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Effect of a trAnSitional Pharmacist Intervention in geRiatric Inpatients on Hospitals Visits After dischargE

Not Applicable
Completed
Conditions
Drug-Related Side Effects and Adverse Reactions
Interventions
Other: Multifaceted clinical pharmacy intervention
Registration Number
NCT04617340
Lead Sponsor
Universitaire Ziekenhuizen KU Leuven
Brief Summary

A randomized controlled trial will be performed in geriatric inpatients to investigate the impact of a multifaceted clinical pharmacy intervention on health related outcomes.

Detailed Description

Since drug-related harm remains persistently prevalent in older adults, there is an urgent and unmet clinical need to optimize pharmacotherapy both during hospital stay and after discharge Therefore, we aim to perform a randomized controlled trial in geriatric inpatients to investigate the impact of a multifaceted clinical pharmacy intervention on health related outcomes. The primary objective is to reduce all-cause unplanned hospital visits in geriatric inpatients. Secondary objective are to optimize drug therapy in geriatric inpatients and improve their health; To empower and educate patients, caregivers,community pharmacists and physicians regarding drug regimen decisions to maximize therapy adherence and the understanding of the (de)prescribing process and to enhance healthy ageing; To optimize transitional care from the hospital to primary care.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
827
Inclusion Criteria
  • Patients admitted to one of the study wards under supervision of a geriatrician
  • A written informed consent by the patient or his/her representative
  • Discharged from the hospital
Exclusion Criteria
  • Admitted for a maximum of one day
  • Unable to understand Dutch
  • Being in a palliative stage as stated in their medical record with active withdrawal of drug therapy
  • Patients being discharged to another ward within the same hospital or to another hospital

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intervention groupMultifaceted clinical pharmacy interventionThe clinical pharmacist-collaborative service in the intervention group comprises six steps based on the clinical pharmacy intervention proposal of Van der Linden et al (Drugs Aging 2020). The first three steps focus on optimizing the drug therapy of geriatric inpatients. The remaining steps target a safe transition from the hospital to the community.
Primary Outcome Measures
NameTimeMethod
Time to all-cause unplanned hospital visit after discharge.up to six months after discharge

An unplanned hospital visit is defined as an unplanned hospital admission or an emergency department visit

Secondary Outcome Measures
NameTimeMethod
MortalityUp to six months after discharge

Death date

General practitioners contactsUp to six months after discharge

Number of general practitioners contacts

Patient reported drug related problemsUp to one month after discharge

Number of drug related problems

Other types of hospital visitsUp to six months after discharge

Number of planned hospital admissions, number of emergency department visits, number of unplanned hospital admissions

Differences in painUp to one month after discharge

Numeric Rating Scale (NRS score) once a week (min 0 - max 10), a higher score indicating more pain

Medication adherenceOn admission and one month after discharge

BAASIS tool

Cost-effectivenessUp to six months after discharge

Healthcare related costs and Medicine productivity costs

Drug-related readmissionsUp to six months after discharge

Number of drug related readmissions

Fall incidentsUp to one month after discharge

Number of falls

Change in Quality of lifeon admission, one month after discharge and six months after discharge

five-level version of the EuroQol five-dimensional (EQ5D) descriptive system (EQ-5D-5L) questionnaire. values will be tranformed using a value set to a score from 0 - 1 (a higher score indicating a better quality of life)

MedicationsOn admission, at discharge and one month after discharge

Number of medications

Potentially inappropriate medicationsOn admission, at discharge and one month after discharge

RASP tool

Trial Locations

Locations (1)

University Hospitals Leuven

🇧🇪

Leuven, Belgium

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