What does this research mean for the field?

A coordinated hospital and community pharmacy discharge plan does not significantly reduce hospital readmissions, mortality, or improve medication adherence in elderly patients on polypharmacy compared to standard care. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

January 1, 2001Age and Ageing

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

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Why the study?

Does a coordinated pharmacy discharge plan reduce hospital re-admissions within 6 months in hospitalized elderly patients on polypharmacy?

Population

362 hospitalized patients aged 75 years and older on four or more medicines who had been discharged from…

Comparison

Pharmacy discharge plan developed by a hospital… vs Usual care.

Design

RCT, Randomized (method not specified)

Follow-up

6 months

Authors

INIrwin NazarethDepartment of Health and Social Care ABAnn BurtonThe Royal Free Hospital SSSally ShulmanWestern University

Discussion

Member takes

Implication

Does not support routine coordinated pharmacy discharge plans; challenges expectations for reducing readmissions in elderly polypharmacy patients.

Structured PICO

Does a coordinated pharmacy discharge plan reduce hospital re-admissions within 6 months in hospitalized elderly patients on polypharmacy?

Population

362 hospitalized patients aged 75 years and older on four or more medicines who had been discharged from three acute general and one long-stay hospital.

Intervention

Pharmacy discharge plan developed by a hospital pharmacist detailing medication and support required, with copies given to the patient, professionals, and carers, followed by a domiciliary assessment by a community pharmacist.

Comparator

Usual care (standard procedures including a discharge letter to the general practitioner listing current medications).

Outcome

Re-admission to hospital within 6 months.hard clinical

A coordinated hospital and community pharmacy discharge plan did not significantly reduce hospital readmissions or improve secondary clinical and patient-reported outcomes in elderly patients on polypharmacy.

Cite This Study

Nazareth et al. (2001) studied this question.

synapsesocial.com/papers/6a1eb777db9b8de29fa4237e https://doi.org/10.1093/ageing/30.1.33

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Implication

Does not support routine coordinated pharmacy discharge plans; challenges expectations for reducing readmissions in elderly polypharmacy patients.

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

Discussion

Member takes

Implication

Structured PICO

Cite This Study

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

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider