دورية أكاديمية
Analysis of Inappropriate Admissions of Residents of Medicalized Nursing Homes to Emergency Departments: A Prospective Multicenter Study in Burgundy
| العنوان: | Analysis of Inappropriate Admissions of Residents of Medicalized Nursing Homes to Emergency Departments: A Prospective Multicenter Study in Burgundy |
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| المؤلفون: | Manckoundia, Patrick, Menu, Didier, Turcu, Alin, Honnart, Didier, Rossignol, Sylvie, Alixant, Jean-Christophe, Sylvestre, Franck-Henry, Bailly, Vanessa, Dion, Michèle, Putot, Alain |
| المساهمون: | Service de médecine gériatrique (CHU de Dijon - Centre gériatrique de Champmaillot - EHPAD), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), Cognition, Action, et Plasticité Sensorimotrice Dijon - U1093 (CAPS), Université de Bourgogne (UB)-Institut National de la Santé et de la Recherche Médicale (INSERM), Pôle de Gérontologie Interrégional (PGI) Bourgogne & Franche-Comté (PGI Bourgogne-Franche-Comté), Mutualité Sociale Agricole - Caisse de Dijon (MSA de Dijon), Caisse Centrale de la Mutualité Sociale Agricole (CCMSA), Département de Médecine d'Urgence - Centre Régional Universitaire des Urgences (CRUU) (CHU de Dijon), Pôle Gériatrie Autonomie Centre hospitalier de Sens, Centre hospitalier de Sens, Cabinet médical Dijon, Cabinet médical, Cabinet médical Beaune, Département de Sociologie université de Bourgogne, UFR de sciences humaines Université de Bourgogne, Université de Bourgogne (UB)-Université de Bourgogne (UB) |
| المصدر: | ISSN: 1525-8610 ; Journal of the American Medical Directors Association ; https://u-bourgogne.hal.science/hal-01386920Test ; Journal of the American Medical Directors Association, 2016, 17 (7), pp.671.e1 - 671.e7. ⟨10.1016/j.jamda.2016.04.017⟩ ; http://www.sciencedirect.com/science/article/pii/S1525861016301116Test. |
| بيانات النشر: | HAL CCSD Elsevier |
| سنة النشر: | 2016 |
| المجموعة: | Université de Bourgogne (UB): HAL |
| مصطلحات موضوعية: | medical nursing home, Elderly, emergency department, inappropriate admission, [SDV.MHEP.GEG]Life Sciences [q-bio]/Human health and pathology/Geriatry and gerontology |
| الوصف: | International audience ; OBJECTIVES:To determine the rate of inappropriate admissions to emergency departments (EDs) and to identify determinants of these admissions.DESIGN:Prospective multicenter study.SETTING:Burgundy (France), EDs and medical nursing homes (MNHs).PARTICIPANTS:1000 Burgundy MNH residents admitted to EDs, from April 17 to June 20, 2013.MEASUREMENTS:For each subject, a questionnaire was completed. Data included age, gender, type of health professional who referred the resident to the ED (THP), whether or not a medical dispatcher organized the transfer to the ED, transport mode, reason for admission to the ED, level of independence according to the Groupes Iso-Ressource score (GIRS), and diagnosis made in the ED. The French version of the Appropriateness Evaluation Protocol grid was applied to each admission to the ED, and in some situations, the expert committee ruled on the appropriateness of the admission to the ED. MNH characteristics were also recorded. Two groups were constituted according to the appropriateness or not of admission to the ED.RESULTS:Mean age of the 1000 residents was 87. There were 706 women. Two-thirds were referred to the EDs by a physician, mainly a general practitioner. In 91.7%, the transfer to the ED was organized by a medical dispatcher, and 8.8% were transported by medicalized transport. More than 95% had a GIRS ≤4. Among the admissions to EDs, 18.1% were inappropriate. Female gender (P = .017), nonmedicalized transport (P = .002), public MNH (P = .044), and nonaccess to a geriatric opinion in an emergency (P = .043) were determinants of inappropriate admission to EDs.CONCLUSION:In this first study on admissions to EDs of MNH residents using French data, we found a lower rate of admissions to the ED than that reported in the literature. Female gender, nonmedicalized transport, public MNH, and nonaccess to a geriatric opinion in an emergency were associated with inappropriate admission to EDs. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | hal-01386920; https://u-bourgogne.hal.science/hal-01386920Test |
| DOI: | 10.1016/j.jamda.2016.04.017 |
| الإتاحة: | https://doi.org/10.1016/j.jamda.2016.04.017Test https://u-bourgogne.hal.science/hal-01386920Test |
| رقم الانضمام: | edsbas.C10818ED |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.jamda.2016.04.017 |
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