Examining underprescription in elderly patients
Underprescribing in Geriatric Patients: a Prevalence Study and Analysis of Factors Contributing to Potential Prescription Omissions (Under-PRES)
This study looks at whether older patients are getting the medications they need during doctor visits and hospital stays to see how it affects their health.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 374 (estimated) |
| Ages | 65 Years and up |
| Sex | All |
| Sponsor | Istituto Nazionale di Ricovero e Cura per Anziani Academic / other |
| Locations | 2 sites (Ancona and 1 other locations) |
| Trial ID | NCT06904638 on ClinicalTrials.gov |
What this trial studies
This observational study aims to assess the prevalence of underprescription among elderly patients during outpatient visits or hospital admissions to geriatric wards. It will analyze factors contributing to potential prescription omissions (PPOs) by utilizing the Screening Tool to Alert to Right Treatment (START) criteria. The study seeks to differentiate between justified and inappropriate PPOs, addressing the implications of underprescription on patient health outcomes. Data will be collected from a cohort of elderly patients to better understand the patterns of medication prescribing in this population.
Who should consider this trial
Good fit: Ideal candidates for this study are elderly patients who are either being admitted to a geriatric ward or attending an outpatient geriatric appointment.
Not a fit: Patients with a limited life expectancy, as indicated by a Clinical Frailty Scale score greater than 8, may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved medication management and health outcomes for elderly patients by identifying and addressing underprescription issues.
How similar studies have performed: Other studies have indicated that addressing underprescription in elderly populations can lead to significant improvements in patient care, suggesting that this approach has been successful in similar contexts.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Geriatric ward admission or outpatient geriatric appointment * Capacity to provide informed consent by the patient or legal guardian Exclusion Criteria: * Limited life expectancy as measured by the Clinical Frailty Scale (CFS) \>8
Where this trial is running
Ancona and 1 other locations
- IRCCS INRCA Hospital — Ancona, Italy (Recruiting)
- IRCCS INRCA Hospital — Cosenza, Italy (Recruiting)
Study contacts
- Study coordinator: Anna Rita Bonfigli
- Email: a.bonfigli@inrca.it
- Phone: 0718003719
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.