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Gériatrie et Psychologie Neuropsychiatrie du Vieillissement

Modalities of hospitalization in emergency of institutionalized patients Volume 9, issue 4, Décembre 2011

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Authors
Service de médecine polyvalente gériatrique, CHU de Nantes, Service de médecine gériatrique, CH de Cholet, Service de gériatrie, CH de Saint-Nazaire
  • Key words: hospitalization ;emergency, nursing home
  • DOI : 10.1684/pnv.2011.0305
  • Page(s) : 409-15
  • Published in: 2011

<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>