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Master Thesis

Évaluation de la prise en charge des patients hémophiles et des patients atteints de la maladie de Willebrand dans les services d'urgences pédiatriques et adultes d'Aquitaine : état des lieux

Abstract : The aim is to assess the complex caring of a haemophilia or Von Willebrand disease patient in a casualty department and to establish a picture of it by identifying the elements that would allow to improve the therapeutic management of those pathologies.Method: It deals with two descriptive and retrospective surveys of paediatric and adult emergency doctors in Aquitaine from 16/05/2014 to 16/08/2014 and of haemophilia and Von Willebrand disease patients from 27/07/2014 to 28/05/2015. Information was gathered through questionnaires. Items from the questionnaire destined to emergency doctors looked through their professional practice and their knowledge of those two pathologies. The patients’ questionnaire defined items to assess the quality of their admission and management, including a mark out of 10 of their personal feeling and on the fact of calling or not the doctor of the Regional Centre for Treatment of Haemophilia before ! their arrival in Casualty.Results: 95.5% of the 66 emergency doctors who answered the questionnaires thought they had a limited knowledge of the two hematologic diseases and 93.4% would like to have a theoretical reminder. The average mark for the quality of admission and patient management for those patients who called the RCTH haematologist before arriving in Casualty is 8.1 whereas that for the patients who did not call the RCTH doctor is 5.7 (p< 5%). 63.3% of the patients who did call the RCTH doctor were seen by the emergency doctor 30 minutes maximum after their arrival against 16.7% of those who did not (<5%). Conclusion: Emergency doctors feel the need to be trained about the specificities of those illnesses. The call to the RCTH doctor by the patient before their arrival in Casualty significantly improves both the waiting time before their admission by the emergency doctor and their feeling about the way they are cared for.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01237685
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Thursday, December 3, 2015 - 4:01:45 PM
Last modification on : Wednesday, August 23, 2017 - 4:30:29 PM
Long-term archiving on: : Friday, March 4, 2016 - 2:11:02 PM

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Dorian Chauvet. Évaluation de la prise en charge des patients hémophiles et des patients atteints de la maladie de Willebrand dans les services d'urgences pédiatriques et adultes d'Aquitaine : état des lieux. Médecine humaine et pathologie. 2015. ⟨dumas-01237685⟩

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