The Effect of a trAnSitional Pharmacist Intervention in geRiatric Inpatients on Hospitals Visits After dischargE (ASPIRE): a Randomized Controlled Trial
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Drug-Related Side Effects and Adverse Reactions
- Sponsor
- Universitaire Ziekenhuizen KU Leuven
- Enrollment
- 827
- Locations
- 1
- Primary Endpoint
- Time to all-cause unplanned hospital visit after discharge.
- Status
- Completed
- Last Updated
- last year
Overview
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.
Investigators
Eligibility Criteria
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
Outcomes
Primary Outcomes
Time to all-cause unplanned hospital visit after discharge.
Time Frame: up to six months after discharge
An unplanned hospital visit is defined as an unplanned hospital admission or an emergency department visit
Secondary Outcomes
- 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)