John Libbey Eurotext




Modalities of hospitalization in emergency of institutionalized patients
Gériatrie et Psychologie Neuropsychiatrie du Vieillissement. Volume 9, Number 4, 409-15, Décembre 2011, Article original
Résumé Article gratuit
Author(s) : Éloïse Le Fur-Musquer, Florence Delamarre-Damier, Laure de Decker, Anne Le Strat, Anne Lebatard, Véronique Manigold, Fabienne Yvain, Régis Séhier, Claire Moulinoux, Claire Moisan, Pascal Chevalet, Vincent Ould-Aoudia, Gilles Berrut
Summary : <\;p>Institutionalized people represent 9 to 37% of the patients hospitalized in emergency. The aim of this study is to clarify practical conditions of decision and realization of an hospitalization in emergency from an institution.<\;/p><\;p>This is a prospective and descriptive longitudinal study of the hospitalizations in emergency of institutionalized elderly during six months, from 11 nursing homes.<\;/p><\;p>The patients hospitalized in emergency are old (86.7 ± 7.3 years), more than 80% are women, widows and dependent (GIR 3). Main reasons for hospitalization in emergency are falls in a third of cases and cardio-pulmonary failure (27%). The alert is given by nurses and auxiliary nurses in 60% of cases. The decision of hospitalization is medical in more than 80% of cases. The medical opinion is only on phone in 24.4% of cases. After hospitalizations, 85% of patients came back straight to their institution and 10% died during their stay at the hospital.<\;/p><\;p>The terms of hospitalization in emergency of institutionalized patients must be improved. Nursing homes are an integral part of the geriatric network.<\;/p>
Keywords : hospitalization \;emergency, nursing home

Modalities of hospitalization in emergency of institutionalized patients