Étude GERIATOX® : causalité des intoxications du sujet âgé à domicile, étude prospective au CAPTV de Bordeaux sur une période de 5 mois

Abstract : Rationale and objectives: despite a high frequency and serious consequences, little is known about household poisoning in the elderly. The main objective of this study was to determine the epidemiology, causes and factors that influenced the occurrence of potentially household domestic exposure in patients over 75 years of age. The second objective was to explore preventable causes and propose preventive strategies. Method: we carried out a prospective single-center observational study in the Bordeaux poison center Unit (France). We reviewed all phone calls received from april to august 2017. Results: we enrolled 122 patients, most of them were females (65%). Median age was 82 years. The main cause of the call to the poison center was the medication (41%). Among them, the therapeutic error (33%) was the most frequent reason for improper use of the drug. Our study suggested that, there were two major categories of domestic exposure in the elderly. First, the non-drug poisoning, without specificity in regard to the general population with similar causal factors. Secondly, therapeutic error, which seemed more specific to the elderly. These were favored by a decrease in cognitive, visual and hearing functions in 30% of cases. These results contributed to establishing a new classification of the various factors involved. Conclusion: household toxic exposure in the elderly seems to be influenced by cognitive, visual and hearing impairment.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02062419
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Submitted on : Friday, March 8, 2019 - 6:52:59 PM
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Agathe Piot. Étude GERIATOX® : causalité des intoxications du sujet âgé à domicile, étude prospective au CAPTV de Bordeaux sur une période de 5 mois. Médecine humaine et pathologie. 2018. ⟨dumas-02062419⟩

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