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Cutaneous Adverse Drug Reactions in the Elderly : a Retrospective Analysis in Thailand

Tuchinda, Papapit ; Chularojanamontri, Leena ; Sukakul, Thanisorn LU orcid ; Thanomkitti, Kanchalit ; Nitayavardhana, Sunatra ; Jongjarearnprasert, Kowit ; Uthaitas, Panadda and Kulthanan, Kanokvalai (2014) In Drugs and Aging 31(11). p.815-824
Abstract

Background: Elderly people tend to be sicker than young people. They also take more medications, increasing the risk of adverse drug reactions (ADRs), which are one of the leading causes of morbidity and mortality in this age group. Knowledge of cutaneous ADRs from medicine use in the elderly population is limited.

Objective: The aim of this study was to investigate demographic data, causative drugs and cutaneous manifestations of ADRs in elderly patients.

Methods: A retrospective analysis was conducted involving elderly patients aged >60 years with cutaneous ADRs in the period from 2002 to 2012. We analyzed data with respect to demographic data, clinical data, outcomes, and risk factors for serious... (More)

Background: Elderly people tend to be sicker than young people. They also take more medications, increasing the risk of adverse drug reactions (ADRs), which are one of the leading causes of morbidity and mortality in this age group. Knowledge of cutaneous ADRs from medicine use in the elderly population is limited.

Objective: The aim of this study was to investigate demographic data, causative drugs and cutaneous manifestations of ADRs in elderly patients.

Methods: A retrospective analysis was conducted involving elderly patients aged >60 years with cutaneous ADRs in the period from 2002 to 2012. We analyzed data with respect to demographic data, clinical data, outcomes, and risk factors for serious reactions.

Results: A total of 400 patient records were included. The mean age was 73.6 years, and 53 % were women. The common reactions were maculopapular rash (65 %) and angioedema with/without urticaria (11.3 %). Antibiotics (42.8 %) and non-steroidal anti-inflammatory drugs (9.5 %) were common causative drugs. Serious cutaneous ADRs were found in 16.5 %.

Conclusion: Our results show that multiple underlying medical conditions, especially cerebrovascular diseases, are risk factors for serious cutaneous ADRs in elderly patients. These findings emphasize the need for awareness about cutaneous drug reactions in elderly patients.

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author
; ; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
in
Drugs and Aging
volume
31
issue
11
pages
815 - 824
publisher
Adis International
external identifiers
  • pmid:25193784
  • scopus:84919928615
ISSN
1170-229X
DOI
10.1007/s40266-014-0209-x
language
English
LU publication?
no
additional info
Publisher Copyright: © 2014, Springer International Publishing Switzerland.
id
d7cee86d-d688-42e2-a056-f37fa8fb3091
date added to LUP
2024-07-15 14:35:27
date last changed
2024-07-18 02:16:58
@article{d7cee86d-d688-42e2-a056-f37fa8fb3091,
  abstract     = {{<p>Background: Elderly people tend to be sicker than young people. They also take more medications, increasing the risk of adverse drug reactions (ADRs), which are one of the leading causes of morbidity and mortality in this age group. Knowledge of cutaneous ADRs from medicine use in the elderly population is limited.</p><p>Objective: The aim of this study was to investigate demographic data, causative drugs and cutaneous manifestations of ADRs in elderly patients.</p><p>Methods: A retrospective analysis was conducted involving elderly patients aged &gt;60 years with cutaneous ADRs in the period from 2002 to 2012. We analyzed data with respect to demographic data, clinical data, outcomes, and risk factors for serious reactions.</p><p>Results: A total of 400 patient records were included. The mean age was 73.6 years, and 53 % were women. The common reactions were maculopapular rash (65 %) and angioedema with/without urticaria (11.3 %). Antibiotics (42.8 %) and non-steroidal anti-inflammatory drugs (9.5 %) were common causative drugs. Serious cutaneous ADRs were found in 16.5 %.</p><p>Conclusion: Our results show that multiple underlying medical conditions, especially cerebrovascular diseases, are risk factors for serious cutaneous ADRs in elderly patients. These findings emphasize the need for awareness about cutaneous drug reactions in elderly patients.</p>}},
  author       = {{Tuchinda, Papapit and Chularojanamontri, Leena and Sukakul, Thanisorn and Thanomkitti, Kanchalit and Nitayavardhana, Sunatra and Jongjarearnprasert, Kowit and Uthaitas, Panadda and Kulthanan, Kanokvalai}},
  issn         = {{1170-229X}},
  language     = {{eng}},
  number       = {{11}},
  pages        = {{815--824}},
  publisher    = {{Adis International}},
  series       = {{Drugs and Aging}},
  title        = {{Cutaneous Adverse Drug Reactions in the Elderly : a Retrospective Analysis in Thailand}},
  url          = {{http://dx.doi.org/10.1007/s40266-014-0209-x}},
  doi          = {{10.1007/s40266-014-0209-x}},
  volume       = {{31}},
  year         = {{2014}},
}