Optimization of Drug Treatment in Hospitalized Elderly (OMAGE)

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.

Inclusion criteria

• Patients hospitalized as a matter of urgency in unity(unit) of geriatrics acute
• Patients of more than 70 years old
• Hospitalization in the Unity(Unit) of Geriatrics foreseen(planned) superior acute in 5 days
• enlightened assent writing and signed
• preliminary medical examination

Exclusion criteria

• Patients in scheduled(programmed) hospitalization
• Patient in palliative care
• Patient whose vital forecast is engaged(opened) in 3 months
• Patient already include during a previous hospitalization Patient already included in a study concerning the therapeutic care
• Followed medical impossible (refusal of care, absence of alive regular, patient doctor abroad)
• not membership to a regime of Social Security or CMU
• Patient not speaking French