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A pharmacy discharge plan for hospitalized elderly patients--a randomized controlled trial.

Abstract：

OBJECTIVES:to investigate the effectiveness of a pharmacy discharge plan in elderly hospitalized patients. DESIGN:randomized controlled trial. SUBJECTS AND SETTINGS:we randomized patients aged 75 years and older on four or more medicines who had been discharged from three acute general and one long-stay hospital to a pharmacy intervention or usual care. INTERVENTIONS:the hospital pharmacist developed discharge plans which gave details of medication and support required by the patient. A copy was given to the patient and to all relevant professionals and carers. This was followed by a domiciliary assessment by a community pharmacist. In the control group, patients were discharged from hospital following standard procedures that included a discharge letter to the general practitioner listing current medications. OUTCOMES:the primary outcome was re-admission to hospital within 6 months. Secondary outcomes included the number of deaths, attendance at hospital outpatient clinics and general practice and proportion of days in hospital over the follow-up period, together with patients' general well-being, satisfaction with the service and knowledge of and adherence to prescribed medication. RESULTS:we recruited 362 patients, of whom 181 were randomized to each group. We collected hospital and general practice data on at least 91 and 72% of patients respectively at each follow-up point and interviewed between 43 and 90% of the study subjects. There were no significant differences between the groups in the proportion of patients re-admitted to hospital between baseline and 3 months or 3 and 6 months. There were no significant differences in any of the secondary outcomes. CONCLUSIONS:we found no evidence to suggest that the co-ordinated hospital and community pharmacy care discharge plans in elderly patients in this study influence outcomes.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Nazareth I,Burton A,Shulman S,Smith P,Haines A,Timberal H

doi

10.1093/ageing/30.1.33

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

33-40

issue

eissn

0002-0729

issn

1468-2834

journal_volume

pub_type

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A pharmacy discharge plan for hospitalized elderly patients--a randomized controlled trial.