Geriatrics
Conditions
Interventions
Usual care includes medication reconciliation, patient education, monitoring, and providing information about discharge medications.
Pharmacist interventions include medication reconciliation, advice
physician in stopping unnecessary or inappropriate medications and starting necessary medications, patient education, monitoring, and providing written summary information about discharge medications
Sponsors
National Hospital Organization Tochigi Medical Center
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Aged more or 70 years 2) Polypharmacy (defined as 5 or more medications) or at least one potentially inappropriate medication (defined by 2015 STOPP criteria8) at admission
Exclusion criteria
Exclusion criteria: 1)Elective admission 2)Inability to contact patients within 72 hours after their admission 3)Expected duration of hospital stay of < one week
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the readmission rate within one year after randomization. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are the proportion of patients who undergo Emergency Department (ED) visits, all-cause death, a new fracture, acute myocardial infarction, and ischemic stroke. Other outcomes include the number of medications, potentially inappropriate medications, and potential prescribing omissions. | — |
Countries
Japan
Contacts
Public ContactKenichi Sugawara
National Hospital Organization Tochigi Medical Center Department of Pharmacy
Outcome results
None listed