[Emergency intervention of hospitalisation at home in nursing home during the pandemic period of Covid-19].

IF 0.4 4区医学 Q4 PSYCHIATRY

Geriatrie et Psychologie Neuropsychiatrie De Vieillissement Pub Date : 2023-03-01 DOI:10.1684/pnv.2023.1085

Clément Leclaire, Alexandre George, Elisabeth Balladur, Lisadie Fournier, Amélie Georgeon, Martine Gabolde, Sylvain Pourchet, Laurence Nivet, Matthieu de Stampa

{"title":"[Emergency intervention of hospitalisation at home in nursing home during the pandemic period of Covid-19].","authors":"Clément Leclaire, Alexandre George, Elisabeth Balladur, Lisadie Fournier, Amélie Georgeon, Martine Gabolde, Sylvain Pourchet, Laurence Nivet, Matthieu de Stampa","doi":"10.1684/pnv.2023.1085","DOIUrl":null,"url":null,"abstract":"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.","PeriodicalId":51244,"journal":{"name":"Geriatrie et Psychologie Neuropsychiatrie De Vieillissement","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Geriatrie et Psychologie Neuropsychiatrie De Vieillissement","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1684/pnv.2023.1085","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

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.

查看原文本刊更多论文

[新冠肺炎大流行期间养老院居家住院的紧急干预措施]。

背景:在2019冠状病毒病大流行的背景下，巴黎公共援助Hôpitaux (APHP)的住院之家(HAH)实施了一个新的组织，提供紧急干预措施，以满足养老院姑息治疗居民的需求。本研究的目的是描述他们的临床特征，干预的方式和他们的护理途径在HAH干预。方法:对法兰西岛地区74家养老院在一个月内(2020年4月)的急诊干预情况进行描述性研究，样本为132名居民。收集的数据包括居民的社会人口学和临床特征，以及有关养老院的数据。结果:养老院HAH的紧急干预涉及患有严重功能障碍和与Covid - 19相关的呼吸衰竭迹象的老年居民。干预主要在白天和星期进行，具有地域异质性，处方者和医院医生之间有双重医学验证。70%的居民死在他们的居住地。所包括的安老院舍均为中等规模，主要为私营院舍，而且大部份已与护理服务计划的健康护理服务协会合作。讨论/结论:在养老院进行紧急干预是可行的，并回应了姑息治疗居民未满足的需求。这些结果应该允许为居住在私人住宅的老年人口提供这种新组织的持续发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Geriatrie et Psychologie Neuropsychiatrie De Vieillissement PSYCHIATRY-PSYCHOLOGY

CiteScore

0.70

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： D''une qualité scientifique reconnue cette revue est, la première revue francophone gériatrique et psychologique indexée dans les principales bases de données internationales. Elle couvre tous les aspects médicaux, psychologiques, sanitaires et sociaux liés au suivi et à la prise en charge de la personne âgée. Que vous soyez psychologues, neurologues, psychiatres, gériatres, gérontologues,... vous trouverez à travers cette approche originale et unique, un veritable outil de formation, de réflexion et d''échanges indispensable à votre pratique professionnelle.