Polypharmacy Clinical Trial
— OLD-NH-QC-DeMoOfficial title:
Opportunities and Limits to Deprescribing in Nursing Homes:Quality Circle Deprescribing Module
Verified date | March 2021 |
Source | University of Geneva, Switzerland |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
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.
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 |
Country | Name | City | State |
---|---|---|---|
Switzerland | Centre de Pharamacie Communautaire | Lausanne | Vaud |
Lead Sponsor | Collaborator |
---|---|
Anne Niquille |
Switzerland,
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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