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Master Thesis

Évaluation du parcours de soin des patients se présentant spontanément aux urgences selon la durée de leurs symptômes

Abstract : Thesis object: we compared the consumption of care between patients presenting to the Gironde emergency department according to the duration of their symptoms. We assessed whether the context of the onset of symptoms, the previous consultation of a doctor or the search for contact with the attending physician vary according to the duration of the symptoms. The main objective of our study was to investigate whether there was a link between a duration of symptoms greater than or less than 24 hours and the patient's care path. The secondary objective was to study the place of the attending physician upstream of emergency services Material and method: this was an observational, cross-sectional and multicenter study, carried out simultaneously in nine emergency centers in Gironde over two days. The data collection was done via a hetero-questionnaire offered to each patient over 15 years and 3 months in order to identify their profiles, from their admissions to their future. Results: of the 1165 patients included, 40% had symptoms for more than 24 hours. 61% did not consult before going to the emergency room and 24% consulted their attending physician. There were as many patients on weekdays as on weekends, but 63% traveled during the day. In multivariate analysis, the consultation on weekends and at night, coming alone or with a third party to the emergency room and referral by the SAMU are factors associated with a consultation in the first 24 hours. Conversely, the previous consultation with a doctor, the search for contact with the attending physician, the lack of improvement despite a previous consultation or self-medication are in favor of symptoms lasting more than a day. Discussion/Conclusion: there are differences in the care pathway for patients presenting to the emergency department depending on the duration of their symptoms. The permanence of outpatient care plays a big role in this, as it reduces the influx of patients outside of the opening hours of the town offices. Better communication as well as the development of outpatient centers for more comprehensive care could be possible solutions.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03133929
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Sunday, February 7, 2021 - 6:48:14 PM
Last modification on : Saturday, February 13, 2021 - 3:10:00 AM

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Mathieu Domblides. Évaluation du parcours de soin des patients se présentant spontanément aux urgences selon la durée de leurs symptômes. Médecine humaine et pathologie. 2021. ⟨dumas-03133929⟩

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