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Master Thesis

Lien entre durée de séjour et taux de ré-hospitalisation à un mois chez les patients âgés hospitalisés à l'unité de gériatrie aiguë de l'Hôpital Saint-André du centre hospitalo-universitaire de Bordeaux

Abstract : Background: Elderly patients have an average length of stay higher than the general population. This increase in the length of stay, is a risk of iatrogenic adverse effects and loss of autonomy. However, a decrease in length of stay may involve risk of inadequate care and increased re-hospitalization rates. Objective: The aim of this study is to define the link between length of stay and rate of re-hospitalization within one month in elderly patients. Methods: This prospective study conducted at the Geriatric Acute Care Unit of Saint André Hospital (CHU de Bordeaux). All patients admitted between July 1 and October 31, 2014 were included. A phone book has been conduct one month after discharged to know the rate of re-hospitalization. Results: 191 patients have been analyze for 205 patients included. The average age of patients was 88 years old and lived at home (69%). They had a MMSE at 20, a CIRSG at 12.4, ADL at 2.6, and mainly hospitalized for an infectious problem (37%). A hospital stay less than 6 days was a protective factor in the risk of re-hospitalization within one month (p = 0.04). A CIRSG-4 score greater than 1 was a risk factor for re-hospitalization within one month. Conclusion: This study showed that a length of stay less than 6 days decreased the risk of re-hospitalization in a month. Modifiable factors for extending the duration of stay have to be checked.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01203457
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, September 23, 2015 - 9:57:24 AM
Last modification on : Wednesday, August 23, 2017 - 4:30:38 PM
Long-term archiving on: : Tuesday, December 29, 2015 - 9:30:54 AM

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Sandrine Arruabarrena. Lien entre durée de séjour et taux de ré-hospitalisation à un mois chez les patients âgés hospitalisés à l'unité de gériatrie aiguë de l'Hôpital Saint-André du centre hospitalo-universitaire de Bordeaux. Médecine humaine et pathologie. 2015. ⟨dumas-01203457⟩

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