Home Improvement Initiative of the TRaitement Optimisé Medicamenteux After Hospitalization
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 223
- 试验地点
- 4
- 主要终点
- Compliance of patients' medication intake at 45 days (D45) compared to the discharge prescription (D0): drugs prescribed and taken by patients (chronic disease treatments only)
研究概览
简要总结
The hypothesis is that the intervention of an operational clinical pharmacy team (EOPC), targeting both patients and hospital and health care professionals, allows: i) to initiate a therapeutic review during hospitalization, ii) to accompany the patients upon hospital discharge, iii) to maintain, in outpatient care, the drug treatments that have been optimized during hospitalization.
The main objective of the study is to demonstrate that the intervention of an EOPC in surgical departments and then in outpatient care makes it possible to maintain, 45 days after the discharge of the patients aged 65 years and over, the chronic outpatient treatments revised and optimized during the hospital stay.
The secondary objectives are to measure the impacts of EOPC's intervention on:
- unexpected readmissions, emergency use, medical complications and adverse drug reactions;
- patient and health professional satisfactions (community pharmacists and physicians);
- the costs of drug treatments in ambulatory care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient (man or woman)
- •age ≥ 65 years with more than 3 drugs taken for 3 months, stay in surgery with a duration of ≥ 1 days including urgent surgery;
- •affiliated to a social health insurance scheme;
- •for whom a return home is possible;
- •able to understand the objectives of the research and give informed, dated and signed consent.
排除标准
- •Patient (man or woman)
- •with as a hospital discharge an entry into a nursing home or long-term care called "important medical and technical care (SMTI);
- •with cognitive or other problems preventing consent (at the discretion of the geriatric expertise team);
- •under the safeguard of justice;
- •under tutorship or curatorship.
结局指标
主要结局
Compliance of patients' medication intake at 45 days (D45) compared to the discharge prescription (D0): drugs prescribed and taken by patients (chronic disease treatments only)
时间窗: 45 days
Compliance is defined as the absence of discrepancies between D0 and D+45. Conversely, the presence of a discrepancy is defined as the presence of at least one deviation of drug intake at D+45 from D0.
次要结局
未报告次要终点