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Master Thesis

Les admissions aux urgences du Pôle Santé d'Arcachon

Abstract : Introduction : The number of passages in emergency services in France is growing steadily. This has increased by 68 % in ten years in the emergency department of the Arcachon Health Pole. Conducting an inventory and highlight the characteristics of admissions seems useful to propose possible corrections. Methods : The characteristics of all patients admitted to the emergency department of Arcachon 1 to 31 May 2015 were collected and analyzed. Results : The study included 2637 patients. The male population was the most frequent. The average age was 42,8 years. Children under 18 accounted for 24 % of passages and 75 and over, 18 %. Admissions were more common on Mondays, weekends and holidays. They took place mainly between 08:00 and 20:00, with peaks of activity in the late morning and late afternoon. The transition rate in the outpatient care of permanence was 58 %. 66 % of patients arrived by their own means. 49 % presented themselves on their own, without medical advice. Almost half of the patients had already consulted in the previous service. 67 % of patients were classified CCMU 2 and 17 %, CCMU 1. 71 % of patients had received additional examinations, 20 % of expert advice and 58 % of an act of therapeutic care. Trauma accounted for 41 % of admissions, against 53 % for medicine. Hospitalizations related 24 % of admissions, they amounted to 51 % when patients were referred by a general practitioner and 40 % by the center 15. The mean support time was 03 hours and 11 minutes. Conclusion : This sharp increase in the number of admissions to the emergency department of the Arcachon Health Pole must lead to propose organizational and structural adaptations, upstream and downstream.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01238418
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Submitted on : Friday, December 4, 2015 - 6:55:55 PM
Last modification on : Wednesday, August 23, 2017 - 4:41:14 PM
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Ameline Yvon. Les admissions aux urgences du Pôle Santé d'Arcachon. Médecine humaine et pathologie. 2015. ⟨dumas-01238418⟩

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