Évènements indésirables dans un hôpital universitaire tunisien : incidence et facteurs de risque (notice n° 1579052)
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| fixed length control field | 04292cam a2200385 4500500 |
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| control field | 20251228045652.0 |
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| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Ghali, Hela |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Évènements indésirables dans un hôpital universitaire tunisien : incidence et facteurs de risque |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2020.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 15 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Objectif : Déterminer l’incidence et les facteurs de risque des évènements indésirables associés aux soins dans un hôpital universitaire Tunisien. Méthode : Il s’agit d’une étude observationnelle longitudinale, menée en 2016 sur une période de trois mois à l’hôpital universitaire Sahloul, Sousse, Tunisie. Le recueil de données a été réalisé par l’intermédiaire d’une fiche pré-testée remplie, à chaque passage aux services, par des médecins préalablement formés à la méthodologie de recueil. Résultats : Au total, 1 357 patients étaient éligibles. Nous avons identifié 168 EI chez 131 patients, avec une incidence d’EI de 12,4 % (IC 95 % : [7,41 – 17,38]), et une incidence des patients atteints de 9,7 % (IC 95 % : [4,63 – 14,76]). La densité d’incidence des EI était de 1,8 évènement pour 100 jours d’hospitalisation. Les infections nosocomiales et les réadmissions non programmées, en relation avec la prise en charge antérieure, étaient les EI les plus fréquents (43,4 et 12,5 % respectivement). Les facteurs de risque indépendants de la survenue des EI, étaient l’intervention chirurgicale ( p = 0,013 ; RR = 1,68 ; IC : [1,11-2,54]), la pose d’un cathéter veineux central ( p < 10–3 ; RR = 4,1 ; IC :[2,1-8]), la trachéotomie ( p = 0,001 ; RR = 21,8 ; IC : [3,7-127,8]), la transfusion ( p = 0,014 ; RR = 2,1 ; IC : [1,16-3,87]) et la prise médicamenteuse ( p = 0,04 ; RR = 2,2 ; IC : [1,04-4,7]). Conclusion : La présente étude a montré une incidence élevée d’EI et l’implication des dispositifs invasifs dans leur occurrence. C’est pourquoi, des interventions ciblées sont nécessaires. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Objective: To determine the incidence and risk factors of adverse events (AE) in a Tunisian university hospital. Method: We carried out a longitudinal observational study in 2016 over a period of 3 months in the Sahloul university hospital of Sousse, Tunisia. Data were collected using a pretested form filled by doctors previously trained in the collection methodology, upon each visit to all hospitalized patients. Results: Overall, 1,357 patients were eligible. We identified 168 AEs in 131 patients with AEs incidence of 12.4% (95% CI: [7.41 – 17.38]), and patient incidence of 9.7% (95% CI: [4.63 – 14.76]). The incidence density of AEs was 1.8 events per 100 days of hospitalization. Hospital acquired infection and unplanned readmission related to previous healthcare management were the most common AEs (43.4 and 12.5% respectively). Multivariate analysis revealed as independent factors of AEs: surgery (P = 0.013; RR = 1.68; CI: [1.11-2.54]), the use of central-venous-catheter (P < 10 –3; RR = 4.1 ; CI: [2.1-8]), tracheotomy (P = 0.001; RR = 21.8; CI: [3.7-127.8]), transfusion (P = 0.014; RR = 2.1; CI: [1.16-3.87]) and drug intake (P = 0.04; RR = 2.2; CI: [1.04-4.7]). Conclusion: The present study showed a high incidence of AEs and the involvement of invasive devices in their occurrence. Thus, targeted interventions are needed. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | événements indésirables |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | facteurs de risque |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | incidence |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | sécurité des patients |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Tunisie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adverse events |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | incidence |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | patient safety |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | risk factors |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Tunisia |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Cheikh, Asma Ben |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bhiri, Sana |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Fredj, Sihem Ben |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Layouni, Saoussen |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Khefacha, Salwa |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Dhidah, Lamine |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Rejeb, Mohamed Ben |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Latiri, Houyem Said |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 32 | 2 | 2020-09-15 | p. 189-198 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-sante-publique-2020-2-page-189?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-sante-publique-2020-2-page-189?lang=fr&redirect-ssocas=7080</a> |
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