Rationalisation of Polypharmacy by the Geriatric Consultation Team Using the RASP List: a Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Number of medication-related recommendations by the geriatric consultation team.
研究概览
简要总结
Polypharmacy is a common problem in elderly, leading among others to increased adverse drug events. The aim of this pilot study was to evaluate whether a systematic medication evaluation by a geriatric consultation team using the RASP (Rationalisation of drugs on admission by an adjusted STOPP*-list in older patients) list could reduce inappropriate prescribing for elderly admitted patients, admitted to non-geriatric departments.
(* = Screening Tool of Older Persons' potentially inappropriate Prescriptions)
详细描述
Polypharmacy and (potentially) inappropriate prescribing is highly prevalent in the older population, associated with increase health care expenditures, morbidity and avoidable adverse events .
The aim of this pilot study was to evaluate whether a systematic medication evaluation by a geriatric consultation team (GCT) using the RASP (Rationalisation of drugs on admission by an adjusted STOPP-list in older patients) list could reduce inappropriate prescribing for older admitted patients, admitted to non-geriatric departments. The GCT could offer the ideal format to deliver the intervention to a broad older hospitalised population.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 75 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Admitted to a non-geriatric ward
- •75 years or older
- •Dutch speaking
- •Consultation by the GCT
排除标准
- •End-of-life
- •No drugs on admission
结局指标
主要结局
Number of medication-related recommendations by the geriatric consultation team.
时间窗: The number was ascertained at time of discharge from the ward, taking into account an average hospital stay of 14 days.
次要结局
- Number of drugs at discharge, relative to the drugs on admission.(The number was ascertained at time of discharge from the ward, taking into account an average hospital stay of 14 days.)
- Number of potentially inappropriate drugs at discharge, as identified by the RASP list.(The number was ascertained at time of discharge from the ward, taking into account an average hospital stay of 14 days.)
- Acceptance rate of the GCT interventions by the treating physician.(Up to 72 hours after the GCT had given its recommendations.)