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Master Thesis

Étude de la qualité des informations médicales des patients de 75 ans et plus admis aux urgences chirurgicales suite à une chute‎ : identification des facteurs de risque d'hospitalisation et de récidive de chute à 6 mois

Abstract : A third of 65 and more people fall at least once a year, among which 15% several times a year. The main of this study is to analyze the data collected by health staff during consultation in emergency department of the eligible patients after a fall. The secondary objectives are to quantify the rate of falls occurring over the 6-month follow-up period to those discharged directly home, and to identify recurrence risk factors. The study includes patients aged 75 and over admitted to the Surgical Emergency in Grenoble after a fall. A descriptive analysis of the overall group and subgroups was performed. The study includes 406 patients (average age 85.4 years) with 69.6% of women. Data collected in the patient files vary: the place of residence is known in 92.4% of cases, patient's autonomy quoted by the activities of daily life is completed in 15.5% of files, history of falls is known in 29.3% of cases, medical treatment is specified for 76.0% of patients. A multivariate analysis shows a significant association between sensory deafferentation of patient and rate of file filling. Two hundred and one patients (49.5%) were discharged directly home. At 6 months, 36 fell again at least once (17.9%), 15 died (7.5%) and 44 were hospitalized again (21.9%). Risk factors for a new fall within six months are: age, change of usual prescription by the attending physician, environmental changes in patients' residence and loss of autonomy at 6 months. We demonstrated that the quality and quantity of data collected in the 75 or more people's files admitted for fall in emergency department are not compliant with national and international recommendations.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00699891
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Submitted on : Monday, May 21, 2012 - 5:37:37 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Wednesday, August 22, 2012 - 2:45:32 AM

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  • HAL Id : dumas-00699891, version 1

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Elodie Damier, Maël Dubouloz. Étude de la qualité des informations médicales des patients de 75 ans et plus admis aux urgences chirurgicales suite à une chute‎ : identification des facteurs de risque d'hospitalisation et de récidive de chute à 6 mois. Médecine humaine et pathologie. 2012. ⟨dumas-00699891⟩

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