Vermeersch Tiphaine, Lambert Céline, Jouve Élodie, Joyon Camille, Bohatier Jérôme, Lahaye Clément
Service de gérontologie, CHU de Clermont-Ferrand, France
Direction de la recherche clinique et de l’innovation, biostatistique, CHU de Clermont-Ferrand, France
Geriatr Psychol Neuropsychiatr Vieil. 2022 Sep 1;20(3):311-318. doi: 10.1684/pnv.2022.1056.
Development of the geriatric care allows direct hospitalization and avoid unnecessary emergency admissions. In Clermont-Ferrand, a specific hotline regulates direct entry from home and emergencies in the geriatric acute care unit. The aim of this study was to evaluate the impact of the entry mode (home or emergency) on the length of stay of patients hospitalized in acute care geriatric unit.
We have retrospectively collected data on hospitalization of patients over 75 years in the Geriatric Acute care unit from January to March 2019. We also collected socio-demographic data, autonomy score, MMS, co-morbidity score, exit mode, previous year’s hospitalization and polymedication on hospitalization reports.
We included 88 patients in the “direct” group and 184 patients in the “emergency” group. The characteristics of the two groups were comparable. The median length of stay for the “emergency” group was 14 days [9.5; 20] versus 12 [8.5; 18] for the “direct” group (p=0.03). In multivariate analysis, ADL score and home lifestyle were correlated with duration of stay.
The development of direct entrance pathways into the geriatric short-stay department by establishing specific hotlines decreases length of stay.
老年护理的发展使得患者能够直接住院，避免了不必要的急诊入院。在克莱蒙费朗，一条特定的热线负责管理老年急性护理单元的家庭直接入院和急诊情况。本研究的目的是评估入院方式（家庭或急诊）对老年急性护理单元住院患者住院时间的影响。
我们回顾性收集了2019年1月至3月在老年急性护理单元住院的75岁以上患者的住院数据。我们还从住院报告中收集了社会人口学数据、自主评分、简易精神状态检查表（MMS）、合并症评分、出院方式、上一年的住院情况以及多重用药情况。
我们将88名患者纳入“直接入院”组，184名患者纳入“急诊”组。两组的特征具有可比性。“急诊”组的中位住院时间为14天[9.5；20]，而“直接入院”组为12天[8.5；18]（p=0.03）。在多变量分析中，日常生活活动能力（ADL）评分和家庭生活方式与住院时间相关。
通过设立特定热线开发老年短期住院科室的直接入院途径可缩短住院时间。
