Le transfert aux urgences des résidents d’établissement d’hébergement pour personnes âgées dépendantes du XVIe arrondissement de Paris est-il toujours adapté ? (notice n° 1347658)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 04079cam a2200349 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250504011625.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | de Farcy, Pauline Mary |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Le transfert aux urgences des résidents d’établissement d’hébergement pour personnes âgées dépendantes du XVIe arrondissement de Paris est-il toujours adapté ? |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2025.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 69 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | ContextIn January 2023, 14.5 millions people were over 65 (21.3%) and 600,000 people live in nursing homes. A 2018 study showed that 30 % of visits to the emergency room were “avoidable”. Measure 5 of the 2019-2022 emergency overhaul pact is to generalize routes dedicated to the elderly to avoid recourse to emergencies. The EMGE (Mobile Extra-Hospital Geriatrics Team) is a key mechanism in coordination between nursing homes and emergency reception services. Objective: Study the reasons why elderly people residing in nursing home go to emergency.MethodWe prospectively identified and described emergency transfers of residents of 4 nursing homes, from January 1 to March 31, 2022. Then, retrospectively, we requested a panel of 9 expert in order to judge if the transfer to the emergency was appropriate, based on a questionnaire.Results50 (75,6%) transfer were assessed as suitable by at least 5 of the 9 experts. The average age of transferred residents was 91.7±6.4 years. In 35 % of cases, the symptoms motivating the transfer had been present for more than 48 hours. The main reason for 2 transfers was a fall (35%). A nurse was at the origin of 40 transfers (61%).ConclusionThis study shows that 76% of visits to the emergency room were considered suitable. The management of emergency situations in nursing homes is a real public health issue, and the pivotal role of a GMT is to secure, optimize and streamline the care of elderly people in nursing homes, and to limit as much as possible the transfer to emergencies. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Contexteen janvier 2023, 14,5 millions de personnes avaient plus 65 ans (21,3 %) et 600 000 personnes vivaient en établissement d’hébergement pour personnes âgées dépendantes (Ehpad). Une étude de 2018 montrait que 30 % des passages aux urgences seraient « évitables ». La mesure 5 du Pacte de refondation des urgences 2019-2022 est de généraliser des parcours dédiés aux personnes âgées pour éviter le recours aux urgences. Les équipes mobiles de gériatrie extrahospitalière sont un dispositif clé dans la coordination entre les Ehpad et les services d’accueil des urgences.Objectifétudier les passages des résidents des Ehpad aux urgences.Méthodesnous avons recensé et décrit, de façon prospective, les transferts aux urgences des résidents de quatre Ehpad de Paris, du 1er janvier au 31 mars 2022. Un panel de neuf experts a jugé, de façon rétrospective, à partir d’un questionnaire, si le transfert aux urgences était adapté.Résultats50 des 66 transferts examinés ont été jugés adaptés par au moins cinq des neuf experts. L’âge moyen des résidents transférés était de 91,7 ± 6,4 ans et, dans 35 % des cas, les symptômes motivant le transfert étaient présents depuis plus de 48 h. Le principal motif de transfert était une chute (35 %). Une infirmière était à l’origine de 40 transferts (61 %). |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Ehpad |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Paris |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | personnes âgées |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | résidents |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | transfert |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | urgences |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | elderly |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | emergency |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | nursing homes |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Paris 16 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | transfer |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Pardineille, Clio |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Kebouchi, Samia |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | de Schongor, Florence Muller |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Lechowski, Laurent |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Gériatrie et Psychologie Neuropsychiatrie du Vieillissement | 23 | 1 | 2025-04-15 | p. 75-84 | 2115-8789 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2025-1-page-75?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2025-1-page-75?lang=fr&redirect-ssocas=7080</a> |
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