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Master Thesis

Évaluation des pratiques professionnelles concernant les patients chuteurs âgés de plus de 75 ans en post-urgence au CHU de Bordeaux et mise en place d'un protocole de prévention des récidives

Abstract : Introduction: the fall of the elderly is a major public health issue. Several patients are admitted in post-emergency at the Pellegrin Hospital (CHU de Pellegrin) for that purpose. This service offers them a general support and the effectiveness of the latter is linked to i) a short hospitalization duration and ii) skills of non-specialized health professionals in geriatrics. Methods: the current study is a retrospective and descriptive study conducted during the year 2015, and concerns 88 elderly people (<75 years old) who undergo a hospitalization after fall. This study is a clinical audit assessing the practice gaps of healthcare professional in post-emergency compared to the 2009 HAS recommendations. Results: 27% of the sought criteria have been correctly supported in the service. The others criteria (73%) showed results below our expectations (or even sometimes no results at all). Discussion: we note in the present study an important gap between the service practices and the HAS recommendations. This may be explained by: a non-exhaustive data collection in the medical file, associated comorbidities or even, a duration of hospitalization too short. Performing a multidisciplinary protocol in the current study seems useful to us in order to offer a diagnostic strategy and effective intervention for preventing falls.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01534606
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, June 7, 2017 - 6:54:54 PM
Last modification on : Tuesday, October 24, 2017 - 1:15:38 AM
Long-term archiving on: : Wednesday, December 13, 2017 - 9:40:26 AM

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Claire Guiller. Évaluation des pratiques professionnelles concernant les patients chuteurs âgés de plus de 75 ans en post-urgence au CHU de Bordeaux et mise en place d'un protocole de prévention des récidives. Médecine humaine et pathologie. 2017. ⟨dumas-01534606⟩

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