Elderly Clinical Trial
Official title:
Clinical and Economical Assessment of an Intervention to Reduce Potentially Inappropriate Medication in Polymedicated Elderly Patients
Objective: To evaluate the clinical and economic impact of the application of an algorithm
to improve the adequacy and safety of pharmacotherapy in elderly polymedicated (receiving 8
or more medications), not institutionalized.
Design: randomized, open, multicenter and two branches of parallel intervention clinical
trial.
Intervention Study: primary care pharmacist apply the GP-GP algorithm to each drug with the
support of STOPP criteria, Beers and / or recommendations CatSalut. The pharmacist submit to
doctor his findings and reach a consensus and decide which recommendations will be presented
to patient. Control intervention: usual procedure.
Main outcome measures: a) Discontinued medications, changed or changing doses, b) GP
consultations, hospital emergency department and hospital admissions for acute illness, c)
pharmaceutical expenditure, d) restart medication e) complications underlying diseases.
Follow-up control at 1 month (security) and at 3, 6 and 12 months.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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