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Master Thesis

Description des modalités d’adressage des patients admis dans un service d’accueil des urgences adultes avec un diagnostic final de grippe au cours de l’épidémie 2016-2017

Abstract : AIM: To describe addressing modalities of patients with afterward influenza diagnosis in the adult emergency department of the Grenoble university hospital, and identify patterns in patients’ characteristics and based on time of admission. METHOD: Single-center prospective observational study. Patients with clinical or biological influenza diagnosis were included. We collected patients’ characteristics, addressing modalities and calendar factors. RESULTS: Four hundred and three emergency admissions have led to influenza diagnosis. One hundred and seventeen patients were admitted following medical advice. Patients older than 65 and with at least one clinical criterion for hospitalization were associated with medical addressing (relative risks: 1.52 [IC95% 1.2-3.2] and 2.16 [IC95% 1.7-6]). Weekend or public holidays admissions were associated with medical addressing absence (relative risks: 0,53 [IC95% 0,22-0,63] et 0,74 [IC95% 0,39-0,86]). Medical addressing was associated with afterward hospitalization (p < 0.01). CONCLUSION: During the 2016-2017 winter influenza epidemic, in this center, calendar factors (weekends, public holidays) were associated with less medical addressing before patients’ with influenza diagnosis emergency department admission. These results show the continuity of ambulatory care importance during epidemic periods.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01848841
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Submitted on : Wednesday, July 25, 2018 - 11:29:38 AM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
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Juliette Miallier, Charles Cribier. Description des modalités d’adressage des patients admis dans un service d’accueil des urgences adultes avec un diagnostic final de grippe au cours de l’épidémie 2016-2017. Médecine humaine et pathologie. 2018. ⟨dumas-01848841⟩

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