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[Adherence to recommendations after comprehensive geriatric assessment by mobile geriatric team during 500 home visits]

Abstract : Mobile geriatric team making home visit (MGT) were created to reinforce the link between home and hospital. Frail elderly patients can benefit from a comprehensive geriatric assessment (CGA) by a geriatric mobile team during a home visit. MGT at the hospital center of Lyon Sud presents recommendations after a CGA to better adjust healthcare to patients’ needs. There are few studies that have analysed the MGT who treat patients at home. OBJECTIVES: The goal of the study was to determine adherence rate at 2 months and examines the socio-demographic profile of patients assessed by the MGT. We conducted a descriptive and retrospective study in single center, with 500 patients during 2 years (2016-2017). RESULTS: The mean adherence rate was 65,1%. The highest rate concerned recommendations on the future orientation. The lower rate concerned recommendations on lifestyle and environment. Mean age of the 500 patients was 83.5 years, 61% were women. The patients included in this study take an average of seven prescription medications (whitout psychotropic medications). The majority of the patients was GIR 3 and achieved an average score of 3 on ADL scale and 2 of IADL scale. Ninety-six per cent of the patients had a caregiver. It has been proven statistically that, adherence rate of recommendations (more than 65%), reduce unplanned hospitalizations. CONCLUSION: This study with a large sample of patients allows to better describe patients seen at home. It is a vulnerable population presenting a polypathology, dependence, associated with an unstable socio-family context. This work shows that the recommendations must be applied to limit hospitalizations and that the involvement of the team makes it possible to improve the follow-up of the recommendations.
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https://www.hal.inserm.fr/inserm-03830401
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Submitted on : Wednesday, October 26, 2022 - 11:54:40 AM
Last modification on : Saturday, October 29, 2022 - 3:51:27 AM

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A. Pauget, N. Jomard, A. Termoz, F. Subtil, V. Chambard, et al.. [Adherence to recommendations after comprehensive geriatric assessment by mobile geriatric team during 500 home visits]. Geriatrie Et Psychologie Neuropsychiatrie Du Vieillissement, 2022, 20 (2), pp.208-216. ⟨10.1684/pnv.2022.1036⟩. ⟨inserm-03830401⟩

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