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Master Thesis

Prise en charge des patients après un séjour en réanimation : enquête de pratique auprès des médecins généralistes landais

Abstract : Purpose: the Post-Intensive Care Syndrome (PICS) corresponds to all the sequelae found after a stay in intensive care. Some intensive care teams have set up systematic follow-up after critical care hospitalisation but many lack the human and financial resources to carry them out. PICS is a public health problem and the role of the general practitioner (GP) in its screening seems essential. The main objective of our study is to assess GPs' knowledge of PICS and of the psychological consequences of a stay in intensive care. Methods : the Landes GPs practising a liberal activity were included. This was a cross-sectional study of practice. We sent a questionnaire to the GPs concerning their practice regarding the last of their patients who had been discharged alive from the intensive care unit for at least 3 months and hospitalized for at least 7 days in this unit. Data collection took place between April 1, 2021 and July 17, 2021. Results: 33 GPs were interviewed, 26 GPs were included. 65.4% (n=17) of the GPs performed a dedicated consultation in their patients discharged from the Intensive Care Unit (ICU). GPs detected more somatic than psychological sequelae in their patients: 73.0% (n=19) vs 46.1% (n=12). 58.3% (n=7) of GPs who detected psychological sequelae generally used psychological evaluation scores. Concerning the management of patients with psychological sequelae (n=12), 83.3% (n=10) of the GPs referred them for psychological follow-up, 75.0% (n=10) introduced an antidepressant or anxiolytic treatment, 91.7% (n=11) followed them up more regularly on the psychological level. 96.1% (n=25) of the GPs included declared that they were aware of the existence of psychological sequelae after a stay in the ICU. Conclusion: GPs seem to be more aware of the notion of PICS than a few years ago. The detected patients are well followed-up. In view of the health crisis we are going through, the involvement of GPs in the follow-up of patients discharged from intensive care and the coordination between GPs and ICU team seems to be essential.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03484024
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Submitted on : Thursday, December 16, 2021 - 5:48:04 PM
Last modification on : Friday, December 17, 2021 - 3:47:07 AM
Long-term archiving on: : Thursday, March 17, 2022 - 7:49:50 PM

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Victoire Philbert. Prise en charge des patients après un séjour en réanimation : enquête de pratique auprès des médecins généralistes landais. Médecine humaine et pathologie. 2021. ⟨dumas-03484024⟩

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