RecruitingNot ApplicableNCT07015112

Applying a Multidisciplinary Intervention for Drug Adequacy in an Intermediate Care Hospital (AMIDA-ICH)

Applying a Multidisciplinary Intervention for Drug Adequacy in a Intermediate Care Hospital (AMIDA-ICH)


Sponsor

Parc Sanitari Pere Virgili

Enrollment

300 participants

Start Date

Jan 4, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this clinical trial is to learn if a multi-professional (conducted by geriatricians, clinical pharmacists, nurses) medication revision, centered on patients' goals and characteristics, can improve treatment adequacy in older adults admitted to an intermediate care hospital. The main question it aims to answer is: does this approach reduce the average number of medications taken per patient? Researchers will compare this multi-professional patient-centered revision to the usual standard of care (treatment revision conducted by a clinical pharmacist) to see if the patient-centered revision works in improving treatment adequacy. Participants admitted to an intermediate care hospital will undergo a comprehensive assessment by a geriatrician, and a medication revision (conducted by a multidisciplinary team or a clinical-pharmacist alone). They will also be asked to fulfill some questionnaires on their health status and attitudes. Any possible adverse events to the medications will be recorded at discharge. Participants will be contacted again three months after discharge to check for any readmission or death.


Eligibility

Min Age: 65 Years

Inclusion Criteria4

  • older adults (65+ years)
  • ≥ 3 or more chronic conditions requiring medical therapy
  • able to speak Spanish
  • capacity to provide informed consent or have a surrogate able to consent on their behalf

Exclusion Criteria5

  • unable to provide informed consent
  • anticipated length of hospital stay \< 72h
  • estimated life expectancy \< 3 months
  • homeless
  • already enrolled in a drug trial

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Interventions

OTHERPatient-centered multidisciplinary treatment review

Patient-centered multidisciplinary treatment review is defined as a medication review conducted by a multidisciplinary team (geriatrician, clinical pharmacist, nurse) according to a patient-centered methodology, based on person-centered evaluation of both personal and clinical insights, diagnostic-centered evaluation (based on current guidelines), and drug-centered evaluation (based on adequacy)


Locations(1)

Parc Sanitari Pere Virgili

Barcelona, Barcelona, Spain

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NCT07015112


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