An outreach geriatric medication advisory service in residential aged care: a randomised controlled trial of case conferencing

Age and Ageing
Maria CrottyCraig Whitehead

Abstract

efficient strategies are needed to provide specialist advice in nursing homes to ensure quality medical care. We describe a case conference intervention involving a multidisciplinary team of health professionals. to evaluate the impact of multidisciplinary case conferences on the appropriateness of medications and on patient behaviours in high-level residential aged care facilities. cluster-randomised controlled trial. ten high-level aged care facilities. 154 residents with medication problems and/or challenging behaviours were selected for case conference by residential care staff. two multidisciplinary case conferences involving the resident's general practitioner, a geriatrician, a pharmacist and residential care staff were held at the nursing home for each resident. outcomes were assessed at baseline and 3 months. The primary outcome was the Medication Appropriateness Index (MAI). The behaviour of each resident was assessed via the Nursing Home Behaviour Problem Scale. 45 residents died before follow-up. Medication appropriateness improved in the intervention group [MAI mean change 4.1, 95% confidence interval (CI) 2.1-6.1] compared with the control group (MAI mean change 0.4, 95% CI -0.4-1.2; P < 0.001). There was a signif...Continue Reading

Associated Clinical Trials

Citations

Mar 12, 2013·Drugs & Aging·Jennifer TjiaBecky A Briesacher
Jan 26, 2011·Age and Ageing·Mathumalar LoganathanAzeem Majeed
Apr 2, 2011·Age and Ageing·Maria Crotty, Julie Ratcliffe
Dec 20, 2012·Therapeutic Advances in Chronic Disease·Eileen Burns, Nuala McQuillan
Nov 26, 2011·BMC Health Services Research·Sue L DaviesKatherine Froggatt
May 15, 2013·Human Resources for Health·Susan A NancarrowAlison Roots
Jun 29, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Robin L StadnykBarry Clarke
Apr 7, 2011·Journal of Multidisciplinary Healthcare·Malin DavidssonHege Salvesen Blix
Dec 24, 2008·Drugs & Aging·Charlotte L R VerrueRobert Vander Stichele
May 31, 2012·Drugs & Aging·Eva TopinkováPierre-Olivier Lang
May 31, 2012·Drugs & Aging·Marie N O'ConnorDenis O'Mahony
Jan 1, 2012·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Fabio SalviAntonio Cherubini
Apr 10, 2013·Journal of the American Medical Directors Association·Arif NazirMalaz Boustani
Apr 17, 2012·Clinics in Geriatric Medicine·Bruce K TamuraKamal H Masaki
Jan 24, 2012·The American Journal of Geriatric Pharmacotherapy·Jennifer TjiaBecky A Briesacher
Apr 5, 2011·The American Journal of Geriatric Pharmacotherapy·Emily P PeronSteven M Handler
Jun 1, 2010·Journal of the American Medical Directors Association·Roger Y Wong
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Oct 4, 2015·Journal of the American Medical Directors Association·Rebecca PalmBernhard Holle
Oct 4, 2007·Journal of the American Geriatrics Society·William H ShrankJerry Avorn
Apr 27, 2013·Journal of Clinical Pharmacy and Therapeutics·A J LeendertseP M L A van den Bemt
Mar 20, 2013·Basic & Clinical Pharmacology & Toxicology·Trine Graabaek, Lene Juel Kjeldsen
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