Prolongation du séjour hospitalier dans un service de gériatrie aiguë : identification et analyse des causes

International audience; In France, the population of very old frail patients, who require appropriate high-quality care, is increasing. Given the current economic climate, the mean duration of hospitalization (MDH) needs to be optimized. This prospective study analyzed the causes of prolonged hospitalization in an acute geriatric care unit. Over 6 months, all patients admitted to the target acute geriatric care unit were included and distributed into two groups according to a threshold stay of 14 days: long MDH group (LMDHG) and short MDH group (SMDHG). These two groups were compared. 757 patients were included. The LMDHG comprised 442 with a mean age of 86.7 years, of whom 67.65% were wome…

A New Prognosis Score to Predict Mortality After Acute Pneumonia in Very Elderly Patients

International audience; Objectives: Acute pneumonia (AP) induces an excess of mortality among the elderly. We evaluated the value of a new predictive biomarker index compared to usual prognosis scores for predicting in-hospital and 1-year mortalities in elderly inpatients with AP.Design: Retrospective study in 6 clinical departments of a university hospital.Setting: Burgundy university hospital (France).Participants: All patients aged 75 and over with AP and hospitalized between January 1 and June 30, 2013, in the departments of medicine (5) and intensive care (1) of our university hospital.Measurements: A new index, which we named UBMo, was created by multiplying the uremia (U in the formu…

Autoimmune Myopathy Due To Statin Treatment In An Elderly Woman

International audience

Successful management of heparin-induced thrombocytopenia using argatroban in a very old woman: a case report.

Thrombosis due to heparin-induced thrombocytopenia (HIT) is rare but has a severe prognosis. Its management is not always easy, particularly in old patients with renal insufficiency. A 95-year-old woman was hospitalized for dyspnea. Curative treatment with unfractionated heparin was started because pulmonary embolism was suspected. Disseminated intravascular coagulation was then suspected because of thrombocytopenia, hypoprothrombinemia, hypofibrinogenemia, and a positive ethanol gelation test. The first immunoassay for HIT was negative. On the 12th day of hospitalization, bilateral cyanosis of the toes occurred associated with recent deep bilateral venous and arterial thrombosis at duplex …

Comment on "Factors Associated with Potentially Inappropriate Transfer to the Emergency Department Among Nursing Home Residents".

La couverture vaccinale contre la grippe saisonnière du personnel soignant en gériatrie : mise au point

Resume Position du probleme La vaccination antigrippale des professionnels de sante semble representer l’une des actions preventives des plus efficaces face a une pathologie a haut risque d’epidemie nosocomiale et potentiellement grave en milieu geriatrique. Ce travail avait pour objectif de faire une mise au point sur le statut vaccinal antigrippal chez le personnel soignant en geriatrie et les raisons expliquant leur reticence vis-a-vis de cette vaccination, afin d’emettre des propositions d’amelioration de la couverture vaccinale. Methode Une recherche bibliographique des articles publies depuis 2000 dans le domaine de la geriatrie, des maladies infectieuses ou de la pneumologie a ete re…