Adverse drug events and the associated factors in patients with chronic Chagas disease

Rev Soc Bras Med Trop. 2020 Apr 22:53:e20190443. doi: 10.1590/0037-8682-0443-2019. eCollection 2020.

Abstract

Introduction: Herein, we aimed to identify the factors associated with adverse drug events (ADEs) in chronic Chagas disease (CD) patients.

Methods: We analyzed 320 medical notes from 295 patients. The Naranjo algorithm was applied to determine the cause of ADEs. Mixed effects logistic regression was performed to evaluate the factors associated with ADEs.

Results: ADEs were described in 102 medical notes (31.9%). Captopril was most frequently associated with ADEs. Age (RR 0.96; 95%CI 0.94-0.99) and cardiac C/D stages (RR 3.24; 95%CI 1.30-4.58) were the most important clinical factors associated with ADEs.

Conclusions: Close follow-up is warranted for CD patients.

MeSH terms

  • Aged
  • Algorithms
  • Brazil / epidemiology
  • Chagas Disease / drug therapy*
  • Chronic Disease
  • Drug-Related Side Effects and Adverse Reactions / epidemiology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Severity of Illness Index
  • Socioeconomic Factors