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Rottenkolber, D. ; Schmiedl, S.* ; Rottenkolber, M.* ; Farker, K.* ; Saljé, K.* ; Mueller, S.* ; Hippius, M.* ; Thuermann, P.A.* ; Hasford, J.* ; Net of Regional Pharmacovigilance Centers (*)

Adverse drug reactions in Germany: Direct costs of internal medicine hospitalizations.

Pharmacoepidemiol. Drug Saf. 20, 626-634 (2011)
DOI PMC
Open Access Green as soon as Postprint is submitted to ZB.
PURPOSE: German hospital reimbursement modalities changed as a result of the introduction of Diagnosis Related Groups (DRG) in 2004. Therefore, no data on the direct costs of adverse drug reactions (ADRs) resulting in admissions to departments of internal medicine are available. The objective was to quantify the ADR-related economic burden (direct costs) of hospitalizations in internal medicine wards in Germany. METHODS: Record-based study analyzing the patient records of about 57 000 hospitalizations between 2006 and 2007 of the Net of Regional Pharmacovigilance Centers (Germany). All ADRs were evaluated by a team of experts in pharmacovigilance for severity, causality, and preventability. The calculation of accurate person-related costs for ADRs relied on the German DRG system (G-DRG 2009). Descriptive and bootstrap statistical methods were applied for data analysis. RESULTS: The incidence of hospitalization due to at least 'possible' serious outpatient ADRs was estimated to be approximately 3.25%. Mean age of the 1834 patients was 71.0 years (SD 14.7). Most frequent ADRs were gastrointestinal hemorrhage (n = 336) and drug-induced hypoglycemia (n = 270). Average inpatient length-of-stay was 9.3 days (SD 7.1). Average treatment costs of a single ADR were estimated to be approximately €2250. The total costs sum to €434 million per year for Germany. Considering the proportion of preventable cases (20.1%), this equals a saving potential of €87 million per year. CONCLUSIONS: Preventing ADRs is advisable in order to realize significant nationwide savings potential. Our cost estimates provide a reliable benchmark as they were calculated based on an intensified ADR surveillance and an accurate person-related cost application.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords adverse drug reaction; health economics; hospital admission; internal medicine; pharmacovigilance
ISSN (print) / ISBN 1053-8569
e-ISSN 1099-1557
Quellenangaben Volume: 20, Issue: 6, Pages: 626-634 Article Number: , Supplement: ,
Publisher Wiley
Non-patent literature Publications
Reviewing status Peer reviewed