Hospital-acquired hyperkalemia events in older patients are mostly due to avoidable, multifactorial, adverse drug reactions. Robert, L., Ficheur, G., Décaudin, B., Gellens, J., Luyckx, M., Perichon, R., Gautier, S., Puisieux, F., Chazard, E., & Beuscart, J. Clinical Pharmacology and Therapeutics, September, 2018.
Hospital-acquired hyperkalemia events in older patients are mostly due to avoidable, multifactorial, adverse drug reactions [link]Paper  doi  abstract   bibtex   1 download  
Drug-induced hyperkalemia is a frequent and severe complication in hospital setting. Other risk factors may also induce hyperkalemia but the combination of drugs and precipitating factors has not been extensively studied. The aim was to identify drug-induced hyperkalemia events in hospitalized older patients and to describe their combinations with precipitating factors. Two experts analyzed independently retrospective data of patients aged 75 years or more. Experts identified 471 hyperkalemia events and concluded that 379 (80.5%) were induced by drugs. The cause was multifactorial (i.e. at least one drug with a precipitating factor) in 300 (79.2%) of the 379 drug-induced hyperkalemia. Most of the drug-induced hyperkalemia events were avoidable (79.9%) - mainly because of the multifactorial cause (e.g. dosage adaptation during acute kidney injury). Drug-induced hyperkalemia events are frequently combined with precipitating factors in hospitalized older patients and their prevention should focus on these combinations. This article is protected by copyright. All rights reserved.
@article{robert_hospital-acquired_2018,
	title = {Hospital-acquired hyperkalemia events in older patients are mostly due to avoidable, multifactorial, adverse drug reactions},
	issn = {1532-6535},
	url = {https://nextcloud.univ-lille.fr/index.php/s/4w5DGNTxMimaQAz},
	doi = {10.1002/cpt.1239},
	abstract = {Drug-induced hyperkalemia is a frequent and severe complication in hospital setting. Other risk factors may also induce hyperkalemia but the combination of drugs and precipitating factors has not been extensively studied. The aim was to identify drug-induced hyperkalemia events in hospitalized older patients and to describe their combinations with precipitating factors. Two experts analyzed independently retrospective data of patients aged 75 years or more. Experts identified 471 hyperkalemia events and concluded that 379 (80.5\%) were induced by drugs. The cause was multifactorial (i.e. at least one drug with a precipitating factor) in 300 (79.2\%) of the 379 drug-induced hyperkalemia. Most of the drug-induced hyperkalemia events were avoidable (79.9\%) - mainly because of the multifactorial cause (e.g. dosage adaptation during acute kidney injury). Drug-induced hyperkalemia events are frequently combined with precipitating factors in hospitalized older patients and their prevention should focus on these combinations. This article is protected by copyright. All rights reserved.},
	language = {eng},
	journal = {Clinical Pharmacology and Therapeutics},
	author = {Robert, Laurine and Ficheur, Grégoire and Décaudin, Bertrand and Gellens, Juliette and Luyckx, Michel and Perichon, Renaud and Gautier, Sophie and Puisieux, François and Chazard, Emmanuel and Beuscart, Jean-Baptiste},
	month = sep,
	year = {2018},
	pmid = {30242829},
	keywords = {Adverse drug reactions, Elderly, Prevention},
}

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