Intervention en urgence de l’hospitalisation à domicile en établissement d’hébergement pour personnes âgées dépendantes pendant la période pandémique de la Covid-19 (notice n° 648153)
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| fixed length control field | 04466cam a2200385 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121183810.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Leclaire, Clément |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Intervention en urgence de l’hospitalisation à domicile en établissement d’hébergement pour personnes âgées dépendantes pendant la période pandémique de la Covid-19 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2023.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 12 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Background: In the context of the pandemic Covid-19, the Hospitalization A Home (HAH) of the Assistance Publique - Hôpitaux de Paris (APHP) has implemented a new organisation with emergency interventions to meet the needs of residents in palliative care in nursing home. The objective of the study was to describe their clinical characteristics, the modalities of the intervention and their care pathways during the HAH intervention. Methods: This is a descriptive study on the emergency intervention of the HAH in 74 nursing home in the area of Ile-de-France during one month (April 2020) with a sample of 132 residents. The data collection included the socio-demographic and clinical characteristics of residents and on data about nursing home included. Results: Emergency intervention of the HAH in nursing home involved very elderly residents with severe functional disabilities and with signs of respiratory failure linked to the Covid 19. The intervention took place mainly during the day and the week with a territorial heterogeneity and with a double medical validation between the prescribers and the HAH physician. Seventy per cent of the residents died at their living place. Among nursing home included, they were of medium size, mainly with private status and a large majority had already collaborated with the APHP’s HAH. Discussion/conclusion: Emergency intervention of the HAH in nursing home was feasible and responded to an unmeet need for palliative care residents. These results should allow the ongoing development of this new organization for elderly population living in private homes. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Introduction : Pendant la première vague Covid-19, l’hospitalisation à domicile (HAD) de l’Assistance publique - Hôpitaux de Paris (APHP) a mis en place l’intervention en urgence d’un binôme (médecin et infirmière) en Ehpad pour les résidents en situation palliative. L’objectif de l’étude était de décrire leurs caractéristiques cliniques et les modalités d’intervention dans le cadre de cette expérimentation. Méthodes : Il s’agit d’une étude descriptive de l’intervention de l’HAD auprès de 132 résidents dans 74 Ehpad en Île-de-France en avril 2020. Les données regroupaient les variables cliniques des résidents et les caractéristiques des Ehpad participants. Résultats : Les résidents étaient très âgés et présentaient des signes de détresse respiratoire et des pertes de vigilance. Les interventions se déroulaient principalement de jour et en semaine avec en amont une double validation médicale. Soixante-dix pour cent des résidents sont décédés dans leur lieu de vie. Les Ehpad participant étaient de taille moyenne, principalement de statut privé et avaient déjà collaboré avec l’HAD. Discussion/conclusion : L’intervention en urgence de l’HAD en Ehpad est faisable et répond à un besoin non pourvu. Ces résultats doivent permettre le développement de cette organisation pour des patients âgés résidant dans des domiciles privés. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Covid-19. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | soins palliatifs |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | établissement pour personnes âgées dépendantes |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | intervention en urgence |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hospitalisation à domicile |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Covid-19 pandemic. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hospital at home |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | palliative care |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | nursing home |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | emergency intervention |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | George, Alexandre |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Balladur, Élisabeth |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Fournier, Lisadie |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Georgeon, Amélie |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Gabolde, Martine |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Pourchet, Sylvain |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Nivet, Laurence |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | de Stampa, Matthieu |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Gériatrie et Psychologie Neuropsychiatrie du Vieillissement | 21 | 1 | 2023-01-09 | p. 63-68 | 2115-8789 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2023-1-page-63?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2023-1-page-63?lang=fr&redirect-ssocas=7080</a> |
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