Efficacy and Feasibility of De-prescribing Rounds in a Singapore Rehabilitative Hospital- a Pilot Randomized Controlled Trial
NCT03713112 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 260
Last updated 2020-05-20
Summary
This open-labelled randomized control trial will be conducted in a Singapore Rehabilitation Hospital to investigate the efficacy, cost-reduction, safety and feasibility of a weekly deprescribing multi-disciplinary inpatient deprescribing round up to 28 days post discharge.
Conditions
- Deprescribing
- Multi-disciplinary
- Rounds
Interventions
- OTHER
-
Weekly MDT deprescribing rounds for certain drugs
* Weekly deprescribing round (from randomization to day of discharge) * Conducted by a multidisciplinary team (non-ward doctors, pharmacist, ward nurse) * Using the 5 steps of de-prescribing * De-prescribing targets: 1. Beer's list of potentially inappropriate medications (American Geriatric Society 2015 version) 2. Supplements of questionable benefits (glucosamine, chondroitin, vitamin B complex and multivitamins) 3. Symptomatic medications (laxatives, gastro-protectives, painkillers, anti-emetics and steroid creams) (Standardized verbal script to initiate de-prescribing by the team) * On top of usual care
Sponsors & Collaborators
-
Bright Vision Hospital
lead OTHER
Principal Investigators
-
Wong Peng Yong, Andrew, MBBS · Bright Vision Hospital; Singhealth Community Hospitals
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 65 Years
- Max Age
- 120 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2018-11-28
- Primary Completion
- 2019-07-31
- Completion
- 2020-06-30
Countries
- Singapore
Study Locations
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