Informations générales (source: ClinicalTrials.gov)
Impact of a Pluriprofessional Intervention to Improve Medication Adherence (Secondary Preventive Medication) in Patients After Ischemic Stroke (ADMED-AVC) (ADMED-AVC)
Interventional
N/A
Hospices Civils de Lyon (Voir sur ClinicalTrials)
juillet 2015
juillet 2020
29 juin 2024
Medication adherence is a major factor to prevent vascular recurrence after a first
ischemic stroke. Nevertheless, it is suboptimal and the implementation of specific
interventions are needed to improve it.
A patient - centered and pluriprofessional structured intervention, targeting the
medication, introduced at hospital discharge and continued at home (by regular telephone
contact) could improve medication adherence one year after stroke.
This intervention would consist of semi structured interviews patient-pharmacist at
different times during one year after stroke. The information about the therapeutic
management of the patient will be shared between healthcare professionals : general
practitioners (GP) and community pharmacists (CP), hospital clinical pharmacist (HCP) and
physician (HPhys).
It will allow for decrease of the recurrent stroke and others cardiovascular
complications based on a better adherence to preventive medication. Furthermore the
decrease of the iatrogenic events and the improvement of the quality of life of patients
may be also associated.
Etablissements
| Les établissements hors Île-de-France dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| Service de médecine physique et de réadaptation, Hôpital Nord, CHU de Clermont Ferrand - 63 118 - Cébazat - France | Emmanuel COUDEYRE, MD | Contact (sur clinicalTrials) | |||
| Service de neurologie vasculaire, Hôpital P Wertheimer, HCL - 69677 - Bron - France | Norbert NIGHOGHOSSIAN, MD | Contact (sur clinicalTrials) | |||
| Les établissements sans correspondance certaine dans le répertoire FINESS dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
| Service de médecine physique et de réadaptation, Groupe hospitalier Lariboisière - Fernand Vidal, AP-HP - 75010 - Paris - France | Alain YELNIK, MD | Contact (sur clinicalTrials) | |||
| Service de médecine physique et de réadaptation, Hôpital Bellevue, CHU Saint Etienne - 42055 - Saint-Etienne - France | Pascal GIRAUX, MD | Contact (sur clinicalTrials) | |||
| Service de médecine physique et de réadaptation, Hôpital Henry Gabrielle, Groupement Hospitalier Sud, HCL - 69230 - Saint Genis Laval - France | Gilles RODE, MD | Contact (sur clinicalTrials) | |||
| Service de médecine physique et de réadaptation, Hôpital sud, CHU de Grenoble - 38434 - Echirolles - France | Dominique PERENNOU, MD | Contact (sur clinicalTrials) | |||
Critères
Tous
Inclusion Criteria:
- Aged ≥ 18 years
- Patient with ischemic stroke hospitalized in physical medicine and rehabilitation
unit or neurovascular unit
- Return at home at the hospital discharge
- Medication including an antiplatelet drug or an oral anticoagulant with at least an
antihypertensive drug and/or a lipid lowering agent (statin)
- Patient without either cognitive disorders or major psychiatric disorders
- Patient with a sufficient autonomy for the management of medication at home (score
of Barthel > 30)
- Aged ≥ 18 years
- Patient with ischemic stroke hospitalized in physical medicine and rehabilitation
unit or neurovascular unit
- Return at home at the hospital discharge
- Medication including an antiplatelet drug or an oral anticoagulant with at least an
antihypertensive drug and/or a lipid lowering agent (statin)
- Patient without either cognitive disorders or major psychiatric disorders
- Patient with a sufficient autonomy for the management of medication at home (score
of Barthel > 30)
- Patient ≤ 18 years
- Patient with important cognitive or psychiatric disorders
- Management of patient medication exclusively by the helper
- No usual pharmacy (or more than 2 usual pharmacies)
- Patient directed to an institution at the end of the hospitalization