期刊论文详细信息
Contemporary Clinical Trials Communications 卷:7
Factors predisposing nursing home resident to inappropriate transfer to emergency department. The FINE study protocol
Sophie Hermabessière1  Cécile McCambridge2  Serge Bismuth3  Dominique Lauque3  Emilie Bérard4  Laurent Molinier5  Sandrine Charpentier6  Céline Mathieu6  Sophie Fernandez7  Amélie Perrin7  Neda Tavassoli7  Anne Caquelard7  Olivier Azema7  Mathieu Houles7  Elodie Magre7  Yves Rolland8  Nadège Costa9  Bruno Vellas9  Bruno Chicoulaa9  Stéphane Oustric9 
[1] Corresponding author. La Cité de la Santé - Équipe Régionale Vieillissement et Prévention de la Dépendance, 20 rue du Pont Saint Pierre – TSA 60033, 31059, Toulouse Cedex 9, France.;
[2] Observatoire Régional de La Santé de Midi-Pyrénées (ORSMIP), Toulouse, France;
[3] Pôle Pharmacie, Centre Hospitalo-Universitaire de Toulouse, Toulouse, France;
[4] UFR Sciences Médicales, Université de Toulouse III, Toulouse, France;
[5] UMR 1027, INSERM - Université de Toulouse III, Toulouse, France;
[6] Équipe Régionale Vieillissement et Prévention de La Dépendance (ERVPD), Toulouse, France;
[7] Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France;
[8] Observatoire Régional des Urgences de Midi-Pyrénées (ORU-MiP), Centre Hospitalier Universitaire de Toulouse, Toulouse, France;
[9] Pôle Médecine D’Urgence, Centre Hospitalier Universitaire de Toulouse, Toulouse, France;
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DOI  :  
来源: DOAJ
【 摘 要 】

Background: Each year, around one out of two nursing home (NH) residents are hospitalized in France, and about half to the emergency department (ED). These transfers are frequently inappropriate. This paper describes the protocol of the FINE study. The first aim of this study is to identify the factors associated with inappropriate transfers to ED. Methods/design: FINE is a case-control observational study. Sixteen hospitals participate. Inclusion period lasts 7 days per season in each center for a total period of inclusion of one year. All the NH residents admitted in ED during these periods are included. Data are collected in 4 times: before transfer in the NH, at the ED, in hospital wards in case of patient's hospitalization and at the patient's return to NH. The appropriateness of ED transfers (i.e. case versus control NH residents) is determined by a multidisciplinary team of experts. Results: Our primary objective is to determine the factors predisposing NH residents to inappropriate transfer to ED. Our secondary objectives are to assess the cost of the transfers to ED; study the evolution of NH residents' functional status and the psychotropic and inappropriate drugs prescription between before and after the transfer; calculate the prevalence of potentially avoidable transfers to ED; and identify the factors predisposing NH residents to potentially avoidable transfer to ED. Discussion: A better understanding of the determinant factors of inappropriate transfers to ED of NH residents may lead to proposals of recommendations of better practice in NH and would allow implementing quality improvement programs in the health organization. Keywords: Inappropriate transfer, Nursing home resident, Emergency department transfer, Potentially avoidable transfer, Appropriateness of transfer, Inappropriate hospitalization

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