Skip to Main content Skip to Navigation
Master Thesis

Évaluation de la pertinence et des facteurs associés à une consultation aux Urgences du Centre Hospitalier de Bergerac de patients sous antibiothérapie débutée en ambulatoire

Abstract : Introduction: in recent years, the number of Emergency Room (ER) visits in France has steadily increased thus resulting in the risk of emergency departments becoming overcrowded. Such an increase raises the question of the pertinence of these visits. Seventeen percent of patients visiting the ER have seen their physician in the preceding week, most commonly following an infection requiring them to be administered antibiotics. The primary objective of this study was to assess the pertinence of ER visits by patients receiving antibiotic therapy. The secondary objective was to profile inpatient admissions. Methods: the study conducted observational, retrospective and focuses on patients who visited the ER at the Centre Hospitalier de Bergerac while having previously started antibiotic treatment in outpatient care between the dates of 10/01/2018 and 01/31/2019. A visit to the ER is considered pertinent if a patient receives emergency care, is admitted as an inpatient or if the overall visit reaches level 3 or higher on the CCMUm scale. Results: the study sample was composed of 262 patients. Thirty-seven percent of which made a visit to the ER that was not considered pertinent. This group involved younger patients (p<0.001), presenting spontaneously at the ER (p<0.001) and at some point during the first 48 hours of their antibiotic treatment. Conversely, the subjects which were admitted as inpatients were more often older (p<0.001), came in during office hours (p=0.002) and had been referred to the emergency department by a physician or by the SAMU coordination center (p<0.001) and presented a lower respiratory tract infection (p<0.001). Conclusion: non pertinent visits to the ER are common among patients presenting while receiving antibiotic therapy and particularly among the younger population. Implementing a regulated triage plan prior to the patients’ arrival to the ER, improving outpatient care and educating patients about antibiotics may limit the number of visits, thus reducing ER congestion.
Document type :
Master Thesis
Complete list of metadata

https://dumas.ccsd.cnrs.fr/dumas-03219552
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Thursday, May 6, 2021 - 2:46:36 PM
Last modification on : Wednesday, July 7, 2021 - 3:15:32 AM

File

 Restricted access
To satisfy the distribution rights of the publisher, the document is embargoed until : 2022-05-01

Please log in to resquest access to the document

Identifiers

  • HAL Id : dumas-03219552, version 1

Collections

Citation

Aurelien Vindiolet. Évaluation de la pertinence et des facteurs associés à une consultation aux Urgences du Centre Hospitalier de Bergerac de patients sous antibiothérapie débutée en ambulatoire. Médecine humaine et pathologie. 2021. ⟨dumas-03219552⟩

Share

Metrics

Record views

10