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Master Thesis

Troubles psycho-gériatriques du sujet âgé en ambulatoire : une étude descriptive des patients suivis par l'Unité d'évaluation gériatrique pluriprofessionnelle dans la cité

Abstract : Introduction: the geriatric mobile team in the city of the CHU of Bordeaux, formed as part of the national project Elderly People at Risk of Loss of Autonomy (PAERPA), was reinforced in 2019 by a half-time geriatric psychiatrist. We wanted to know the prevalence of psychobehavioural disorders among patients followed by EMG, the characteristics of this population, the therapeutic proposals and the evolution of the symptomatology. Methods: this is an observational epidemiological study, retrospective, mono-centric among patients assessed by the EMG of Bordeaux, and presenting psycho-geriatric disorders, over a duration of 6 months, from January to June 2019. Results: of the 144 patients assessed by EMG, 85 had psycho-geriatric disorders, a prevalence of 59%. The average age was 85.3 years. 49.5% of patients had depressive syndrome, 25% of psychobehavioural symptoms of dementia, 27% an anxiety disorder and 2.5% a psychotic syndrome. A therapeutic proposal was made in 63.5% of patients, 2.5% in a hospital setting and 61% in an outpatient setting. The psychiatrist’s proposal was made for 57.5% of patients. The diagnoses retained by the psychiatrist were for 49% of patients with depressive syndrome, 24% of psycho-behavioural symptoms of dementia, 22% of anxiety disorders 7% of psychotic disorders and 12% of other diagnoses. 71% of patients had their treatments changed. During follow-up the study showed clinical improvement in 85% of patients who had at least one psycho-geriatric consultation. Conclusion: the prevalence of psychopathological disorders is significant (59%) in patients assessed by the EMG. Depression is the most strongly represented. The significant rate of clinical improvement in patients underscores the importance of psychiatric expertise and psychiatric/geriatric collaboration.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03120425
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Monday, January 25, 2021 - 3:00:51 PM
Last modification on : Wednesday, February 3, 2021 - 3:11:14 AM

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Julien Herrou. Troubles psycho-gériatriques du sujet âgé en ambulatoire : une étude descriptive des patients suivis par l'Unité d'évaluation gériatrique pluriprofessionnelle dans la cité. Médecine humaine et pathologie. 2020. ⟨dumas-03120425⟩

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