Impact of Optimization of Drug Treatment of Elderly Admitted in 4 Acute Geriatric Wards : Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 665
- 试验地点
- 1
- 主要终点
- Rate of unplanned readmissions, including emergency consultations,
研究概览
简要总结
A randomized trial has been designed to determine if this complex intervention can significantly decrease the risk of unplanned readmissions in this very elderly population, compared with usual care.
详细描述
Drug treatment in elderly is not yet optimal. 20 to 30% of admissions of elderly aged over 80 are related to drug problems, most of them being preventable. To decrease drug related hospitalizations need iatrogenic prevention, compliance improvement, and underuse decrease. A multifaceted intervention has been designed, included three dimensions : 1/ drug optimization 2/ patient and/or caregiver education and 3/ better coordination with home health professionals before discharge.
A randomized trial has been designed to determine if this complex intervention can significantly decrease the risk of unplanned readmissions in this very elderly population, compared with usual care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 70 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients hospitalized as a matter of urgency in unity(unit) of geriatrics acute
- •Patients of more than 70 years old
- •Hospitalization in the Unity(Unit) of Geriatrics foreseen(planned) superior acute in 5 days
- •enlightened assent writing and signed
- •preliminary medical examination
排除标准
- •Patients in scheduled(programmed) hospitalization
- •Patient in palliative care
- •Patient whose vital forecast is engaged(opened) in 3 months
- •Patient already include during a previous hospitalization Patient already included in a study concerning the therapeutic care
- •Followed medical impossible (refusal of care, absence of alive regular, patient doctor abroad)
- •not membership to a regime of Social Security or CMU
- •Patient not speaking French
研究组 & 干预措施
1
干预措施: drug - oriented multifaceted intervention (Procedure)
结局指标
主要结局
Rate of unplanned readmissions, including emergency consultations,
时间窗: during the study
次要结局
- Mortality at 6 months,(at 6 months)
- delay before readmission,(before readmission)
- number of drug events related readmissions.(readmissions)
- Data collected at 3 and 6 months(at 3 and 6 months)