Impact of Multidisciplinary Review of Drug Prescriptions on Patient Safety in a Residence for Dependent Elderly
Rev-EHPAD
2 other identifiers
interventional
49
1 country
2
Brief Summary
The main objective of the study is to show that the multidisciplinary review of drug prescriptions changes the adverse drug event (ADE) geriatric risk score (according to Trivalle and Ducimetière 2013) for patients living in the Nîmes University Hospital Residence for Dependent Elderly.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started May 2014
Shorter than P25 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 16, 2014
CompletedFirst Posted
Study publicly available on registry
April 21, 2014
CompletedStudy Start
First participant enrolled
May 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2015
CompletedMay 6, 2015
April 1, 2015
9 months
April 16, 2014
May 5, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Adverse Drug Events Geriatric Risk Score
according to Trivalle and Ducimetière 2013
change from Baseline to 6 months
Secondary Outcomes (17)
The number of patients taking at least 1 potentially inappropriate drug according to Laroche criteria
During the proactive phase. Day 0.
Number of hospitalizations in the public sector (higher level care)
first observational phase (month -6 to day 0)
Number of hospitalizations in the public sector (higher level care)
second observational phase (day 0 to month 6)
Days of hospitalization in the public sector (higher level care)
first observational phase (month -6 to day 0)
Days of hospitalization in the public sector (higher level care)
second observational phase (day 0 to month 6)
- +12 more secondary outcomes
Study Arms (1)
The study population
OTHERSee inclusion and exclusion criteria. Intervention: Before-after study
Interventions
The before-after study is composed of a first observational phase followed by a proactive phase, and then finally by a second observational phase. The first observational phase corresponds to retrospective data-collecting for the information necessary for calculating the baseline ADE geriatric risk score. The proactive phase corresponds to a multidisciplinary review of drug prescriptions (especially long-term drugs) for all included patients in the residence. During the second observational phase, the same data as in the first observational phase will be collected a second time.
Eligibility Criteria
You may qualify if:
- The patient (or his/her legal representative) must have given his/her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- The patient is available for 6 months of follow-up
- The patient has resided at the Nîmes University Hospital Residence for Dependent Elderly for at least the past 6 months
You may not qualify if:
- The patient is participating in another study
- The patient is under judicial protection
- The patient (or his/her legal representative) refuses to sign the consent
- It is impossible to correctly inform the patient (or his/her legal representative)
- The patient has resided at the Nîmes University Hospital Residence for Dependent Elderly for less than 6 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
CHRU de Nîmes - Centre de Gérontologie de Serre Cavalier
Nîmes, 30029, France
CHRU de Nîmes - Hôpital Universitaire Carémeau
Nîmes, 30029, France
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Géraldine Leguelinel, Pharm-D
Centre Hospitalier Universitaire de Nîmes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 16, 2014
First Posted
April 21, 2014
Study Start
May 1, 2014
Primary Completion
February 1, 2015
Study Completion
February 1, 2015
Last Updated
May 6, 2015
Record last verified: 2015-04