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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
665
oriented multifaceted intervention
Chu Bichat Claude Bernard
Paris, France
Rate of unplanned readmissions, including emergency consultations,
Time frame: during the study
Mortality at 6 months,
Time frame: at 6 months
delay before readmission,
Time frame: before readmission
number of drug events related readmissions.
Time frame: readmissions
Data collected at 3 and 6 months
Time frame: at 3 and 6 months
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