Abstract
Drug-induced interstitial pneumonia (DIP) is a serious adverse drug reaction. The occurrence rete of DIP was evaluated by clinical trial before available in the market. However, due to limited number of cases in clinical trials, it may be inapplicable to the real market. We aimed to seek a method to evaluate the occurrence rate of DIP using clinical data warehouse at a hospital. Initially we developed a method that assesses whether presence of IP was written in reports by natural language processing. Next we detected DIP by estimating IP before, during and after the drug administration. Presence of IP was determined according to the reports of CT if CT was performed, otherwise it was determined based on the changes in the results of chest X-ray, level of KL-6 or SP-D. DIP was determined according to the pattern of presence of IP in each phase. In this study we chose amiodarone as a target drug. The number of patients who suffered from IP caused by amiodarone was 16 (3.9 %), including one definitively diagnosed and 15 strong doubt cases. Most of them could be validated by medical record chart. Using this method, we were able to successfully detect occurrence of DIP from accumulated data in a hospital information system.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bates, D.W., Evans, R.S., Murff, H., et al.: Detecting adverse events using information technology. J. Am. Med. Inform. Assoc. 10, 115–128 (2003)
Harpaz, R., Vilar, S., DuMouchel, W., et al.: Combing signals from spontaneous reports and electronic health records for detection of adverse drug reactions. J. Am. Med. Inform. Assoc. 20, 413–419 (2013)
Coloma, P.M., Schuemie, M.J., Ferrajolo, C., et al.: A reference standard for evaluation of methods for drug safety signal detection using electronic healthcare record databases. Drug Saf 36, 13–23 (2013)
Strom, B.L.: Overview of automated databases in pharmacoepidemiology. In: Pharmacoepidemiology, 5th edn, pp. 158–182. Wiley, New York (2005)
Bates, D.W., Evants, R.S., Murff, H., et al.: Detecting adverse events using information technology. J. Am. Med. Inf. Assoc. 10, 115–128 (2003)
Cheetham, T.C., Lee, J., Hunt, C.M., et al.: An automated causality assessment algorithm to detect drug-induced liver injury in electronic medical record data. Pharmacoepidemiol. Drug Saf. 23, 601–608 (2014)
KHCoder v2.0, 29 October 2013 http://khc.sourceforge.net/en/. Accessed 15 April 2015
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this paper
Cite this paper
Shimai, Y., Takeda, T., Manabe, S., Teramoto, K., Mihara, N., Matsumura, Y. (2016). Method for Detecting Drug-Induced Interstitial Pneumonia from Accumulated Medical Record Data at a Hospital. In: Chen, YW., Torro, C., Tanaka, S., Howlett, R., C. Jain, L. (eds) Innovation in Medicine and Healthcare 2015. Smart Innovation, Systems and Technologies, vol 45. Springer, Cham. https://doi.org/10.1007/978-3-319-23024-5_2
Download citation
DOI: https://doi.org/10.1007/978-3-319-23024-5_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-23023-8
Online ISBN: 978-3-319-23024-5
eBook Packages: EngineeringEngineering (R0)