Optimization of Drug Treatment in Hospitalized Elderly (OMAGE)

Assistance Publique - Hôpitaux de Paris

Status

Completed

Conditions

Global Medical Assessment of Elderly Frail Patients

Treatments

Procedure: drug - oriented multifaceted intervention

Study type

Interventional

Funder types

Other

Identifiers

NCT00450034

P060247

Details and patient eligibility

About

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.

Full description

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.

Enrollment

665 patients

Sex

All

Ages

70+ years old

Volunteers

No Healthy Volunteers

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