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Signal detection of potentially drug-induced acute liver injury in children using a multi-country healthcare database network

  • C. Ferrajolo
  • , P. M. Coloma
  • , K. M. Verhamme
  • , M. J. Schuemie
  • , S. de Bie
  • , R. Gini
  • , R. Herings
  • , G. Mazzaglia
  • , G. Picelli
  • , C. Giaquinto
  • , L. Scotti
  • , P. Avillach
  • , L. Pedersen
  • , F. Rossi
  • , A. Capuano
  • , J. van der Lei
  • , G. Trifiro
  • , M. C. Sturkenboom
  • , Eu-Adr consortium

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: Data mining in spontaneous reporting databases has shown that drug-induced liver injury is infrequently reported in children. OBJECTIVES: Our objectives were to (i) identify drugs potentially associated with acute liver injury (ALI) in children and adolescents using electronic healthcare record (EHR) data; and (ii) to evaluate the significance and novelty of these associations. METHODS: We identified potential cases of ALI during exposure to any prescribed/dispensed drug for individuals 1 and in the presence of at least three exposed cases of ALI. Potentially new signals were distinguished from already known associations concerning ALI (whether in adults and/or in the paediatric population) through manual review of published literature and drug product labels. RESULTS: The study population comprised 4,838,146 individuals aged
Original languageEnglish
Pages (from-to)99-108
Number of pages10
JournalDrug safety
Volume37
Issue number2
DOIs
Publication statusPublished - 2014

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 16 - Peace, Justice and Strong Institutions
    SDG 16 Peace, Justice and Strong Institutions
  2. SDG 17 - Partnerships for the Goals
    SDG 17 Partnerships for the Goals

Keywords

  • Adolescent *Adverse Drug Reaction Reporting Systems/organization & administration/statistics & numerical data Chemical and Drug Induced Liver Injury/*epidemiology/etiology Child Child Welfare Child, Preschool *Data Mining Databases, Factual Drug-Related Side Effects and Adverse Reactions/*epidemiology/etiology Electronic Health Records European Union Humans Infant Infant, Newborn International Cooperation Liver Failure, Acute/*epidemiology/etiology

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