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Master Thesis

Parcours de soins et devenir des patients lésés médullaires de novo de plus de 70 ans pris en charge au CHU de Bordeaux entre avril et septembre 2017

Abstract : Background: spinal cord injuries (SCI) are pathologies affecting every aspects of patients’ lives. The lengthening of life expectancy has led to an increasing proportion of elderly people affected by these pathologies, which has created issues for effective patient care. Methods: we conducted an observational and retrospective study including every patient over 70 years-old presenting with recent SCI (< 3 months) taken care at Bordeaux University Hospital between April and September 2017. We defined our population characteristics, SCI type and localization, and patients’ care paths. Overall mortality and functional prognosis were evaluated at time of discharge and after 6 months of follow-up. Data regarding patients place of residence after hospital discharge were also collected. Results: thirty-two patients were included. Median age was 78 years-old. Charlson median score was 4. Patients exhibited mostly non-traumatic SCI (59%). 50% of patients presented with cervical lesion, 28% lumbar lesion, 19% thoracic lesion and sacral lesion for 1% of them. Median hospitalization duration was 16.5 days. Services most frequently used were (in descending order): orthopedics, emergencies, orthopedics continuous care units, and intensive care units. 17 patients were transferred to rehabilitation centers. Mortality rates were 15.6% and 34.4% at hospital discharge and after 6 months, respectively. Conclusion: guidelines applications for SCI management appear to be perfectible in elderly patients. Elderly people seem indeed to face limited access to specialized rehabilitation structures.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02495857
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Monday, March 2, 2020 - 3:43:38 PM
Last modification on : Saturday, March 7, 2020 - 1:20:13 AM
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Marianne Sow-Courant. Parcours de soins et devenir des patients lésés médullaires de novo de plus de 70 ans pris en charge au CHU de Bordeaux entre avril et septembre 2017. Médecine humaine et pathologie. 2019. ⟨dumas-02495857⟩

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