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Gériatrie et Psychologie Neuropsychiatrie du Vieillissement

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Prospective multicentered study describing the health pathway of a short-stay geriatric population hospitalised through geriatric telephonic hotline Volume 20, issue 4, 2022-12-01

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Authors
1 Service de gériatrie clinique, CHU de Saint-Étienne, France
2 UNIV ANGERS, UPRES EA 4638, University of Angers, France; Department of Geriatric Medicine and Memory Clinic, Research Center on Autonomy and Longevity, University Hospital, Angers, France; Gérontopôle Autonomie Longévité des Pays de la Loire, France
3 Centre technique d’appui et de formation, Saint-Étienne, France
4 Chaire Santé des aînés, Université Jean-Monnet, Saint-Étienne, France
5 Gérontopôle Auvergne-Rhône-Alpes, Saint-Étienne, France
Correspondance : B. Chomette

Rationale

The ARS finance geriatric hotlines in order to improve the articulation between town medicine and the hospital. The objective of our study is to describe the health status and the care pathway of subjects aged over 75 years hospitalised in a geriatric short stay hospital via a geriatric hotline.

Materials and methods

This prospective multicentre study included 1,451 subjects over 24 months. The primary endpoint was the average length of stay. The secondary endpoints were medico-socio-demographic data.

Results

The population hospitalised via a hotline is comparable to that usually found in geriatric short stay services. The length of stay is correlated with the lifestyle and the mode of discharge (p < 0.001). There was a significant excess risk of non-return to the previous place of residence according to age, average length of stay, comorbidities and degree of dependence.

Conclusion

The care pathway for elderly people over 75 years old hospitalised through the hotline is optimised, with an average length of stay of 14 days, demonstrating a good link between town medicine and hospital. This approach allows for the early management of elderly subjects in the geriatric care system.