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Effectiveness of pharmaceutical care at discharge in the emergency department: study protocol of a randomized controlled trial

Overview of attention for article published in Trials, February 2015
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Title
Effectiveness of pharmaceutical care at discharge in the emergency department: study protocol of a randomized controlled trial
Published in
Trials, February 2015
DOI 10.1186/s13063-015-0579-3
Pubmed ID
Authors

Regina Kuhmmer, Karine Margarites Lima, Rodrigo Antonini Ribeiro, Luciano Serpa Hammes, Gisele Alsina Nader Bastos, Maria Claudia Schardosim Cotta de Souza, Carisi Anne Polanczyk, Guilherme Alcides Flores Soares Rollin, Suhelen Caon, Cátia Moreira Guterres, Leni Everson Araújo Leite, Tássia Scholante Delabary, Maicon Falavigna

Abstract

Patient education on pharmacological therapy may increase medication adherence and decrease hospitalizations. Our aim is to evaluate the effectiveness of pharmaceutical care at emergency department discharge in patients with hypertension and/or diabetes. This is a randomized controlled trial. Participants will be recruited from a public emergency department at Restinga district in Porto Alegre, southern Brazil. A total of 380 patients will be randomly assigned into 2 groups at the moment of emergency department discharge after receiving medical orientations: an intervention group, consisting of a structured individual counseling session by a pharmacist in addition to written orientations, or a control group, consisting only of written information about the disease. Outcomes will be assessed in an ambulatory visit 2 months after the randomization. The primary outcome is the proportion of patients with high medication adherence assessed using the Morisky-Green Test and the Brief Medication Questionnaire. The secondary outcomes are reduction of blood pressure, glycated hemoglobin, fasting plasma glucose, quality of life and number of visits to the emergency department. Pharmaceutical care interventions have shown to be feasible and effective in increasing medication adherence in both hospital outpatient and community pharmacy settings. However, there have been no previous assessments of the effectiveness of pharmacy care interventions initiated in patients discharged from emergency departments. Our hypothesis is that pharmaceutical counseling is also effective in this population. ClinicalTrials.gov registration number: NCT01978925 (11 November 2013) and Brazilian Registry of Clinical Trials U1111-1149-8922 (5 November 2013).

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Mendeley readers

The data shown below were compiled from readership statistics for 159 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Ireland 1 <1%
Brazil 1 <1%
Unknown 156 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 33 21%
Researcher 16 10%
Student > Bachelor 15 9%
Student > Ph. D. Student 14 9%
Student > Doctoral Student 8 5%
Other 28 18%
Unknown 45 28%
Readers by discipline Count As %
Medicine and Dentistry 47 30%
Pharmacology, Toxicology and Pharmaceutical Science 25 16%
Nursing and Health Professions 8 5%
Psychology 7 4%
Social Sciences 5 3%
Other 18 11%
Unknown 49 31%