Effectiveness Pharmaceutical Care at Discharge in the Emergency Department: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 380
- 试验地点
- 1
- 主要终点
- Medication Adherence
研究概览
简要总结
The purpose of this study is to evaluate the effectiveness of pharmaceutical care, compared to usual care, in patient discharge in an emergency department in patients with hypertension and/or diabetes mellitus type 2.
详细描述
This is a randomized controlled, single-center study, with blinding of outcome assessors. A pilot study with ten patients was previously conducted in order to test study logistics and data collection instruments. Participants will be recruited from a public ED at Restinga district in Porto Alegre, southern Brazil.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Blood pressure inadequate control (systolic blood pressure ≥ 160 or diastolic blood pressure ≥ 100 mmHg) or
- •Diabetes mellitus inadequate Control( ≥ 200 mg/dL) or hypoglycemia moderate or severe
- •Be referred to clinical care.
排除标准
- •< 18 years
- •Not resident of Porto Alegre
- •Diabetes mellitus type I
- •Unable to answer the questionnaire or to sign the informed consent form
- •Hospital admission
研究组 & 干预措施
Pharmaceutical care
In the ED, immediately after discharge, participants randomized to the pharmaceutical care group will receive intervention coordinated by the study pharmacist.
干预措施: Pharmaceutical care (Other)
Usual care
In addition to counseling provided by a physician and by the nursing staff during their stay in the ED (usual care), patients randomized to the control group will receive the same printed material information on hypertension and/or diabetes medications and lifestyle interventions in order to keep patients masked.
结局指标
主要结局
Medication Adherence
时间窗: Two months
Outcome of interest: High Adherence According to the Brief Medication Questionnaire and Morisky-Green Test
次要结局
- Quality of Life(Two months)
- Blood Pressure Control(Two months)
- Glycated hemoglobin (HbA1C) for diabetic patients(two months)