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

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

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Título Effectiveness of pharmaceutical care at discharge in the emergency department : study protocol of a randomized controlled trial
Autor Kuhmmer, Regina
Lima, Karine Margarites
Ribeiro, Rodrigo Antonini
Hammes, Luciano Serpa
Bastos, Gisele Alsina Nader
Souza, Maria Cláudia Schardosim Cotta de
Polanczyk, Carisi Anne
Rollin, Guilherme Alcides Flores Soares
Caon, Suhélen
Guterres, Cátia Moreira
Leite, Leni Everson Araújo
Delabary, Tássia Scholante
Falavigna, Maicon
Abstract Background: 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. Methods/design: 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. Discussion: 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.
Contido em Trials. London. Vol. 16:60 (2015), [6 p.]
Assunto Adesão à medicação
Atenção farmacêutica
Diabetes mellitus
Pressão sanguínea
[en] Blood pressure
[en] Diabetes
[en] Emergency
[en] Medication adherence
[en] Pharmaceutical care
Origem Estrangeiro
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/148805
Arquivos Descrição Formato
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