A Randomized Controlled Pharmacist Intervention Study to Reduce Drug-related Problems and Readmissions Among Old People With Dementia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 460
- 试验地点
- 2
- 主要终点
- Number of Patients Readmitted Because of Drug Related Reasons
研究概览
简要总结
The aim of this randomized controlled study is to investigate if medication reviews performed by a clinical pharmacist as part of a ward team can reduce drug related problems and reduce readmissions to hospital among elderly patients (≥65 years) with dementia and cognitive failure.
Four hundred and sixty patients will be recruited and randomized to control (usual care) and intervention group (enhanced service in which a pharmacist is part of the health care team).
Six months after the last patient of the 460 has been discharged the study will be closed. Data about the number of readmissions and visits to the emergency room will be collected during the six-month follow-up and also, the costs associated with each visit or admission. Time until institutionalization will be compared between intervention group and control group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
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
- •Patients with dementia or cognitive impairment
- •Patients ≥ 65 years
排除标准
- •Patients previously admitted to the study wards during the study period
研究组 & 干预措施
Usual care
Medication review
干预措施: Medication review (Other)
结局指标
主要结局
Number of Patients Readmitted Because of Drug Related Reasons
时间窗: Six months follow-up
次要结局
- Frequency of Emergency Department Visits During the 6-month Follow-up.(Six months follow-up)
- Change in the Number of Participants With Potentially Inappropriate Medications, According to the Swedish National Board of Health and Welfare, at Admission and Discharge Between Intervention and Control Group(Index admission (at randomization) and index discharge (duration of index admission, mean days 8.7))
- Cost for Visits for Readmissions and to the Emergency Department Compared Between Patients in the Control Group and Intervention Group.(Six months follow-up)
- Number of Participants Institutionalized After Discharge, in Control Group and Intervention Group.(Six months follow-up)
研究者
Hugo Lovheim
Principal Investigator
Umeå University