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Master Thesis

Étude des caractéristiques des patients âgés de 70 ans et plus ré-hospitalisés dans les 30 jours de façon non programmée au CHU de La Réunion lors du dernier trimestre 2014

Abstract : Background: Early re hospitalizations among elderly are frequent and expensive adverse outcomes. Their prevention is a public health issue and requires an early identification of high-risk patients, like HAS recommended. A good knowledge of these people’s profile is required. We aim to study the characteristics of this population in the teaching hospital on Reunion Island. Method: An observational descriptive retrospective multi centered study has been conducted on the last trimester of 2014, including people aged 70 and more, 30-days readmitted in an unplanned manner in all medical and surgical departments. Socio-demographic and medical characteristics, functional status, organization of hospitalization, the number of medications and the TRST have been identified. Results: 204 patients have been included. Early unplanned readmissions occurred in 8.5% of the cases. The mean age was 81, they were women (53%), poly-pathological! but less comorbids (3 to 5), with a strong cardiovascular profile (90.1%). They have lot of medications (mean 6.9 medications) and have modest to severe dependence (70%). They lived at home with family (87%) and professional caregivers (81.6%). They were admitted with a Cardiac Failure (18.9%) or Infection (35%) diagnosis. The mean Length of Stay was 9.5 days. The discharge summary was available in 91% of the cases. The TRST classified 89% of the patients in the high risk class for 30-days unplanned readmissions. Discussion: This unplanned early readmission proportion is one of the lower in the literature. Socio demographic medical and functional profiles are as expected. The social part is meaningful with local statistics. TRST identified 89 % of high risk patients: its validation among Reunion elderly patients would be interesting.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01237867
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Thursday, December 3, 2015 - 6:52:15 PM
Last modification on : Sunday, October 25, 2020 - 7:04:53 AM
Long-term archiving on: : Friday, March 4, 2016 - 3:11:24 PM

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  • HAL Id : dumas-01237867, version 1

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Elena Morello. Étude des caractéristiques des patients âgés de 70 ans et plus ré-hospitalisés dans les 30 jours de façon non programmée au CHU de La Réunion lors du dernier trimestre 2014. Médecine humaine et pathologie. 2015. ⟨dumas-01237867⟩

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