Actively Recruiting

Phase Not Applicable
Age: 75Years +
All Genders
Healthy Volunteers
ID03671629

Involving Clinical Pharmacists in Transitional Care to Reduce Drug-related Readmissions Among the Elderly - a Randomized Controlled Trial

Led by Umeå University · Updated on 2024-12-20

700

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying whether involving clinical pharmacists in care transitions can lower drug-related hospital readmissions among patients aged over 75 years. This randomized controlled trial focuses on patients recently discharged from the hospital, assessing if pharmacist-led interventions improve medication management and patient outcomes during the critical post-discharge period. Participants are divided into two groups: one receives standard hospital medication review plus enhanced pharmacist services for 180 days after discharge, including biweekly medical chart reviews and phone calls within 7, 30, and 60 days to discuss medications and address potential issues with physicians. The control group receives standard hospital care, which may include medication review but no additional pharmacist follow-up. Participants complete questionnaires on medication adherence and quality of life at baseline, 30 days, and 180 days. Researchers also review medical charts for readmissions and other health outcomes. The primary measurement is the time from hospital discharge to first drug-related readmission within 180 days. Secondary outcomes include readmission rates at 30 days, quality of life assessments, medication appropriateness, and mortality. Follow-up occurs at 30 and 180 days to monitor these outcomes.

CONDITIONS

Brief Title

Clinical Pharmacist Intervention to Reduce Drug-related Readmissions Among Older People

Who Can Participate

Age: 75Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Living at home
  • Acutely admitted to the hospital
  • Registered at one of ten pre-specified primary care health centers
  • Aged 75 years or older
Not Eligible

You will not qualify if you...

  • Unable to communicate or do not speak Swedish
  • Scheduled for palliative care
  • Admitted due to intoxication by alcohol or non-prescription drug

AI-Screening

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Your Study Journey

Screening

Duration - Up to discharge from hospital

Participants are screened for eligibility to participate in the trial.

1 screening and enrollment visit (in-person)

Treatment

Duration - 180 days after discharge

Participants in the intervention group receive enhanced clinical pharmacist services including regular medical chart reviews and multiple phone interviews to discuss medications. The control group receives standard care which may include a medication review at the hospital.

Phone contacts at 7, 30, and 60 days; medical chart reviews every second week

Follow-up

Duration - 180 days after discharge

Participants report adherence and quality of life at 30 and 180 days after discharge. Additional data are collected from medical charts to monitor hospital readmissions and other outcomes.

2 visits for reporting adherence and quality of life (at 30 and 180 days)

Trial Site Locations

Total: 1 location

1

Medical Centre, University Hospital of Umeå

Umeå, Sweden, 901 85

Actively Recruiting

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Research Team

K

Kindstedt

M

Maria Gustafsson, Ph.D

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

2

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Published Research Related To This Trial

Investigating the effect of clinical pharmacist intervention in transitions of care on drug-related hospital readmissions among the elderly: study protocol for a randomised controlled trial.

Jonas Kindstedt, Sofia Svahn, Maria Sjölander...

https://pubmed.ncbi.nlm.nih.gov/32345700