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Master Thesis

Évaluation du maintien de la déprescription initiée en hospitalisation lors de la première réévalution ambulatoire

Abstract : Introduction: Hospitalisation can be a good time to deprescribe drugs. In order to improve the quality of the patient's care, it is essential that this deprescription is continued when the patient returns to the outpatient setting. The aim of this study was to observe the becoming of hospital deprescriptions during the follow-up consultation by the general practitioner and the factors that may influence their effectiveness.Material and methods: It was a mono-centric prospective descriptive and analytical epidemiological observational study on the Métropole Savoie Hospital, Chambéry site, in seven acute medicine departments. The study lasted six months. The data were collected using computerised patient records and a closed questionnaire given to the attending physician by phone or email. Results: The rate of maintenance of hospital deprescriptions was 79% (96/121) at the time of the follow-up consultation by the treating physician. The results concerning the factors influencing the maintenance of deprescription (related to the doctor, the hospitalisation, the care relationship and the follow-up) were not significant. Some variables were of particular interest (length of hospitalisation, type of drug, first-time prescriber).Conclusion: Hospital deprescribing was functional without specific intervention and in different hospital departments. The results were consistent with the literature despite the small sample size. Supervision of hospital deprescribing at risk of failure through discussion with the treating physicians is an area for improvement
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03344150
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Submitted on : Tuesday, September 14, 2021 - 4:20:07 PM
Last modification on : Friday, September 17, 2021 - 3:21:43 AM

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Laura Carlot, Guillaume Choné. Évaluation du maintien de la déprescription initiée en hospitalisation lors de la première réévalution ambulatoire. Médecine humaine et pathologie. 2021. ⟨dumas-03344150⟩

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