| 000 | 03980cam a2200373 4500500 | ||
|---|---|---|---|
| 005 | 20250121183634.0 | ||
| 041 | _afre | ||
| 042 | _adc | ||
| 100 | 1 | 0 |
_aVovelle, Jérémie _eauthor |
| 700 | 1 | 0 |
_a Barben, Jeremy _eauthor |
| 700 | 1 | 0 |
_a Camus, Agnès _eauthor |
| 700 | 1 | 0 |
_a Mihai, Anca-Maria _eauthor |
| 700 | 1 | 0 |
_a Dipanda, Mélanie _eauthor |
| 700 | 1 | 0 |
_a Nuss, Valentine _eauthor |
| 700 | 1 | 0 |
_a Laborde, Caroline _eauthor |
| 700 | 1 | 0 |
_a Putot, Sophie _eauthor |
| 700 | 1 | 0 |
_a Putot, Alain _eauthor |
| 700 | 1 | 0 |
_a Manckoundia, Patrick _eauthor |
| 245 | 0 | 0 | _aCritères de limitation anticipée du transfert en réanimation des patients âgés de 75 ans et plus hospitalisés dans un service de gériatrie aiguë |
| 260 | _c2021. | ||
| 500 | _a12 | ||
| 520 | _aObjectif. Ce travail visait à déterminer les critères de limitation anticipée de transfert en réanimation (LATR) des patients hospitalisés en gériatrie aigüe. Méthode. Cette étude rétrospective, réalisée sur 10 mois, concernait des sujets d’âge ≥ 75 ans hospitalisés en gériatrie aigüe et réparties en 2 groupes selon qu’une LATR était retenue ou non. Résultats. Ont été inclus 906 patients âgés dont 446 sans LATR. Les analyses univariées montraient une corrélation entre la LATR et un score au Mini Mental Status < 20/30 tandis que la dénutrition n’impactait pas la décision de LATR. En analyse multivariée, les facteurs associés à une LATR étaient l’âge ≥ 85 ans, une hospitalisation durant les 6 derniers mois (Odds Ratio (OR) = 1,72 ; Intervalle de Confiance (IC) 95% [1,23-2,39]), la vie en institution (OR = 1,93 ; IC95% [1,18-3,16]) et l’existence d’escarre(s) (OR = 2,44 ; IC95% [1,20-4,98]). Un score de Charlson nul était associé à l’absence de LATR (OR = 0,42 ; IC95% [0,26-0,67]). Conclusion. Si certains critères sont partagés entre gériatres, réanimateurs et urgentistes, d’autres divergent, illustrant l’hétérogénéité des pratiques. | ||
| 520 | _aObjective. Because of heterogeneity of the elderly population and medical practices, the decision of admission of elderly patients (EP) in intensive care unit is more complex. This study aimed to determine the decision criteria for an early limitation of transfer in intensive care unit (ELTICU) of patients hospitalized in an acute geriatric unit. Methods. This retrospective study included, over a 10-month period, patients ≥ 75 years and hospitalized in an acute geriatric unit. They were divided into 2 groups according to whether or not an ELTICU decision was taken. Results. In total, 906 EP were included among them 446 with no ELTICU decision. Univariate analysis showed a correlation between ELTICU and a Mini Mental Status score of less than 20/30. Malnutrition had no impact on ELTICU decision. In multivariate analysis, the factors associated with an ELTICU decision were an age ≥ 85 years, an hospitalization in the last 6 months (Odds Ratio (OR) = 1.72, Confidence Interval (CI) 95% [1.23-2.39]), life in a nursing home (OR = 1.93, 95% CI [1.18-3.16]) and the presence of bedsore(s) (OR = 2.44, 95% CI [1.20-4.98]). A null Charlson score was associated with the absence of an ELTICU decision (OR = 0.42, 95% CI [0.26-0.67]). Conclusion. Some criteria are shared between geriatricians, resuscitators and emergency physicians, while others are discordant, illustrating differences in physicians’ practices. | ||
| 690 | _apatient âgé | ||
| 690 | _acritères gériatriques | ||
| 690 | _alimitation anticipée | ||
| 690 | _aréanimation | ||
| 690 | _ageriatric criteria | ||
| 690 | _aintensive care | ||
| 690 | _aearly limitation | ||
| 690 | _aelderly patient | ||
| 786 | 0 | _nGériatrie et Psychologie Neuropsychiatrie du Vieillissement | 19 | 3 | 2021-09-01 | p. 279-286 | 2115-8789 | |
| 856 | 4 | 1 | _uhttps://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2021-3-page-279?lang=fr&redirect-ssocas=7080 |
| 999 |
_c647677 _d647677 |
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