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Compliance Of Medication After Discharge From the Hospital in the Elderly (COMADE)

2011年4月2日更新者：William Beaumont Hospitals

Many elderly patients have multiple medications and variable dosing regimens and the ability for hospitals to properly reconcile medications between what is given on paper to the patient and what the patients take at home depends on the patient's ability to get the medications. Some patients may delay in getting their medications from the pharmacy after being discharged. For some it may be a lack of transportation, others may feel too ill to travel and may not have family members who will be able to pick up the medications.

It is for these reasons the authors of this study want to inventory the medications that an elderly patient is being discharged on during a home visit and check on the actual prescriptions that a patient has at their house the following 1-2 days after discharge.

研究概览

地位

完全的

条件

详细说明

The goal is to evaluate the effectiveness of discharge instruction in the elderly by assessing medication compliance post-discharge. Patients are identified on the units and from a Beaumont Troy discharge planning master list. Prior to discharge the patients are consented and informed they will be contacted to schedule a home visit. During the home visit, the medications the patient is currently taking are recorded. Discharge medications are recorded from the medical record following the home visit. The Investigator performing the visit is blinded to the discharge medications as the intent of the visit is only to collect data and not to ensure compliance or make clinical judgment regarding the appropriateness of the medication regimen. Anyone 65 or older can be included, who are discharged with medications and can consent. Those excluded are patients who do not live in close proximity and those discharged to extended or long-term care facilities.

研究类型

观察性的

注册 (预期的)

200

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

美国
- Michigan
  - Royal Oak、Michigan、美国、48073
    - William Beaumont Hospital
  - Troy、Michigan、美国、48314
    - William Beaumont Hospital

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

65年及以上 (年长者)

接受健康志愿者

是的

有资格学习的性别

全部

取样方法

概率样本

研究人群

All patients over the age of 65 who are discharged home from the hospital who meet the eligibilty criteria.

描述

Inclusion Criteria:

Elderly patients (age 65 or older)
Able to make own decisions (Patient has autonomy) and therefore able to make informed decisions
Patients with medications upon discharge from the hospital

Exclusion Criteria:

Patients that have the inability to give informed consent secondary to: cognitive disabilities, inability to speak or write or refusal to participate in study.
Patients that are younger than the age of 65.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

研究衡量的是什么？

主要结果指标

结果测量	大体时间
To observe compliance of medications from a discharge medication list to the meds at home after discharge from the hospital. 大体时间：18 months	18 months

次要结果测量

结果测量	大体时间
To observe if there are secondary factors that affect compliance (i.e. age of the patients, number of medications or herbal medications) 大体时间：18 months	18 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

William Beaumont Hospitals

调查人员

首席研究员：Jobin M Varughese, MD、William Beaumont Hospitals

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2008年12月1日

初级完成 (实际的)

2010年3月1日

研究完成 (实际的)

2011年1月1日

研究注册日期

首次提交

2009年11月18日

首先提交符合 QC 标准的