Place du médecin traitant dans le suivi des patients traumatisés crâniens admis en réanimation : une étude sur la cohorte NEURODATA durant l'année qui suit leur sortie

Abstract : Introduction: traumatic brain injury is a common and serious pathology. There is no recommendation from scientists after 24 hours of management care. Our study aims to observe the medical monitoring of the NEURODATA cohort by their general practitioner (GP) and in second time by the university of Caen in the year after their hospitalization in intensive care unit. Material and method: the data were collected after a call of the patient’s GP and on consultation of their medical file at the university hospital of Caen. Patients were grouped into good and poor prognosis according to the Glasgow Outcome Scale Extended. Results: 99 patients were included, 39 are dead, 47 had a prognostic evaluation at 1 year, for 31 of 47 patients (66%), the GP were called: 26 patients had a good prognosis and 5 a bad one. Patients with good prognosis were followed more by GP (58%) than patients with poor prognosis (p = 0.007). The medical monitoring at the university center of Caen at 3 months was made for 61% of patients: those with a good prognosis were more followed than those with poor prognosis. They were also more often referred to specialists by their GP. Conclusion: patients with good prognosis at 1 year are followed by GP, contrary to poor prognosis most often institutionalized with specialized follow-up. The GP’s target is the population with a good prognosis at 1 year with mission to prevent secondary complications of patients with TBI hospitalized in intensive care unit. Multidisciplinary consultations should be established to assist GP in their work.
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Master Thesis
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Mathieu Goetz. Place du médecin traitant dans le suivi des patients traumatisés crâniens admis en réanimation : une étude sur la cohorte NEURODATA durant l'année qui suit leur sortie. Médecine humaine et pathologie. 2018. ⟨dumas-02083471⟩

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