Non-pertinence hospitalière dans deux services de gériatrie aiguë: description du phénomène et étude des facteurs de risque

Collectif. Les coûts de la qualité et de la non-qualité des soins dans les établissements de santé: états des lieux et propositions, Anaes et CCECQA, Editor. Paris: Anaes; 2004. Disponible à l'adresse suivante: http://www.ladocumentationfrancaise.fr/rapports-publics/044000463/index.shtml. Gutierrez Rodriguez, 1999, Deterioro funcional secundario a la hospitalizacion por enfermedad aguda en el anciano. Analisis de la incidencia y los factores de riesgo asociados, Rev. Clin. Esp., 199, 418 Sager, 1996, Functional outcomes of acute medical illness and hospitalization in older persons, Arch. Intern. Med., 156, 645, 10.1001/archinte.156.6.645 Eriksen, 1999, The cost of inappropriate admissions: a study of health benefits and resource utilization in a department of internal medicine, J. Intern. Med., 246, 379, 10.1046/j.1365-2796.1999.00526.x Gertman, 1981, The appropriateness evaluation protocol: a technique for assessing unnecessary days of hospital care, Med. Care, 19, 855, 10.1097/00005650-198108000-00005 Robain, 1999, Reproductibilité et validité de la version française de la première partie de l'Appropriateness Evaluation Protocol (AEPf): critères de pertinence des journées d'hospitalisation, Rev. Epidemiol. Sante Publique, 47, 139 Lombard, 2001, Étude de la concordance interobservateurs des raisons de non-pertinence des journées d'hospitalisation identifiée par la version francaise de l'Appropriateness Evaluation Protocol (2e partie), Rev. Epidemiol. Santé Publique, 49, 367 Lawton, 1969, Assessment of older people: self-maintaining and instrumental activities of daily living, Gerontologist, 9, 179, 10.1093/geront/9.3_Part_1.179 Katz, 1963, Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function, JAMA, 185, 914, 10.1001/jama.1963.03060120024016 Folstein, 1975, Minimental state. A practical method for grading the cognitive state of patients for the clinician, J. Psychiatr. Res., 12, 189, 10.1016/0022-3956(75)90026-6 Charlson, 1987, A new method of classifying prognostic comorbidity in longitudinal studies: development and validation, J. Chronic Dis., 40, 373, 10.1016/0021-9681(87)90171-8 Glantz, 2000, Multicolinearity and what to do about it, 181 Castaldi, 2002, Valutazione dell'appropriatezza dell'attivita di ricovero dell'ospedale Maggiore di Milano IRCCS mediante l'utilizzo del metodo PRUO, Ann. Ig., 14, 399 Chopard, 1998, Predictors of inappropriate hospital days in a department of internal medicine, Int. J. Epidemiol., 27, 513, 10.1093/ije/27.3.513 Ingold, 2000, Characteristics associated with inappropriate hospital use in elderly patients admitted to a general internal medicine service, Aging (Milano), 12, 430 Kaya, 2001, Factors affecting appropriateness of hospital utilization in two hospitals in Turkey, J. Med. Syst., 25, 373, 10.1023/A:1011923710733 Panis, 2003, Predictors of inappropriate hospital stay: a clinical case study, Int. J. Qual. Health Care, 15, 57, 10.1093/intqhc/15.1.57