Comprehensive Management of Drug Prescriptions Throughout the Elderly Person's Hospital Care

Not Applicable

Completed

• Conditions: Elderly; Medication Reconciliation; Patient Readmission
• Interventions: Other: global care

• Registration Number: NCT03666793
• Lead Sponsor: Lille Catholic University

Brief Summary

This study evaluates the impact of optimizing drug prescriptions on re-admissions of elderly patients within 30 days after hospital discharge. It compares a group of patients receiving comprehensive care (medication reconciliation at hospital entry, multidisciplinary medication review, and medication reconciliation at discharge), versus another group that does not benefit from the program.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-09-10
• Study First Submitted QC: 2018-09-10
• Study First Posted: 2018-09-12
• Study Start: 2018-09-18
• Primary Completion: 2018-12-17
• Study Completion: 2019-01-17
• Status Verified: 2019-03
• Last Update Submitted: 2019-03-19
• Last Update Posted: 2019-03-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 109

Inclusion Criteria

• Patients hospitalized in the department of short geriatric stay

Exclusion Criteria

• Patients already included in the study, and readmitted in the same service.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
experimental: Reconciliation group	global care	medical reconciliation at admission, multidisciplinary medication review, medical reconciliation at discharge of the hospital

Primary Outcome Measures

Name	Time	Method
Rate of readmission at 30 days	30 days	Evaluate the impact of optimizing drug prescriptions on re-admissions of elderly patients within 30 days of return to home.Only direct re-admissions to emergency and geriatric short-stay services in participating centres will be counted.

Secondary Outcome Measures

Name	Time	Method
Time between discharge and first readmission	30 days	Evaluate the impact of medication management on the time required for the first re-admission to hospital, if it takes place before 30 days.
Rate of changes in the prescription after hospital discharge by the general practitioner	30 days	Estimate the impact of this process on the preservation of the prescription after hospital discharge by general practitioner within the 30 days following the return home actual number of discrepancies, what may have caused the change and which are the concerned drugs
Identification of Seniors at Risk (ISAR) score	30 days	This score is based on 6 yes/no questions. T e total scale range is from 0 to 6. Each item is scored 1 if there is a problem or 0 if there is not, being the maximum score =6.

Trial Locations

Locations (1)

GHICL; 🇫🇷 Lomme, France