Chomette Bérangère, Annweiler Cédric, Dupré Caroline, Bongue Bienvenu, Goethals Luc, Lafaie Ludovic, Martinez Laure, Célarier Thomas
Service de gériatrie clinique, CHU de Saint-Étienne, France.
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.
Geriatr Psychol Neuropsychiatr Vieil. 2022 Dec 1;20(4):429-438. doi: 10.1684/pnv.2022.1064.
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.
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.
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.
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.
ARS设立老年热线，以改善社区医疗与医院之间的衔接。我们研究的目的是通过老年热线描述入住老年短期住院医院的75岁以上患者的健康状况和护理路径。
这项前瞻性多中心研究在24个月内纳入了1451名受试者。主要终点是平均住院时间。次要终点是医学-社会-人口统计学数据。
通过热线住院的人群与老年短期住院服务中常见的人群相似。住院时间与生活方式和出院方式相关（p<0.001）。根据年龄、平均住院时间、合并症和依赖程度，未返回先前居住地的风险显著增加。
通过热线住院的75岁以上老年人的护理路径得到优化，平均住院时间为14天，表明社区医疗与医院之间有良好的联系。这种方法有助于在老年护理系统中对老年患者进行早期管理。
