Optimization of Drug Treatment in Hospitalized Elderly (OMAGE)

Impact of Optimization of Drug Treatment of Elderly Admitted in 4 Acute Geriatric Wards : Randomized Trial

A randomized trial has been designed to determine if this complex intervention can significantly decrease the risk of unplanned readmissions in this very elderly population, compared with usual care.

Drug treatment in elderly is not yet optimal. 20 to 30% of admissions of elderly aged over 80 are related to drug problems, most of them being preventable. To decrease drug related hospitalizations need iatrogenic prevention, compliance improvement, and underuse decrease. A multifaceted intervention has been designed, included three dimensions : 1/ drug optimization 2/ patient and/or caregiver education and 3/ better coordination with home health professionals before discharge.

A randomized trial has been designed to determine if this complex intervention can significantly decrease the risk of unplanned readmissions in this very elderly population, compared with usual care.

Inclusion Criteria:

• Patients hospitalized as a matter of urgency in unity(unit) of geriatrics acute
• Patients of more than 70 years old
• Hospitalization in the Unity(Unit) of Geriatrics foreseen(planned) superior acute in 5 days
• enlightened assent writing and signed
• preliminary medical examination

Exclusion Criteria:

• Patients in scheduled(programmed) hospitalization
• Patient in palliative care
• Patient whose vital forecast is engaged(opened) in 3 months
• Patient already include during a previous hospitalization Patient already included in a study concerning the therapeutic care
• Followed medical impossible (refusal of care, absence of alive regular, patient doctor abroad)
• not membership to a regime of Social Security or CMU
• Patient not speaking French