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Master Thesis

Bilan somatique des patients transférés d’un service d’urgences adulte vers un service d’accueil psychiatrique : état des lieux

Abstract : Object: our study aims to assess the somatic assessment of patients referred pre-hospital to psychiatric care, first admitted to general emergencies in the Pellegrin Hospital in Bordeaux, before their transfer to the Crisis Assessment Service. and Psychiatric Orientation (SECOP) for potential hospitalization. Methods: this is a 6-month, single-center, retrospective, descriptive observational cohort study. The patients included are adults admitted to the adult emergency department of Hospital of Pellegrin, Bordeaux University Hospital Center (CHU), from January to June 2017. The somatic assessment was considered complete if it included: blood pressure, heart rate, temperature, respiratory rate, capillary blood glucose, oxygen saturation, alcohol level, electrocardiogram, brain scan. The non-inclusion criteria are: age under 18 and pregnant women . Exclusion criteria: direct origin from Charles Perrens Hospital for somatic assessment, and runaways from Charles Perrens Hospital. Results : we have a cohort of 319 admissions before exclusion processing. The result is a sample of 220 admissions over a period of 6 months. Out of 220 patients included, no file is complete. The median is 4 missing items, out of 9 items assessed. However, key elements in the search for differential diagnosis such as blood sugar or alcohol levels are often overlooked. Conclusions: Pellegrin hospital multipurpose emergency patients referred pre-hospital to Charles Perrens hospital did not receive a complete somatic assessment although investigations were carried out in this direction. A practitioner-dependent approach should be mentioned but could be reversed by a protocolization of investigations based on exhaustive recommendations in emergency departments, the result of close collaboration between emergency physicians and psychiatrists.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03183100
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Submitted on : Friday, March 26, 2021 - 10:33:11 PM
Last modification on : Tuesday, May 11, 2021 - 3:12:59 AM
Long-term archiving on: : Sunday, June 27, 2021 - 7:22:22 PM

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Toufik Bendjazia. Bilan somatique des patients transférés d’un service d’urgences adulte vers un service d’accueil psychiatrique : état des lieux. Médecine humaine et pathologie. 2021. ⟨dumas-03183100⟩

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