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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
109
Medication Reconciliation at admission, Multidisciplinary medication review, Medication Reconciliation at discharge
GHICL
Lomme, France
Rate of readmission at 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.
Time frame: 30 days
Time between discharge and first readmission
Evaluate the impact of medication management on the time required for the first re-admission to hospital, if it takes place before 30 days.
Time frame: 30 days
Rate of changes in the prescription after hospital discharge by the general practitioner
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
Time frame: 30 days
Identification of Seniors at Risk (ISAR) score
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.
Time frame: 30 days
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