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Master Thesis

Search for decompensation risk factors within the egprn multimorbidity’s definition themes. Overall cohort pilot study follow up at 12 months in nursing home (NH)

Abstract : Objectives : The European general practice research network (EGPRN ) defined multimorbidity. Multimorbid’s nursing home patients are frailty and at risk to decompensate. This study’s objectif was to search for decompensation risk factor among EGPRN multimorbidity definition in Lanmeur nursing home , at 12 months. Methods: 88 multimorbid patients from Lanmeur nursing home were included from July 2014 to December 2015. Their status « D » decompensation or « NTR » nothing to report were collected at 12 months. Using a survival analysis by a Cox model, multimorbid variables were analyzed to identify association with decompensation considering time. Results: At 12 months of follow up, on the 88 patients, 35 patients were either been hospitalized more than seven days or dead, representing 39,77% of the cohort. Absence of the entourage was significantly associated with decompensation ( HR :15.59 , IC95% {1.97-123.45} , p= 0.009). Conclusion: This study showed that resident in NH decompensate more (hospitalization over 7 days or death) if their entourage is absent. These results are in accordance with a previous study with less patients but larger studies with less biases need to be performed to confirm the significance of these risk factors or to find others.
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Master Thesis
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Vincent Grall. Search for decompensation risk factors within the egprn multimorbidity’s definition themes. Overall cohort pilot study follow up at 12 months in nursing home (NH). Life Sciences [q-bio]. 2018. ⟨dumas-01827282⟩

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