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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03688542
Other study ID # OLD-NH-QC-DeMo-2017
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date September 25, 2017
Est. completion date July 1, 2020

Study information

Verified date March 2021
Source University of Geneva, Switzerland
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Older people residing in nursing homes (NH) are frequently polymedicated and often prescribed potentially inappropriate medications. Deprescribing has been proposed as a way to reduce the number of drugs they receive and their exposure to harmful treatments. The objectives of this study are 1) To evaluate the effect of a deprescribing-specific interdisciplinary quality circle module on the use of potentially inappropriate medication in nursing-home residents. 2) To determine the effective strategies to reach and implement deprescribing consensus resulting of said quality circle module.


Recruitment information / eligibility

Status Completed
Enrollment 56
Est. completion date July 1, 2020
Est. primary completion date July 1, 2020
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group N/A and older
Eligibility Inclusion Criteria: Nursing homes taking part in the study must have - a geriatric of psycho-geriatric mission; - been part of their cantonal pharmaceutical assistance program for at least a year. Exclusion Criteria: - None

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Quality Circle Deprescribing Module
The Quality Circle Deprescribing Module consist of a discussion bringing together nurses, physicians and responsible pharmacist to create a local deprescribing consensus for frequently used drug classes, as well as implementation strategies for the consensus..

Locations

Country Name City State
Switzerland Centre de Pharamacie Communautaire Lausanne Vaud

Sponsors (1)

Lead Sponsor Collaborator
Anne Niquille

Country where clinical trial is conducted

Switzerland, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Potentially Inappropriate Galenic Units The primary outcome is the percentage, at follow-up, of potentially inappropriate galenic units at follow-up, relative to the total number of galenic units used in the nursing home. 12 months
Primary Number of Potentially Inappropriate Defined Daily Doses (DDDs) Per Average Resident and Per Day Sum of Defined Daily Doses identified as potentially inappropriate (PIM, see protocol for assessement method), divided by the total number of days spent in the NH 12 months
Secondary Number of Potentially Inappropriate DDD to Avoid Sum of Defined Daily Doses identified as "to avoid" (see protocol for assessement method), divided by the total number of days spent in the NH. 12 months
Secondary Number of Potentially Inappropriate DDD to Reevaluate Sum of Defined Daily Doses identified as "to reevaluate" (see protocol for assessement method), divided by the total number of days spent in the NH. 12 months
Secondary Number of Hospital Days The number of days spent in the hospital by average resident 12 months
Secondary Mortality Rate Number of residents of the nursing home having died during the considered year, divided by the total number of residents having stayed in the nursing home. 12 months
Secondary Number of Falls Per Average Resident and Per Year Number of falls per average resident and per year 12 months
Secondary Percentage of Residents With at Least One Day of Physical Restraints Use Number of residents of the nursing home with at least one day of physical restraints use during the considered year, divided by the total number of residents having stayed in the nursing home. 12 months
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