The Effect of a trAnSitional Pharmacist Intervention in geRiatric Inpatients on Hospitals Visits After dischargE (ASPIRE): a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 827
- 试验地点
- 1
- 主要终点
- Time to all-cause unplanned hospital visit after discharge.
研究概览
简要总结
A randomized controlled trial will be performed in geriatric inpatients to investigate the impact of a multifaceted clinical pharmacy intervention on health related outcomes.
详细描述
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.
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
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Time to all-cause unplanned hospital visit after discharge.
时间窗: up to six months after discharge
An unplanned hospital visit is defined as an unplanned hospital admission or an emergency department visit
次要结局
- General practitioners contacts(Up to six months after discharge)
- Mortality(Up to six months after discharge)
- Patient reported drug related problems(Up to one month after discharge)
- Other types of hospital visits(Up to six months after discharge)
- Differences in pain(Up to one month after discharge)
- Medication adherence(On admission and one month after discharge)
- Cost-effectiveness(Up to six months after discharge)
- Drug-related readmissions(Up to six months after discharge)
- Fall incidents(Up to one month after discharge)
- Change in Quality of life(on admission, one month after discharge and six months after discharge)
- Medications(On admission, at discharge and one month after discharge)
- Potentially inappropriate medications(On admission, at discharge and one month after discharge)