Skip to main content
Log in

Adverse Reactions to Drugs as a Cause of Admissions to a General Teaching Hospital in Hong Kong

  • Original Research Article
  • Pharmacoepidemiology
  • Published:
Drug Safety Aims and scope Submit manuscript

Summary

To determine the pattern of and the risk factors for adverse drug reactions (ADRs) in Hong Kong, a prospective study of acute admissions to 2 general medical wards at the Prince of Wales Hospital was undertaken. Of the 1701 admissions included in this study, 74 (4.4%) were attributed to ADRs.

Sulphonylureas, nonsteroidal anti-inflammatories (NSAIDs) and insulin accounted for 61% of cases. The most frequent ADRs were hypoglycaemia (43%) and gastrointestinal haemorrhage (29.7%). Both old age and impaired renal function appear to be important risk factors for ADRs. In such situations, careful dose adjustment, use of an alternative drug or total avoidance may be necessary. Particular attention should be given to oral hypoglycaemic drugs and NSAIDs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Asplund K, Wilholm BE, Lithner F. Glibenclamide-associated hypoglycaemia: a report on 57 cases. Diabetologia 24: 412–417, 1983

    Article  PubMed  CAS  Google Scholar 

  • Berger W, Caduff F, Paquel M, Rump A. Die relative Haufigkeit der schweren Sulfonlharnstoff-Hypoglykamie in den letzten 25 Jahren in der Schweiz. Schweizerische Medizinische Wochenschrift 116: 145–151, 1986

    PubMed  CAS  Google Scholar 

  • Bergman U, Wiholm BE. Drug-related problems causing admission to a medical clinic. European Journal of Clinical Pharmacology 20: 193–200, 1981

    Article  PubMed  CAS  Google Scholar 

  • Caransos GJ, Stewart RB, Cluff LE. Drug-induced illness leading to hospitalisation. Journal of the American Medical Association 228: 713–717, 1974

    Article  Google Scholar 

  • Grymonpre RE, Mitenko PA, Sitar DS, Aoki FY, Montgomery PR. Drug-associated hospital admissions in older medical patients. Journal of the American Geriatrics Society 36: 1092–1098, 1988

    PubMed  CAS  Google Scholar 

  • Hawkey CJ. Non-steroidal anti-inflammatory drugs and peptic ulcers. British Medical Journal 300: 278–284, 1990

    Article  PubMed  CAS  Google Scholar 

  • Holmberg L, Bottiger LE. The drug-consuming patient and his drugs. Acta Medica Scandinavica 213: 211–216, 1983

    Article  PubMed  CAS  Google Scholar 

  • Hurwitz N. Admissions to hospital due to drugs. British Medical Journal 1: 539–540, 1969

    Article  PubMed  CAS  Google Scholar 

  • Karcn FE, Lasagna L. Adverse drug reactions: a critical review. Journal of the American Medical Association 234: 1236–1241, 1975

    Article  Google Scholar 

  • Lam CLK, Tse MHW, Munro C. A study of the practice of self-medication in Hong Kong. Hong Kong Practitioner 11: 272–286, 1989a

    Google Scholar 

  • Lam CLK, Tse MHW, Munro C. A survey on the use of self-medication over a period of two weeks. Hong Kong Practitioner 11: 371–375, 1989b

    Google Scholar 

  • Levy M, Kewitz H, Altwein W, Hillebrand J, Eliakim M. Hospital admissions due to adverse drug reactions: a comparative study from Jerusalem and Berlin. European Journal of Clinical Pharmacology 17: 25–31, 1980

    Article  PubMed  CAS  Google Scholar 

  • Miller RR. Hospital admissions due to adverse drug reactions: a report from the Boston Collaborative Drug Surveillance Program. Archives of Internal Medicine 134: 219–223, 1974

    Article  PubMed  CAS  Google Scholar 

  • Nananda C, Fanale JE, Kronholm P. The role of medication non-compliance and adverse drug reactions in hospitalizations of the elderly. Archives of Internal Medicine 150: 841–845, 1990

    Article  Google Scholar 

  • Selzer HS. Drug-induced hypoglycaemia: a review based on 473 cases. Diabetes 21: 955–966, 1972

    Google Scholar 

  • Smith JW, Seidl LG, Cluff LE. Studies on the epidemiology of adverse drug reactions. Annals of Internal Medicine 65: 629–640, 1966

    PubMed  CAS  Google Scholar 

  • Woo J, Swaminathan R, Cockram C, Pang CP, Mak YT, et al. The prevalence of diabetes mellitus and an assessment of methods of detection among a community of elderly Chinese in Hong Kong. Diabetologia 30: 863–868, 1987

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chan, T.Y.K., Chan, J.C.N., Tomlinson, B. et al. Adverse Reactions to Drugs as a Cause of Admissions to a General Teaching Hospital in Hong Kong. Drug-Safety 7, 235–240 (1992). https://doi.org/10.2165/00002018-199207030-00008

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2165/00002018-199207030-00008

Keywords

Navigation