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. Author manuscript; available in PMC: 2018 Oct 22.
Published in final edited form as: N Engl J Med. 2015 Oct 15;373(16):1531–1540. doi: 10.1056/NEJMsa1504267

Table 1.

Number of Cases and National Estimates of Emergency Department Visits for Dietary Supplement Adverse Events—United States, 2004–2013*

Characteristics Emergency Department Visits for Dietary Supplement Adverse Events
Cases, No. Annual Estimate
No. % 95% Confidence Interval
Age (years)
 ≤4 988 4,965 21.6 18.9 – 24.3
 5–10 126 697 3.0 2.3 – 3.7
 11–19 308 1,866 8.1 6.7 – 9.6
 20–34 930 6,433 28.0 25.1 – 30.8
 35–49 558 3,505 15.2 13.6 – 16.8
 50–64 399 2,682 11.7 9.8 – 13.5
 ≥65 358 2,857 12.4 10.1 – 14.7
Sex
 Female 2,121 13,402 58.3 56.4 – 60.1
 Male 1,546 9,602 41.7 39.9 – 43.6
Race
 Black 577 2,547 11.1 6.6 – 15.6
 White 1,586 11,710 50.9 40.6 – 61.2
 Other 552 3,166 13.8 7.5 – 20.1
 Unknown 952 5,581 24.3 15.2 – 33.3
Number of implicated products
 One supplement implicated 3,203 20,303 88.3 86.3 – 90.2
 >1 Supplement implicated 97 536 2.3 1.5 – 3.1
 Supplement and non-supplement implicated 367 2,165 9.4 7.6 – 11.2
Mechanism of adverse event
 Adverse reaction 1,152 7,663 33.3 29.9 – 36.7
 Allergic reaction 796 5,434 23.6 21.1 – 26.2
 Unsupervised child ingestion 946 4,871 21.2 18.4 – 24.0
 Excess dose 375 2,330 10.1 8.8 – 11.4
 Other 398 2,707 11.8 9.9 – 13.7
Disposition
 Discharged 3,267 20,850 90.6 88.0 – 93.3
 Hospitalized 400 2,154 9.4 6.7 – 12.0
Total 3,667 23,005 100.0 N/A
*

National Electronic Injury Surveillance System–Cooperative Adverse Drug Event Surveillance project, CDC.

For definitions please see Table S1 in Supplementary Appendix.