- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03415113
Impact of Medication Reconciliation at Discharge on Potentially Inappropriate Medications in the Elderly : Community-hospital Coordination (ICM2SA)
Impact of Medication Reconciliation at Discharge on Potentially Inappropriate Medications in the Elderly : Community-hospital Coordination. ICM2SA
The geriatric population is exposed to poly-medication. Furthermore, old people have important pharmacodynamic and pharmacokinetic changes that expose to much drug iatrogenic. Adverse drug effects are a great cause for hospitalization that is why the knowledge of the complete list of medications taken by the patient is necessary. The poly-medication in elderly can lead to extremely serious clinical consequences and significant costs. Reference documents specific to geriatrics guide the doctor in therapeutic choices. On the one hand, the Laroche's criteria lists all PIM of the French pharmacopoeia in elderly. On the other hand, STOPP/START criteria are a tool for detect PIM listing inappropriate drugs and criteria of potentially drug omissions. This has been validated in French language. It is important that any changes proposed by the geriatrician resulting in just prescription is sustainable beyond the hospitalization to prevent the recurrence of adverse effects. Effective community-hospital coordination is essential.
Medication reconciliation is defined as the formal process of checking the complete, accurate list of a patient's previous medication - including drug name, dosage, frequency, and route - and comparing it with the prescription after a transition of care (on admission, after transfer to another medical unit, and/or at discharge).
Two groups of patients will be created, one for which medication reconciliation at discharge will be practiced and the other a similar process but not standardized. Four to eight weeks after the discharge, the member of the pharmacy team is calling the usual community pharmacy to get the first non-hospital prescription by fax and compare the number of PIM with the prescription before hospitalization.
Study Overview
Study Type
Enrollment (Actual)
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Male or female, age ≥ 75 years
- Pharmaceutical interview at the medication reconciliation at admission in Geriatrics Acute Care Unit.
- ≥ one PIM on the prescription before admission
- Identification of the usual referent community pharmacist
- Output of the unit by a return home
- Affiliation to a social security scheme
Exclusion Criteria:
- Patients undergoing a regime of legal protection.
- Patients unable to cooperate in pharmaceutical interview at the medication reconciliation at admission whatever reason.
- Refusal to participate in the study.
- Output of the unit by transfering to another care unit or death
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Quantification of potentially inappropriate medication prescription
Time Frame: 4 or 8 weeks
|
Quantification of potentially inappropriate medication on the first non-hospital
|
4 or 8 weeks
|
Collaborators and Investigators
Investigators
- Principal Investigator: Guillaume DESCHASSE, MD, CHU Amiens
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- PI2016_843_0003
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Geriatric
-
Superior UniversityRecruiting
-
Marmara UniversityCompleted
-
Atatürk UniversityRecruiting
-
Hospices Civils de LyonNot yet recruiting
-
Imam Abdulrahman Bin Faisal UniversityNot yet recruiting
-
Cairo UniversityUnknownGeriatric Patients
-
University of StrathclydeUnknown
-
Charite University, Berlin, GermanyHomöopathie Stiftung; omoeon e.V.Completed
-
Centre Hospitalier Universitaire de NiceUnknown
-
Alexandria UniversityRecruiting