Safer Prescribing and Care for the Elderly (SPACE): Cluster RCT in New Zealand General Practice testing a complex intervention comprising audit and feedback plus triggering patient motivation

The University of Auckland0 个研究点目标入组 21,877 人开始时间: 2018年1月12日最近更新: 2021年5月10日

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•Patients (‘vulnerable patients’) will be included in the study if, at baseline, they fulfil one or more of the following inclusion criteria:
•Gastrointestinal risk factors (and not on gastro-protective medication) - Prior peptic ulcer; 75y and older; 65y and older prescribed aspirin; Prescribed oral anticoagulant
•Renal risk factors - Prescribed both renin-angiotensin system blocker and diuretic; chronic kidney disease (eGFR <60)
•Cardiac risk factors - Heart failure
•Where patients have baseline assessments included in one study practice and then move to a second study practice before baseline assessment at the second practice, they will be included as study participants in the second practice only.

•All patients fulfilling inclusion criteria in participating practices will be included. If children fulfil the inclusion criteria they will be included. This is highly unlikely given the inclusion criteria. No children were identified in audits during the feasibility study. We see no reason to exclude children - if children are receiving high-risk prescribing then it makes sense for doctors to review their medicines as well. The intervention is designed to promote medicines review.

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