Risk prediction models on adverse drug reactions: A review

Authors

DOI:

https://doi.org/10.46542/pe.2023.234.1115

Keywords:

Adverse drug reaction, Model, Prediction, Risk

Abstract

Background: The risk prediction model has become increasingly popular in recent years in helping clinical decision-making. Existing models cannot be directly applied in Indonesia.   

Objective: To review the existing prediction models and their limitations.     

Method: A search related to the prediction of ADR risk was conducted using several journal databases: PubMed, Scopus and Google Scholar. Articles were screened to match specified criteria and further studied.   

Result: Nine articles met the criteria and were then analysed. Studies were carried out in various countries. The study population include; the elderly (>65 years, three studies), age (≥15 years, three studies), patients with Chronic Kidney Disease (CKD) (≥18 years, one study) and two studies in cancer patients. The outcomes were; ADR (five studies), ADE ( two studies), DRPs (one study), and cardiovascular effects (one study). The methods for determining the predictors of ADRs all used multivariable logistic regression.    

Conclusion: Each country has different treatment patterns, prescribing practices, traditions and drug distribution, so it is necessary to develop a prediction model for ADRs that is country-specific.

Author Biographies

Fivy Kurniawati, Universitas Gadjah Mada, Yogyakarta, Indonesia

Pharmacology and Clinical Pharmacy Department, Faculty of Pharmacy & Doctoral Program of Medical and Health Science, Faculty of Medicine, Public Health and Nursing

Erna Kristin, Universitas Gadjah Mada, Yogyakarta, Indonesia

Department of Pharmacology and Therapy, Faculty of Medicine, Public Health and Nursing

Sri Awalia Febriana, Universitas Gadjah Mada, Yogyakarta, Indonesia

Department of Dermatology and Venereology, Faculty of Medicine, Public Health and Nursing

Rizaldy T. Pinzon, Universitas Gadjah Mada, Yogyakarta, Indonesia & Bethesda Hospital, Yogyakarta, Indonesia

Department of Pharmacology and Therapy, Faculty of Medicine, Public Health and Nursing & Neurology Department

References

de Almeida, S.M., Romualdo, A. de Abreu Ferraresi, A. Zelezoglo G.R., Marra, A.R. & M.B.Edmond. (2017). Use of a trigger tool to detect adverse drug reactions in an emergency department. BMC Pharmacology and Toxicology, 18(1):71 https://doi.org/10.1186/s40360-017-0177-y

Grant, S.W., Collins, G.S. & Nashef, S.A.M. (2018).Statistical Primer: developing and validating a risk prediction model. European Journal of Cardio-Thoracic Surgery, 54(2):203-208 https://doi.org/10.1093/ejcts/ezy180

Hendriksen, J.M., Geersing, G. J. Moons K.G. &. de Groot J.A. (2013). Diagnostic and prognostic prediction models. Journal of Thrombosis and Haemostasis, 11(1):129-41 https://doi.org/10.1111/jth.12262

Kim, D.Y., Park M.S., Youn, J.C., Lee, S., Choi, J.H., Jung, M.H., Kim, L.S., Kim, S.H., Han, S. & Ryu K.H. (2021). Development and Validation of a Risk Score Model for Predicting the Cardiovascular Outcomes After Breast Cancer Therapy: The CHEMO-RADIAT Score. Journal of the American Heart Association, 10(16):e021931 https://doi.org/10.1161/JAHA.121.021931

Lavan, A.H. & Gallagher, P. (2016). Predicting risk of adverse drug reactions in older adults. Therapeutic Advances in Drug Safety, 7(1):11-22 https://doi.org/10.1177/2042098615615472

O'Connor, M.N., Gallagher, P., Byrne, S. & O'Mahony, D. (2012). Adverse drug reactions in older patients during hospitalisation: Are they predictable? Age Ageing, 41(6):771-6 https://doi.org/10.1093/ageing/afs046

On, J., Park, H.A. & Yoo., S. (2021). Development of a prediction model for chemotherapy-induced adverse drug reactions: A retrospective observational study using electronic health records. European Journal of Oncology Nursing, 56:102066 https://doi.org/10.1016/j.ejon.2021.102066

Onder, G., Petrovic, M., Tangiisuran, B., Meinardi, M.C., Markito-Notenboom, W.P.Somers, A., Rajkumar, C., Bernabei, R. & van der Cammen T.J. (2010). Development and validation of a score to assess the risk of adverse drug reactions among in-hospital patients 65 years or older: The GerontoNet ADR risk score. Archives Internal Medicine, 170(13):1142-8 https://doi.org/10.1001/archinternmed.2010.153

Sakuma, M., Bates, D.W. & Morimoto, T. (2012). A clinical prediction rule to identify high-risk inpatients for adverse drug events: The JADE Study. Pharmacoepidemiology and Drug Safety, 21(11):1221-6 https://doi.org/10.1002/pds.3331

Sharif-Askari, F.S., Syed Sulaiman, S.A., Saheb Sharif-Askari, N. & Al Sayed Hussain. A. (2014). Development of an adverse drug reaction risk assessment score among hospitalised patients with chronic kidney disease. PLoS One, 9(4):e95991 https://doi.org/10.1371/journal.pone.0095991

Tangiisuran B., Scutt, G., Stevenson, J., Wright, J., Onder, G., Petrovic, M., van der Cammen, T.J. Rajkumar, C. & Davies, G. (2014). Development and Validation of a Risk Model for Predicting Adverse Drug Reactions in Older People during Hospital Stay: Brighton Adverse Drug Reactions Risk (BADRI) Model. PLOS ONE, 9(10):e111254 https://doi.org/10.1371/journal.pone.0111254

Urbina, O., Ferrandez, O., Grau, S., Luque, S., Mojal, S., Marin-Casino, M., Mateu-de-Antonio, J., Carmona, A.,Conde-Estevez, D., Espona, M., Gonzalez, E., Riu, M. & Salas. E. (2014). Design of a score to identify hospitalised patients at risk of drug-related problems. Pharmacoepidemiology and Drug Safety, 23(9):923-32 https://doi.org/10.1002/pds.3634

Winterstein, A.G., Staley, B., Henriksen, C., Xu, D., Lipori, G., Jeon, N., Choi, Y., Li, Y., Hincapie-Castillo, J. Soria-Saucedo, R., Brumback, B. & Johns.T. (2017). Development and validation of a complexity score to rank hospitalised patients at risk for preventable adverse drug events. American Journal of Health-System Pharmacy, 74(23):1970-1984 https://doi.org/10.2146/ajhp160995

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Published

10-10-2023

How to Cite

Kurniawati, F., Kristin, E., Febriana, S. A., & Pinzon, R. T. (2023). Risk prediction models on adverse drug reactions: A review . Pharmacy Education, 23(4), p. 11–15. https://doi.org/10.46542/pe.2023.234.1115

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Special Edition