Impact d'une consultation avancée de gériatrie destinée aux patients de plus de 75 ans à risque de fragilité admis aux urgences sans hospitalisation PDF Download
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Author: Yves Cossé
Publisher:
ISBN:
Category :
Languages : fr
Pages : 206
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Book Description
Le vieillissement de la population a considérablement modifié l’exercice médical ambulatoire et hospitalier. De nouveaux enjeux se dessinent pour les professionnels de santé avec pour objectif, le maintien de la plus grande autonomie possible chez les personnes âgées. Nous avons conduit une étude pilote au sein du CHU de Caen, randomisée, prospective, au premier trimestre 2012 pour évaluer l’impact de la mise en place d’une consultation avancée de gériatrie pour les patients de plus de 75 ans consultant aux urgences et présentant un score ISAR (score d’évaluation de la fragilité) supérieur ou égal à deux. Trois objectifs étaient recherchés : étudier les seconds recours aux urgences à un mois, rechercher des indicateurs de fragilité dans la population cible, évaluer les bénéfices en médecine générale. Au terme de notre travail, il apparait que la consultation avancée de gériatrie semble diminuer significativement le taux de second recours à trente jours (20,4% vs 6,3% ; p=0,02). Par ailleurs, les patients consultant pour des pathologies ostéoarticulaires présentent le plus fort taux de retour (27,8%). La consultation avancée de gériatrie constitue en outre un outil intéressant pour les médecins généralistes afin d’optimiser leur prise en charge de ces patients. Il ressort également que Le délai entre la consultation aux urgences et l’évaluation gériatrique devrait être modulé en fonction du motif de recours initial. La pérennisation et l’élargissement de ce dispositif pourrait améliorer la gestion des patients âgés. Une étude à plus grande échelle serait alors nécessaire pour confirmer ces perspectives et en évaluer l’impact économique et sanitaire.
Author: Yves Cossé
Publisher:
ISBN:
Category :
Languages : fr
Pages : 206
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Book Description
Le vieillissement de la population a considérablement modifié l’exercice médical ambulatoire et hospitalier. De nouveaux enjeux se dessinent pour les professionnels de santé avec pour objectif, le maintien de la plus grande autonomie possible chez les personnes âgées. Nous avons conduit une étude pilote au sein du CHU de Caen, randomisée, prospective, au premier trimestre 2012 pour évaluer l’impact de la mise en place d’une consultation avancée de gériatrie pour les patients de plus de 75 ans consultant aux urgences et présentant un score ISAR (score d’évaluation de la fragilité) supérieur ou égal à deux. Trois objectifs étaient recherchés : étudier les seconds recours aux urgences à un mois, rechercher des indicateurs de fragilité dans la population cible, évaluer les bénéfices en médecine générale. Au terme de notre travail, il apparait que la consultation avancée de gériatrie semble diminuer significativement le taux de second recours à trente jours (20,4% vs 6,3% ; p=0,02). Par ailleurs, les patients consultant pour des pathologies ostéoarticulaires présentent le plus fort taux de retour (27,8%). La consultation avancée de gériatrie constitue en outre un outil intéressant pour les médecins généralistes afin d’optimiser leur prise en charge de ces patients. Il ressort également que Le délai entre la consultation aux urgences et l’évaluation gériatrique devrait être modulé en fonction du motif de recours initial. La pérennisation et l’élargissement de ce dispositif pourrait améliorer la gestion des patients âgés. Une étude à plus grande échelle serait alors nécessaire pour confirmer ces perspectives et en évaluer l’impact économique et sanitaire.
Author: Alberto Pilotto
Publisher: Springer
ISBN: 3319625039
Category : Medical
Languages : en
Pages : 182
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Book Description
This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly. The early chapters cover the main elements and scope of the comprehensive geriatric approach and explain the pathways of care from screening and case finding through to in-depth assessment and treatment planning. Subsequent chapters review the evidence of how best to apply the multidimensional assessment and management approach in defined healthcare settings and within specific clinical areas, such as cancer and surgery. Finally, the education and training challenges are reviewed and the prospects for future clinical service and research in this important field are examined. The book is very timely given the recent advances in application of this approach, which reflect the growing international realization that older people are “core business” in many clinical areas where the role of specialist geriatric medicine has hitherto been limited. Accordingly, the book will be relevant to a wide range of clinicians. The authorship comprises many of the best known and widely published experts in their respective fields.
Author: HIpE
Publisher:
ISBN: 9780646551241
Category :
Languages : en
Pages : 16
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Book Description
Author: Dr Malcolm Kendrick
Publisher: Kings Road Publishing
ISBN: 1843582368
Category : Health & Fitness
Languages : en
Pages : 337
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Book Description
Statins are widely prescribed to lower blood cholesterol levels and claim to offer unparalleled protection against heart disease. Believed to be completely safe and capable of preventing a whole series of other conditions, they are the most profitable drug in the history of medicine. In this groundbreaking book, GP Malcolm Kendrick exposes the truth behind the hype. He will change the way we think about cholesterol forever. Rubbishing the diet-heart hypothesis, in which clinical trials 'prove' that high cholesterol causes heart disease and a high-fat diet leads to heart disease, Kendrick lambastes a powerful pharmaceutical industry and unquestioning medical profession, who, he claims, perpetuate the madcap concepts of 'good' and 'bad' cholesterol and cholesterol levels to convince millions of people to unnecessarily spend billions of pounds on statins. Clearly and comprehensively debunking assumptions on what constitute a healthy lifestyle and diet, "The Great Cholesterol Con" is the accessible, indispensable and absorbing case against statins and for a more common-sense approach to heart disease and general wellbeing. No more over-hyped miracle drugs; no more garlic, red wine, anti-oxidants, fruit or vegetables; even a vegetarian diet is rejected in this controversial yet authoritative critique of how we have been mislead over how food and drugs affect our coronary health. Here, for the first time, is the invaluable guide for anyone who though there was a miracle cure for heart disease, "The Great Cholesterol Con" is a fascinating breakthrough that will set dynamite under the whole area.
Author: James B. Yoseph
Publisher: Hannah Yoseph
ISBN: 9780615618173
Category : Statins (Cardiovascular agents)
Languages : en
Pages : 335
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Book Description
"The Yosephs have written the most stunning expose. In plain language they reveal the science, the corruption and the enormous conspiracy it took to bring statins to market. As fast paced as a Mickey Spillane novel they report the research, the fraud and the facts like a detective in hot pursuit of a Nazi war criminal. It is riveting. They have accomplished the impossible: they have made both complex science and medical history fascinating to read. What could not be done in an expose they accomplished with almost unbelievablable ease. It will change your paradigms about medicine forever."--p.[4] of cover.
Author: Edward Robert Pinckney
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 180
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Book Description
Author: European Federation for Medical Informatics
Publisher: IOS Press
ISBN: 1614991014
Category : Medical
Languages : en
Pages : 1284
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Book Description
Medical informatics and electronic healthcare have many benefits to offer in terms of quality of life for patients, healthcare personnel, citizens and society in general. But evidence-based medicine needs quality information if it is to lead to quality of health and thus to quality of life. This book presents the full papers accepted for presentation at the MIE2012 conference, held in Pisa, Italy, in August 2012. The theme of the 2012 conference is ‘Quality of Life through Quality of Information’. As always, the conference provides a unique platform for the exchange of ideas and experiences among the actors and stakeholders of ICT supported healthcare. The book incorporates contributions related to the latest achievements in biomedical and health informatics in terms of major challenges such as interoperability, collaboration, coordination and patient-oriented healthcare at the most appropriate level of care. It also offers new perspectives for the future of biomedical and health Informatics, critical appraisal of strategies for user involvement, insights for design, deployment and the sustainable use of electronic health records, standards, social software, citizen centred e-health, and new challenges in rehabilitation and social care informatics. The topics presented are interdisciplinary in nature and will be of interest to a variety of professionals; physicians, nurses and other allied health providers, health informaticians, engineers, academics and representatives from industry and consultancy in the various fields.
Author: J. Mantas
Publisher: IOS Press
ISBN: 1643681850
Category : Medical
Languages : en
Pages : 1184
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Book Description
For several years now, both eHealth applications and digitalization have been seen as fundamental to the new era of health informatics and public health. The current pandemic situation has also highlighted the importance of medical informatics for the scientific process of evidence-based reasoning and decision making at all levels of healthcare. This book presents the accepted full papers, short papers, and poster papers delivered as part of the 31st Medical Informatics in Europe Conference (MIE 2021), held virtually from 29-31 May 2021. MIE 2021 was originally due to be held in Athens, Greece, but due to the continuing pandemic situation, the conference was held as a virtual event. The 261 papers included here are grouped into 7 chapters: biomedical data, tools and methods; supporting care delivery; health and prevention; precision medicine and public health; human factors and citizen centered digital health; ethics, legal and societal aspects; and posters. Providing a state-of-the-art overview of medical informatics from around the world, the book will be of interest to all those working with eHealth applications and digitalization to improve the delivery of healthcare today.
Author: Sara Palermo
Publisher: BoD – Books on Demand
ISBN: 1839682183
Category : Medical
Languages : en
Pages : 148
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Book Description
The progressive growth in the number of older adults worldwide has led to a modification of the current healthcare scenario and a parallel increase in the use of public resources. In this book, we propose a conceptual framework within which aging, frailty, and care are analyzed through the lens of complexity medicine. Therefore, we present a multidimensional perspective that takes into account biomedical, (neuro)psychological, and socio-ecological vulnerability. The theses presented are the result of an inductive approach, based on many years of experience in the field, which has made it possible to identify strategies for frailty recognition and effective responses even in complicated clinical settings. The book is intended to be a tool of concrete and easy consultation, rich in reflections and suggestions.
Author: L.B. Pape-Haugaard
Publisher: IOS Press
ISBN: 1643680838
Category : Medical
Languages : en
Pages : 1498
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Book Description
Digital health and medical informatics have grown in importance in recent years, and have now become central to the provision of effective healthcare around the world. This book presents the proceedings of the 30th Medical Informatics Europe conference (MIE). This edition of the conference, hosted by the European Federation for Medical Informatics (EFMI) since the 1970s, was due to be held in Geneva, Switzerland in April 2020, but as a result of measures to prevent the spread of the Covid19 pandemic, the conference itself had to be cancelled. Nevertheless, because this collection of papers offers a wealth of knowledge and experience across the full spectrum of digital health and medicine, it was decided to publish the submissions accepted in the review process and confirmed by the Scientific Program Committee for publication, and these are published here as planned. The 232 papers are themed under 6 section headings: biomedical data, tools and methods; supporting care delivery; health and prevention; precision medicine and public health; human factors and citizen centered digital health; and ethics, legal and societal aspects. A 7th section deals with the Swiss personalized health network, and section 8 includes the 125 posters accepted for the conference. Offering an overview of current trends and developments in digital health and medical informatics, the book provides a valuable information resource for researchers and health practitioners alike.
