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Master Thesis

Les consultations de 1er recours en période d'épidémie de grippe : étude transversale des patients admis pour un syndrome grippal au Service d'Accueil des Urgences d'Avignon

Abstract : Background: Emergency department (ED) overcrowding would be due to the unavailability of hospital beds and the increase of number of patients « non–urgent », seeking care in ED. Seasonal influenza epidemics have aggravated the situation. Few studies have considered the role of general practitioner as a way to limit ED overcrowding, with health care providers and care coordination. Objective: The main objective of this study was to describe and compare patients with influenza-like illness ( ILI), referred by the general practitioner to those consulting immediately to ED, during the 2017-2018 Influenza season. Method: A comparative cross-sectional study was conducted during the Influenza season, from 11 December 2017 to 11 March 2018, at the Hospital Center in Avignon, France. All patients aged 18 years and older which have ILI and who came to ED have been included. ILI had defined as an acute and sudden respiratory syndrome, combinating general and respiratory or digestive signs during seasonal influenza epidemic. Demographic, environmental, clinical, paraclinical characteristics, complications, vaccination status and type of consultation have been collected. Results: The study included 444 participants: 82 patients were referred by the general practitioner and 362 patients had consulted immediately to ED. Mean age was 66.3 years (+/- 20.4). Patients who consulted immediatly had less severity risk factors (73% versus 88%, p = 0.0060), less complications (44% versus 63%, p = 0.0012) and required less hospitalizations (50% versus 80%, p = 0.0001) than patients who referred by the general practitioner. Conclusion: During seasonal influenza epidemics, the use of general practitioner would seem to be one of the solutions to limit "non-urgent" consultations to ED.
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https://dumas.ccsd.cnrs.fr/dumas-02418051
Contributor : Faculté de Médecine Amu <>
Submitted on : Wednesday, December 18, 2019 - 3:10:39 PM
Last modification on : Friday, October 23, 2020 - 4:46:29 PM
Long-term archiving on: : Thursday, March 19, 2020 - 6:10:48 PM

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Ismaa Amara. Les consultations de 1er recours en période d'épidémie de grippe : étude transversale des patients admis pour un syndrome grippal au Service d'Accueil des Urgences d'Avignon. Sciences du Vivant [q-bio]. 2018. ⟨dumas-02418051⟩

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