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ID
Source
Brief title
Health condition
Multimorbidity (patients aged 70 and up with polypharmacy)
Sponsors and support
Intervention
Outcome measures
Primary outcome
Which medication related triggers of the trigger list are present in the emergency room in patients aged 70 years and older with polypharmacy (at least 5 medications)?
Secondary outcome
How often do these triggers occur?
Background summary
A lot of elderly (age 70 and up) are using multiple kinds of medication on a chronic basis, which can all come with side effects. Those side effects can lead to a visit to the Emergency Room (ER). Sometimes these side effects are not recognised as such. Therefore the underlying cause, the side effect of the medication, remains unsolved, which can lead to recurrence of the issue. It can even cause permanent damage for the patient, i.e. fractures in reoccurring falling or even increase in mortality in elderly. It has a major impact not only on the patient, the family and potential informal carer, but on society as well.
To improve the recognition of side effects, a multidisciplinary team in older polypharmacy patients has developed a trigger list of visits to the ER potentially caused by drug use by elderly. The trigger list has been optimised by members of the project team and this improved version will be used for this study in the following hospitals in the Netherlands: Catharina Ziekenhuis Eindhoven (CZE), Canisius Wilhelmina Ziekenhuis (CWZ) and Universitair Medisch Centrum Utrecht (UMCU). The objective of this prospective study is to identify what triggers occur and how frequently they occur. Data are obtained from patient file research.
Study objective
It is expected that the current triggers of the list will be the most common and most important triggers. Considering the estimated frequency from earlier studies, the triggers will be present in 5,6% of the people over 70 with polypharmacy.
Study design
inclusion in a two-month period, after inclusion period analysis of the data
Intervention
Not applicable
Inclusion criteria
The population of this study will consist of patient aged 70 and up with polypharmacy (5 chronic medications or more), who present themselves in the ER in one of the three hospitals and from whom a medication verification was taken by a pharmacy assistant using a structured medical history.
Exclusion criteria
Not applicable
Design
Recruitment
IPD sharing statement
Followed up by the following (possibly more current) registration
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Other (possibly less up-to-date) registrations in this register
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In other registers
| Register | ID |
|---|---|
| NTR-new | NL7728 |
| Other | Research Ethics Committee Radboud University Nijmegen Medical Centre : File number CMO : 2019-5364 |