Effect of the Use of a Therapeutic Conciliation Document at the Outlet of Hospital, on the Emergency Use of Hospital Care in Patient Aged Over 75 Years Old.

NCT02916836 | Withdrawn

• 1 other identifier: 14-PREPS-01
• Study Type: observational
• Target: N/A
• Locations: 0 countries
• Sites: N/A

Brief Summary

The drug iatrogenesis represents an important public health problem. In the Iatromed project, we want to to assess a specific therapeutic drug conciliation sheet (TDC). This multicenter observational study is focus on 750 patients aged over 75 year old with polymedication. The main objective will be to determine if the use of the TDC, at the discharge of hospital, allows to reduce the number of use in emergency care within the two month after their hospital discharge

Conditions

Iatrogenic Effect

Outcome Measures

Primary Outcomes (1)

• rate of patient who will have used hospital care in emergency

  The use of hospital care in emergency is defined as a consultation in an emergency room and/or an emergency hospitalization. An emergency hospitalization is an hospitalization for which programing was made maximum 48h before the admission in hospital or clinic. The use will be documented by contact with the patient (or the support person if necessary) and his doctor. Here, it should be noted that deaths will be accounted for in the urgently use of to the hospital care regardless of the place of death. This in intended to take into account the possibility that a death may be related to a drug iatrogenic event for which the patient has not had time to resort to the hospital care in emergency.

  at least one time within the two month after their hospital discharge

Study Arms (2)

With TDC sheet

Use of therapeutic drug conciliation sheet (TDC) by the hospital and transmitted to the family practitioner with other usual documentation

Other: therapeutic drug conciliation sheet (TDC)

Without TDC Sheet

transmission of usual documentation only to the family practitioner

Other: No Use of therapeutic drug conciliation sheet (TDC)

Interventions

therapeutic drug conciliation sheet (TDC) OTHER

Use of therapeutic drug conciliation sheet (TDC)

With TDC sheet

No Use of therapeutic drug conciliation sheet (TDC) OTHER

Without TDC Sheet

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Hospitalized patient aged over 75 years old

You may qualify if:

• age ≥75 years
• patients with a medical prescription, including at least three different allopathic molecules including at least a treatment in one of the following therapeutic classes:
• cardiovascular treatment: antiarrhythmics, antihypertensive drugs, anticoagulants and antiplatelet all classes
• treatment of the central nervous system: analgesics, benzodiazepines, antidepressants, hypnotic, antipsychotic drugs of all classes.
• family practitioner identified
• trusted personne identified
• Hospital output project establishes

You may not qualify if:

• not speaking french patient
• short survival time

Sponsors & Collaborators

• Centre Hospitalier Universitaire de Nice: lead

Study Officials

• Olivier GUERIN

  Centre Hospitalier Universitaire de Nice

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 26, 2016
• First Posted: September 28, 2016
• Study Start: January 1, 2017
• Primary Completion: January 1, 2018
• Study Completion: January 1, 2020
• Last Updated: February 19, 2018

Record last verified: 2018-02