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Master Thesis

Facteurs prédictifs et taux de ré-hospitalisation à 90 jours des patients en soins palliatifs au CHGM à La Réunion

Abstract : Background: The rehospitalization rate is a vigilance marker aimed at analysing and acting upon or-ganisational, clinical and financial practices. In light of the growing aging population, city medicine needs to develop and avoid rehospitalizations. The objective of the study was to determine the 90 days rehospitalization rate of patients attended by the Palliative Care Mobile Team (EMSP for “Equipe Mobile des Soins Palliatif” in French) at the Gabriel Martin Hospital Centre (CHGM), define predictive factors associated with rehospitalizations and the 30 days rehospitalization rate. Method: We have completed a historical cohort study at the CHGM in Reunion in 2017. The gather-ing of data and predictive factors was obtained by cross-referencing the EMSP database with patients medical files. Results: The 90 days rehospitalization rate in palliative care at the CHGM was 45 %. The predictive factors leading to rehospitalization were the absence of social services involvement, the lack of follow-up house calls by EMSP, the absence of home care staff or helping family members. The predictive factors were not associated with rehospitalization as they were deemed statistically insignificant. The 30 days rehospitalization rate of palliative care patients was 26 %. Conclusion: Thanks to this approach, the results of the study are similar to published literature on the matter. They underscore the need of EMSP follow-up house calls, the importance of family support, the need for home assistance provided by social services during hospitalization.
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Master Thesis
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Submitted on : Friday, November 8, 2019 - 1:36:11 PM
Last modification on : Wednesday, June 30, 2021 - 9:40:15 PM
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Amélie Pottier. Facteurs prédictifs et taux de ré-hospitalisation à 90 jours des patients en soins palliatifs au CHGM à La Réunion. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02355689⟩



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