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Master Thesis

Ouverture d'une unité de post-urgences au CHU de Pointe-à-Pitre

Abstract : INTRODUCTION: Pointe-à-Pitre’s hospital has opened in July of 2014 a new post-emergency service to improve the care pathway of patients exiting emergency department. OBJECTIVES: Give an overview of the post-emergency service for year 2015 and identify the impact on emergency department. MATERIALS AND METHODS: Retrospective study from January of 2015 to December of 2015 in Pointe-à-Pitre’s hospital. Patients hospitalized in post emergency service have been included. RESULTS: 1357 patients have been included (55% men) with an average age of 66 years. The main reasons of hospitalization were general diseases, cardiovascular pathologies, and infectious diseases. Average Charlson’s comorbidity score was 4,70 and was statistically higher for oncology, nephrology, and cardiovascular diseases (p<0,05). 716 patients have been oriented outside Pointe-à-Pitre’s hospital (including 625 returning home) and 641 patients have been oriented in another service inside the hospital. Average lengh of stay was 3,13 days and was higher for social issues (6,74 days) (p<0,05). Endocrinology had the shortest average length of stay (2,51 days) (p<0,05). 1 month readmission rate was 4,5% and there were no significant differences between pathologies. 3-month readmission rate was 6,12% and was higher for internal medecine (15,2%) and cardiovascular diseases (10,8%) (p<0,05). Charlson’s comorbidity score was higher for 1 month readmitted patients (5,36) and 3 month readmitted patients (5,84) (p<0,05). There was no significant difference in average length of stay or average age. CONCLUSION: This study has demonstrated good results for the post emergency service and highlighted new working methods to improve it.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01662083
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Submitted on : Tuesday, December 12, 2017 - 4:50:48 PM
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Ghislain Barra. Ouverture d'une unité de post-urgences au CHU de Pointe-à-Pitre. Médecine humaine et pathologie. 2017. ⟨dumas-01662083⟩

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