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editorial
. 2019 Sep 18;46(1):1–3. doi: 10.1093/schbul/sbz093

Table 1.

Eight Major Causes of Fatal Outcomes After Grouping Clozapine ADRs Reported to VigiBase

ADRs Fatal Outcomes Relative Lethalitya (%) Cases
Broad pneumoniab 2077 30 6983
Sudden deaths and cardiac arrestsc 1449 90 1614
Broad agranulocytosisd 550 2 34 931
Broad myocarditise 539 12 4586
Broad constipationf 326 12 2814
Broad arrhythmiag 319 5 6927
Broad seizureh 308 5 6231
Broad syncopei 299 7 4058

Note: ADRs, adverse drug reactions.

aRelative lethality = fatal outcomes/cases.

bBy adding pneumonia, lower respiratory infection, and aspiration. From 7181 reports we obtained 6983 cases.

cBy adding cardiac arrest and sudden death. From 1633 reports we obtained 1614 cases.

eBy adding agranulocytosis, WBC decrease, neutropenia, leukopenia, neutrophil count decrease, and granulocytopenia. From 47 879 reports we obtained 34 931 cases.

eBy adding cardiac failure, myocarditis, and cardiomyopathy. From 4839 reports we obtained 4586 cases.

fBy adding constipation, toxic megacolon, and paralytic ileus. From 2971 reports we obtained 2814 cases.

gBy adding tachycardia and arrhythmia. From 6987 reports we obtained 6927 cases.

hBy adding seizures and generalized tonic-clonic seizures. From 6327 reports we obtained 6231 cases.

iBy adding hypotension, syncope, and orthostatic hypotension. From 4343 reports we obtained 4058 cases.