PMID- 24339697 OWN - NLM STAT- MEDLINE DCOM- 20140826 LR - 20211021 IS - 1598-6357 (Electronic) IS - 1011-8934 (Print) IS - 1011-8934 (Linking) VI - 28 IP - 12 DP - 2013 Dec TI - Comparison of the safety of seven iodinated contrast media. PG - 1703-10 LID - 10.3346/jkms.2013.28.12.1703 [doi] AB - We aimed to determine the characteristic adverse events (AEs) of iodinated contrast media (IOCM) and to compare the safety profiles of different IOCM. This study used the database of AEs reports submitted by healthcare professionals from 15 Regional Pharmacovigilance Centers between June 24, 2009 and December 31, 2010 in Korea. All reports of IOCM, including iopromide, iohexol, iopamidol, iomeprol, ioversol, iobitridol and iodixanol, were analyzed. Safety profiles were compared between different IOCM at the system organ level using the proportional reporting ratio (PRR) and 95% confidence interval (95% CI). Among a total of 48,261 reports, 6,524 (13.5%) reports were related to the use of IOCM. Iopromide (45.5%), iohexol (16.9%), iopamidol (14.3%) and iomeprol (10.3%) were identified as frequently reported media. 'Platelet, bleeding & clotting disorders' (PRR, 29.6; 95%CI, 1.9-472.6) and 'urinary system disorders' (PRR, 22.3; 95% CI, 17.1-29.1) were more frequently reported for iodixanol than the other IOCM. In conclusion, the frequency of AEs by organ class was significantly different between individual media. These differences among different IOCM should be considered when selecting a medium among various IOCM and when monitoring patients during and after its use to ensure optimum usage and patient safety. FAU - Seong, Jong-Mi AU - Seong JM AD - Office of Drug Safety Information II, Korea Institute of Drug Safety & Risk Management, Seoul, Korea. ; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea. FAU - Choi, Nam-Kyong AU - Choi NK FAU - Lee, Joongyub AU - Lee J FAU - Chang, Yoosoo AU - Chang Y FAU - Kim, Ye-Jee AU - Kim YJ FAU - Yang, Bo Ram AU - Yang BR FAU - Jin, Xue-Mei AU - Jin XM FAU - Kim, Ju-Young AU - Kim JY FAU - Park, Byung-Joo AU - Park BJ LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131126 PL - Korea (South) TA - J Korean Med Sci JT - Journal of Korean medical science JID - 8703518 RN - 0 (Contrast Media) RN - 0 (Iodine Radioisotopes) RN - 0 (Radiopharmaceuticals) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Blood Platelet Disorders/chemically induced MH - Child MH - Child, Preschool MH - Contrast Media/*adverse effects MH - Databases, Factual MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - Iodine Radioisotopes/chemistry MH - Male MH - Middle Aged MH - Neoplasms/diagnostic imaging MH - Radionuclide Imaging MH - Radiopharmaceuticals/*adverse effects MH - Urologic Diseases/chemically induced MH - Young Adult PMC - PMC3857363 OTO - NOTNLM OT - Adverse Drug Reaction Reporting Systems OT - Contrast Media OT - Patient Safety COIS- The authors have no conflicts of interest to disclose. EDAT- 2013/12/18 06:00 MHDA- 2014/08/27 06:00 PMCR- 2013/12/01 CRDT- 2013/12/17 06:00 PHST- 2013/07/01 00:00 [received] PHST- 2013/09/30 00:00 [accepted] PHST- 2013/12/17 06:00 [entrez] PHST- 2013/12/18 06:00 [pubmed] PHST- 2014/08/27 06:00 [medline] PHST- 2013/12/01 00:00 [pmc-release] AID - 10.3346/jkms.2013.28.12.1703 [doi] PST - ppublish SO - J Korean Med Sci. 2013 Dec;28(12):1703-10. doi: 10.3346/jkms.2013.28.12.1703. Epub 2013 Nov 26.