Global Medical Assessment of Elderly Frail Patients
Conditions
Keywords
Frail Elderly, Patient Education, Drug optimization, Underuse, Vulnerable, Drug related hospitalization, Medical intervention
Brief summary
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.
Detailed description
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.
Interventions
PROCEDUREdrug - oriented multifaceted intervention
oriented multifaceted intervention
Sponsors
Assistance Publique - Hôpitaux de Paris
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 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
Exclusion criteria
* 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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of unplanned readmissions, including emergency consultations, | during the study |
Secondary
| Measure | Time frame |
|---|---|
| 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 |
Countries
France
Outcome results
None listed