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A Randomized Controlled Pharmacist Intervention Study to Reduce Drug-related Problems and Readmissions Among Old People With Dementia

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Hugo Lovheim, Umeå University
ClinicalTrials.gov Identifier:
NCT01504672
First received: January 3, 2012
Last updated: November 30, 2015
Last verified: November 2015
  Purpose

The aim of this randomized controlled study is to investigate if medication reviews performed by a clinical pharmacist as part of a ward team can reduce drug related problems and reduce readmissions to hospital among elderly patients (≥65 years) with dementia and cognitive failure.

Four hundred and sixty patients will be recruited and randomized to control (usual care) and intervention group (enhanced service in which a pharmacist is part of the health care team).

Six months after the last patient of the 460 has been discharged the study will be closed. Data about the number of readmissions and visits to the emergency room will be collected during the six-month follow-up and also, the costs associated with each visit or admission. Time until institutionalization will be compared between intervention group and control group.


Condition Intervention
Cognitive Impairment
Other: Medication review

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Official Title: A Randomized Controlled Pharmacist Intervention Study to Reduce Drug-related Problems and Readmissions Among Old People With Dementia

Resource links provided by NLM:


Further study details as provided by Umeå University:

Primary Outcome Measures:
  • Frequency of drug related readmissions [ Time Frame: Six months follow-up ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Cost for visits for readmissions and to the Emergency Department compared between patients in the control group and intervention group. [ Time Frame: Six months follow-up ] [ Designated as safety issue: No ]
  • Time until institutionalization after discharge compared between control group and intervention group. [ Time Frame: Six months follow-up ] [ Designated as safety issue: No ]
  • Frequency of hospital visits (readmissions and emergency department) during the 6-month follow-up. [ Time Frame: Six months follow-up ] [ Designated as safety issue: No ]
  • Time from discharge to readmission [ Time Frame: Six months follow-up ] [ Designated as safety issue: No ]
  • Adherence to the quality indicators published by the Swedish National Board of Health and Welfare [ Time Frame: Six months follow-up ] [ Designated as safety issue: No ]

Enrollment: 460
Study Start Date: January 2012
Study Completion Date: August 2015
Primary Completion Date: June 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Medication review Other: Medication review

In the intervention, the pharmacist will evaluate:

  • Is there an indication for the drug?
  • Has the drug desired effect?
  • Is the dose correct and dosing scheme correct?
  • Side effects, contraindications, inappropriate drugs
  • Interactions
  • Treatment time
  • Cost effectiveness
  • Adherence to recommendation list
  • Problems with handling the drugs (for example crushing of the tablets)
  • Untreated indication
  • Double medications
  • Administration of drugs
No Intervention: Usual care

  Eligibility

Ages Eligible for Study:   65 Years and older   (Adult, Senior)
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients with dementia or cognitive impairment
  • Patients ≥ 65 years

Exclusion Criteria:

  • Patients previously admitted to the study wards during the study period
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01504672

Locations
Sweden
County hospital of Skellefteå
Skellefteå, Sweden, 931 86
Umeå University Hospital
Umeå, Sweden, 901 85
Sponsors and Collaborators
Umeå University
Investigators
Principal Investigator: Hugo Lövheim, MD, PhD Umeå University, Umeå, Sweden
  More Information

Responsible Party: Hugo Lovheim, Principal Investigator, Umeå University
ClinicalTrials.gov Identifier: NCT01504672     History of Changes
Other Study ID Numbers: UmU-2011-148-31M 
Study First Received: January 3, 2012
Last Updated: November 30, 2015
Health Authority: Sweden: Regional Ethical Review Board

Keywords provided by Umeå University:
Drug related problems

Additional relevant MeSH terms:
Dementia
Cognition Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Neurocognitive Disorders
Mental Disorders

ClinicalTrials.gov processed this record on December 09, 2016