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OpenTrials
Completed

NCT Number: NCT00738816

Effect of Systematic Medication Review in Elderly Patients Admitted to an Orthopedic Department

Elderly patients have a higher risk of experiencing adverse drug events due to an age related increase in morbidity and medication use. Inappropriate or wrong medication use among elderly patients acutely admitted to hospitals is assumed to result in earlier contact to general practitioner, emergency departments and re-admissions if not corrected during hospital admission. It is therefore our hypothesis that a systematic medication review conducted by pharmacists and physicians specialized in pharmacology will increase time to first unscheduled physician contact (general practitioner, emergency departments, ambulatory care and re-admissions) after discharge from hospital from an average of 21days to 25 days. Further, the following secondary outcome parameters will be measured at discharge and within 3-month follow-up:

* length of in-hospital stay * number of contacts to general practitioner 30 days after discharge, that resulted in medication changes * number of re-admissions at 3-month * number of death at 3-month * number of contact to primary health care at 3-month * patients self-experienced quality of health(EQ-5D) 3-month

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Key information

Conditions

Elderly

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Regional hospital, Randers

Randers, Central Jutland, 8900, Denmark

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • age 65 years or older
  • expected admission time of more than 24 hours
  • acute admission

Exclusion criteria

  • Psychotic patients
  • Moribund patients
  • Suicidal patients

Treatment and study plan

Systematic medication review and advisory notes

Other

Within 24 hours of admission a pharmacist retrieve medication histories from patients included in the intervention group. Medication histories will be obtained from - medical records, medication charts, patients electronical medication profile, interview with patients and if necessary contact to the patients general practitioner. The obtained medication history will be discussed with a physician specialized in pharmacology and an advisory note with suggested changes to the patients medication is added to the medical record. The orthopedic physicians are not obliged to follow the suggested changes

Primary outcomes

  1. Time to first unscheduled physician contact(general practitioner,emergency department, ambulatory care or re-admission to hospital) after discharge from the Orthopaedic Department

    Time frame: January 2010

Secondary outcomes

  1. Admission time

    Time frame: October 2009

Sponsors and collaborators

Lead sponsor

Aarhus University Hospital

Other

Registry information

Official study title

The Effect of Systematic Medication Review in Elderly Patients Admitted to an Orthopedic Department.

Important dates

Study start
2009
Primary completion
2010
Study completion
2010
First posted
Aug 21, 2008
Registry last updated
Dec 14, 2010

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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