Opportunities and Limits to Deprescribing in Nursing Homes:Quality Circle Deprescribing Module
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 56
- 试验地点
- 2
- 主要终点
- Percentage of Potentially Inappropriate Galenic Units
研究概览
简要总结
Older people residing in nursing homes (NH) are frequently polymedicated and often prescribed potentially inappropriate medications. Deprescribing has been proposed as a way to reduce the number of drugs they receive and their exposure to harmful treatments.
The objectives of this study are 1) To evaluate the effect of a deprescribing-specific interdisciplinary quality circle module on the use of potentially inappropriate medication in nursing-home residents. 2) To determine the effective strategies to reach and implement deprescribing consensus resulting of said quality circle module.
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
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Nursing homes taking part in the study must have
- •a geriatric of psycho-geriatric mission;
- •been part of their cantonal pharmaceutical assistance program for at least a year.
排除标准
- 未提供
结局指标
主要结局
Percentage of Potentially Inappropriate Galenic Units
时间窗: 12 months
The primary outcome is the percentage, at follow-up, of potentially inappropriate galenic units at follow-up, relative to the total number of galenic units used in the nursing home.
Number of Potentially Inappropriate Defined Daily Doses (DDDs) Per Average Resident and Per Day
时间窗: 12 months
Sum of Defined Daily Doses identified as potentially inappropriate (PIM, see protocol for assessement method), divided by the total number of days spent in the NH
次要结局
- Number of Potentially Inappropriate DDD to Avoid(12 months)
- Number of Potentially Inappropriate DDD to Reevaluate(12 months)
- Number of Hospital Days(12 months)
- Mortality Rate(12 months)
- Number of Falls Per Average Resident and Per Year(12 months)
- Percentage of Residents With at Least One Day of Physical Restraints Use(12 months)
研究者
Anne Niquille
Dr
University of Geneva, Switzerland