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Master Thesis

Évaluation du dispositif DOMCARE d'aide au retour à domicile des personnes âgées après consultation aux urgences de l'hôpital d'instruction des armées Robert Picqué

Abstract : Today, 20% of the French population is over 65 years old. Among them, debilitated patients are prone to consultations in emergency care structures which can lead to a loss of autonomy. The DOMCARE initiative proposes a facilitation to the return home after a consultation in the emergencies of the HIA Robert Picqué via the Team of Night Emergencies (TNE) associated with an evaluation of the patient environment via the Support Team of Home Care Helpers (ESAD: Equipe de Soutien aux Aidants à Domicile) before the outpatient care system takes over. Our aim is to evaluate the DOMCARE system after nine months of operation. We completed an observational study monocentric, descriptive from the 01/04/2014 to the 31/12/2014. Our cohort was made of 108 patients, of which 32.4% were male (n=35), the average age was 83.2 years old and 55.6% of them lived alone at home (n=60). Fifty percent of the calls to the TNE were made before 9pm, independently of the day and month. A fall was followed by a hospitalization in 62% of the cases (n=67), 50% of the motives for consultation were osteoarticular. The TNE intervened during 4.7days on average, with the ESAD in 36.1% of the cases (n=39). There were 7.4% of failure (n=8) in 6.1 days on average. The cost for one day of intervention of the TNE was 95€, nevertheless the financial aspect wasn’t analyzed. Thus, the DOMCARE initiative appears to us as an innovative and efficient link in the post emergency care of elderly, debilitated patient, at home.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01343104
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Submitted on : Thursday, July 7, 2016 - 2:52:12 PM
Last modification on : Wednesday, August 23, 2017 - 4:30:53 PM

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Paméla Aloird. Évaluation du dispositif DOMCARE d'aide au retour à domicile des personnes âgées après consultation aux urgences de l'hôpital d'instruction des armées Robert Picqué. Médecine humaine et pathologie. 2016. ⟨dumas-01343104⟩

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