Benefit of a Collaborative Approach to Improve the Quality of Medicines Use in Elderly Inpatients
The purpose of this study is to evaluate the impact of a collaborative approach (geriatric care involving the collaboration with a clinical pharmacist) to optimize the prescription of medicines for elderly inpatients.
|Study Design:||Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Educational/Counseling/Training
|Official Title:||Collaborative Approach to Improve the Quality of Medicines Use in Elderly Inpatients - Randomized Controlled Trial|
- Appropriateness of prescribing (using the Medication Appropriateness Index, the Beers criteria, and the ACOVE criteria of underuse) on admission, at discharge, and 3 months post-discharge
- Polymedication on admission, at discharge, and 1,3,12 months after discharge
- Mortality, readmission to hospital and visit to the emergency department 1,3,12 months after discharge
- Satisfaction with information received on medicines
|Study Start Date:||November 2003|
|Estimated Study Completion Date:||June 2005|
Widespread evidence reveals frequent inadequate use of medicines in elderly patients. This includes inappropriate prescribing (overuse, underuse, misuse) that can lead to adverse drug events and drug-related admissions to hospital. In addition, when a patient is transferred from acute care settings to ambulatory care settings, discrepancies in medicines used often occur and can be hazardous.
Despite this, only limited data exist on the effectiveness of optimization strategies targeted at frail elderly inpatients.
Comparison: elderly inpatients receiving geriatric evaluation and management (GEM) care versus elderly inpatients receiving pharmaceutical care in addition to GEM care.
|Université catholique de Louvain|
|Brussels, Belgium, 1200|
|Principal Investigator:||Anne Spinewine, MSc||Université Catholique de Louvain|
|Study Chair:||Christian Swine, MD||Université Catholique de Louvain|
|Study Director:||Paul M Tulkens, PhD||Université Catholique de Louvain|