Hospital Admissions Caused by Iatrogenic Disease

doi:10.1001/archinte.1986.00360220075016

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Vol. 146 No. 10, October 1986

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Hospital Admissions Caused by Iatrogenic Disease

Mark C. Lakshmanan, MD; Charles O. Hershey, MD; Daniel Breslau

Arch Intern Med. 1986;146(10):1931-1934.

Abstract

• Complications of medical therapy requiring hospitalizationaffect the costs and quality of medical care. We studied alladmissions to the medical services of a public teaching hospitalto characterize current incidence and cause of iatrogenic admissions.We studied 834 admissions resulting in 47 distinct iatrogenicevents and 45 iatrogenic admissions (5.4%). Thirty-five caseswere caused by medications, nine by procedures, one by radiotherapy,one by transfusional therapy, and one by nosocomial infection.Almost 50% of these admissions were avoidable. Though the incidenceof iatrogenic admissions in this study is similar to that inprevious reports, the profile of the responsible agents is different.We did not find relationships with age, number or type of diagnoses,or number of medications on admission. Study of other patientand physician characteristics may be more rewarding in reducingthe number of iatrogenic complications.

(Arch Intern Med 1986;146:1931-1934)

Author Affiliations

From the Department of Medicine, Case Western Reserve University, Cleveland Metropolitan General Hospital. Dr Lakshmanan is now with the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Md.

Footnotes

Accepted for publication Jan 24, 1986.

Reprint requests to Clinical Endocrinology Branch, NationalInstitute of Diabetes and Digestive and Kidney Diseases, Bldg10, Room 8N318, National Institutes of Health, Bethesda, MD20892 (Dr Lakshmanan).

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