Elderly, Medication Reconciliation, Patient Readmission
Conditions
Keywords
Elderly, Medication Reconciliation, Patient Readmission
Brief summary
This study evaluates the impact of optimizing drug prescriptions on re-admissions of elderly patients within 30 days after hospital discharge. It compares a group of patients receiving comprehensive care (medication reconciliation at hospital entry, multidisciplinary medication review, and medication reconciliation at discharge), versus another group that does not benefit from the program.
Interventions
OTHERglobal care
Medication Reconciliation at admission, Multidisciplinary medication review, Medication Reconciliation at discharge
Sponsors
Lille Catholic University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients hospitalized in the department of short geriatric stay
Exclusion criteria
* Patients already included in the study, and readmitted in the same service.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of readmission at 30 days | 30 days | Evaluate the impact of optimizing drug prescriptions on re-admissions of elderly patients within 30 days of return to home.Only direct re-admissions to emergency and geriatric short-stay services in participating centres will be counted. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time between discharge and first readmission | 30 days | Evaluate the impact of medication management on the time required for the first re-admission to hospital, if it takes place before 30 days. |
| Rate of changes in the prescription after hospital discharge by the general practitioner | 30 days | Estimate the impact of this process on the preservation of the prescription after hospital discharge by general practitioner within the 30 days following the return home actual number of discrepancies, what may have caused the change and which are the concerned drugs |
| Identification of Seniors at Risk (ISAR) score | 30 days | This score is based on 6 yes/no questions. T e total scale range is from 0 to 6. Each item is scored 1 if there is a problem or 0 if there is not, being the maximum score =6. |
Countries
France
Contacts
PRINCIPAL_INVESTIGATORFabien Visade, MD
GHICL
Outcome results
None listed