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Master Thesis

Search for decompensation risk factors within the EGPRN multimorbidity's definition themes. Cohort pilot study, follow up at 21 months in primary care outpatients

Abstract : According to the European General Practice Research Network (EGPRN), multimorbidity is a concept considering all the biopsychosocial characteristics of patients. It could be used to develop a tool for identifying multimorbid patients at risk of decompensation in GP. Search for decompensation risk factors among the multimorbidity's themes at 21 months of follow up was the first aim of this study. The second one was to spot difficulties encountered. Method: 96 patients met during general practice consultations and meeting the criteria of multimorbidity according to the EGPRN were included in this prospective pilot study. Patients were assigned in two groups according to their health status: "nothing to report" or "decompensation". The Cox regression model was used to study the relationship between the occurrence of decompensation and the multimorbidity's themes. Results: 55 patients were included in the "nothing to report" group and 31 in the "decompensation" group. 10 patients were excluded as lost to follow. The number of FPs' consultations and having human help at home were risk factors for decompensation. FP's global vision was a protective factor. Difficulties with the questionnaire were highlighted. Conclusion: health care consumption is a risk factor for decompensation and FP's global vision is a protective factor. These results should be confirmed in a larger scale study. Thus, the questionnaire was improved. It has to be validated by consensus.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02294057
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Submitted on : Monday, September 23, 2019 - 10:07:31 AM
Last modification on : Thursday, April 1, 2021 - 3:15:02 AM

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Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International License

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  • HAL Id : dumas-02294057, version 1

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Léopoldine Nicolas. Search for decompensation risk factors within the EGPRN multimorbidity's definition themes. Cohort pilot study, follow up at 21 months in primary care outpatients. Life Sciences [q-bio]. 2019. ⟨dumas-02294057⟩

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