Facteurs prédictifs de réadmission à 1 mois des patients âgés de plus de 75 ans, évalués par l'équipe mobile de gériatrie lors d’un passage aux urgences et rentrés à domicile sans avoir été hospitalisés

Abstract : Introduction: the number of elderly people (ED) aged over 75 admitted to the emergency department is constantly increasing. However, we do not know the fate of those who have returned to their homes without having been hospitalized. Our objectives were therefore to determine the prevalence and predictors of early readmission at 1 month of patients over 75 who were not hospitalized after a visit to the emergency room, and to describe at the same time this population. Material and methods: this is a retrospective, monocentric, observational and descriptive cohort study, including all patients over 75 years of age seen by the mobile geriatrics team (EMG), during a visit to the emergency department and returned to their home without being hospitalized in 2015 and 2016. The influence on the readmission to 1 month of sociodemographic and medical data was analyzed. Results: of the 1759 patients evaluated by EMG in 2015 and 2016, 225 patients aged 87.7 (± 5.4) years were included. A very large majority (89.7%) lived at home, 59.7% were dependent for activities of daily living (ADL 3 3) and 76.5% for instrumental activities (IADL ≤ 3) . The early readmission rate at 1 month was 20.2%, with an average delay of 10.2 days. No predictive factors of readmission were identified during the analysis. Conclusion: the readmission of AP after a visit to the emergency room is frequent and difficult to anticipate. This study has described a very old population, with signs of functional decline, addressed to emergencies for different medical reasons that do not require immediate hospitalization. No predictor of readmission could be identified, which does not allow for a specific prevention strategy for new hospitalizations.
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Master Thesis
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Taïna Saint-Pierre. Facteurs prédictifs de réadmission à 1 mois des patients âgés de plus de 75 ans, évalués par l'équipe mobile de gériatrie lors d’un passage aux urgences et rentrés à domicile sans avoir été hospitalisés. Médecine humaine et pathologie. 2018. ⟨dumas-01956067⟩

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