BJGP Interviews
BJGP Interviews
The British Journal of General Practice
Adverse drug reactions– how common are these in general practice and what are the implications for practice?
16 minutes Posted Jan 31, 2023 at 7:00 am.
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Show notes

In this episode, we talk to Professor Emma Wallace, who is a GP and Professor of General Practice at University College Cork about the incidence and severity of adverse drug reactions in older adults in the community. 

Title of paper: Cumulative incidence and severity of adverse drug reactions and associated patient characteristics in older community-dwelling adults attending general practice – a six year prospective cohort study

Available at: https://doi.org/10.3399/BJGP.2022.0181

No prospective studies have examined adverse drug reaction (ADR) occurrence among older adults attending general practice. ADRs were found to occur for approximately 1 in 4 older adults over a six-year period. Cardiovascular, nervous system and anti-infective drugs for systemic use were the most commonly implicated drug classes. Approximately 1 in 4 ADRs rated as moderate result in additional healthcare utilisation. Female sex, polypharmacy (5-9 drug classes) and major polypharmacy (≥10 drug classes) increased the likelihood for ADRs.