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Master Thesis

Visite à domicile préventive des personnes âgées par le médecin généraliste : étude de la valeur pronostique à un an de la grille d’évaluation EVALADOM

Abstract : Introduction: People ageing at home are exposed to environmental hazards, responsible of death, hospitalizations, and disability. A home-based visit by a general practitioner could prevent those hazards, but for a lack of the proper tool. The EVALADOM grid was developed for this goal, and its metrology has been validated. Objectives: To determine the prognostic value of the EVALADOM grid on events such as death, institutionalization, fire, hospitalization, fall and increase of home-based care. Methods: the study prospective, observational, multicentrical, was between august and December 2014. 153 patients aged 75 and more were visited at home, to realize a comprehensive geriatric assessment and the EVALADOM tool. Then patients and generalist practitioners were called during 1 year. Results: 69,3% are women 83 years old on average. 100 patients have an event. In multivariate analysis, the EVALADOM point is predictive of major (death, institutionalization, at list 2 emergency hospitalizations) and minor events (increase of home-based care, 1 emergency hospitalization). When the EVALADOM under-point were used instead of the EVALADOM point, the risk of medication and isolation are predictive of major risks. Conclusion: the prognostic value of the EVALADOM tool on death, institutionalization, hospitalization and disability is proved, independently of the comprehensive geriatric assessment. The work is continued on adaptation possible when the EVALADOM tool shows some fails.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01145888
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Submitted on : Monday, April 27, 2015 - 11:53:27 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
Long-term archiving on: : Wednesday, April 19, 2017 - 7:16:06 AM

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  • HAL Id : dumas-01145888, version 1

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Laetitia Maillet. Visite à domicile préventive des personnes âgées par le médecin généraliste : étude de la valeur pronostique à un an de la grille d’évaluation EVALADOM. Médecine humaine et pathologie. 2015. ⟨dumas-01145888⟩

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