3%). In univariate analyses, significant correlates of patient-reported drug complications were number of medical problems, number of medications, renal disease, failure to explain side effects before treatment, lower medication compliance, and primary language other than English or Spanish. In multivariate analysis, independent correlates were number of medical problems (odds ratio [OR] 1.17; 95% confidence interval [95% CI] 1.05 to 1.30), failure to explain side effects (OR 1.65; 95% CI, 1.16 to 2.35), and primary language other than English or Spanish (OR 1.40; 95% CI, 1.01 to 1.95). Patient satisfaction was lower among patients who reported drug complications (P <.0001). In addition, 48% of those reporting drug complications sought medical attention and 49% experienced worry or discomfort. On chart review, 3 (5%) of the patients with an adverse drug event required hospitalization and 8 (13%) had a documented previous reaction to the causative drug. Drug complications in the ambulatory setting were common, although most were not documented in the medical record. These complications increased use of the medical system and correlated with dissatisfaction with care. Our results indicate a need for better communication about potential side effects of medications, especially for patients with multiple medical problems. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 134 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 2 | 1% |
| United States | 2 | 1% |
| Finland | 1 | <1% |
| Spain | 1 | <1% |
| Hong Kong | 1 | <1% |
| Unknown | 127 | 95% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 22 | 16% |
| Researcher | 18 | 13% |
| Student > Master | 17 | 13% |
| Student > Doctoral Student | 11 | 8% |
| Student > Bachelor | 9 | 7% |
| Other | 30 | 22% |
| Unknown | 27 | 20% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 51 | 38% |
| Pharmacology, Toxicology and Pharmaceutical Science | 11 | 8% |
| Nursing and Health Professions | 9 | 7% |
| Agricultural and Biological Sciences | 6 | 4% |
| Social Sciences | 6 | 4% |
| Other | 17 | 13% |
| Unknown | 34 | 25% |
Attention Score in Context
This research output has an Altmetric Attention Score of 16. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 February 2022.
All research outputs
#2,267,496
of 25,374,647 outputs
Outputs from Journal of General Internal Medicine
#1,685
of 8,173 outputs
Outputs of similar age
#4,099
of 131,414 outputs
Outputs of similar age from Journal of General Internal Medicine
#29
of 209 outputs
Altmetric has tracked 25,374,647 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 91st percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 8,173 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 22.1. This one has done well, scoring higher than 79% of its peers.
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We're also able to compare this research output to 209 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 86% of its contemporaries.