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Master Thesis

Prévalence des consultations traumatologiques aux urgences pouvant relever de la médecine générale : une étude prospective sur 288 patients

Abstract : Objectives: Orthopedic problems have been identified as the main reason to use the emergency department (ED), representing 48% of admissions. In primary care, this proportion is less than one percent, and represents 11.6% of unscheduled care. The main objective of this survey was to determine the prevalence of orthopedic problem’s in the ED that can be managed by a general practicioner (GP). Method An epidemiological, open, prospective and cross sectional survey was performed simultaneously, Monday through Friday for ten days from 8am to 6pm, within the ED Hospital’s of Chambéry, Annecy and Grenoble. Eligibility criteria were: self-referral, patients over 18, to have their own GP and consulting for orthopedic conditions. Patients were categorized into two groups: possible GP management versus required emergency care. By using the Delphi method, ten specific criteria categories were used to classify the patients, based on the advice of 10 medical doctors. Each patient was interviewed about their reasons to come to the ED. Results: 1847 patients went to the ED, 954 had orthopedic problems, 288 (30.2%) were included in the survey. GP management was possible for 176 patients 61.1% (CI : 55.5-66.7 ). Para clinical examination requests were the main motivation for 28.5% (CI : 23.3 to 33.7 ) of visits. Conclusion: It seems necessary to increase the patients awareness about how to use the first-line medical care for orthopedic problems. But, would GP be able to absorb this additional consultation volume? Another solution, could be the development of an emergency department unit exclusively dedicated to trauma.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01092793
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Submitted on : Tuesday, December 9, 2014 - 2:50:38 PM
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  • HAL Id : dumas-01092793, version 1

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Audrey Hurstel, Olivier Matarese, Rémi Paulaud-Bayard. Prévalence des consultations traumatologiques aux urgences pouvant relever de la médecine générale : une étude prospective sur 288 patients. Médecine humaine et pathologie. 2013. ⟨dumas-01092793⟩

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