Abstract
This was a longitudinal, comparative pilot study. Patients aged at least 75 who were admitted to the EEM unit for a fall and who had at least two chronic diseases and who were being treated with two or more medications were included from February 1, 2018 to June 30, 2018 and followed by 90days. The main outcomes were the unplanned rehospitalizations rate at Limoges Teaching Hospital within the 90days (primary outcome), 30days and 72hrs. The estimated cost-saving was also assessed. We included 252patients. The mean age was 88.4 ±5.8years and the average baseline number of medications was 8.3 ±3.4. In total, 158pharmaceutical interventions were performed, reflecting an acceptance rate of 94.9%. We found a significant reduction of the rate of unplanned rehospitalizations at 90-day (OR =0.45 (0.26-0.79) p =0.005). These results were still consistent at 30-day (p =0.035) and 72hours (p =0.041). We found a cost-saving of 37,770euros related to 21avoided rehospitalizations. Our results highly emphasize the positive effects of clinical pharmacy services on the prevention of unplanned rehospitalizations of old adults admitted for fall.
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