INTERVENTION OF GERIATRIC MOBILE TEAM IN TRAUMATOLOGY DEPARTMENT OF NANCY UNIVERSITY HOSPITAL FRANCE

• Published in: Innovation in aging Vol. 1; no. suppl_1; p. 1102
• Main Authors: Perret-Guillaume, C., Zimlenoi, M., Bourdaire, V., Mangeot, M., Manciaux, M., Mainard, D., Benetos, A., Hanesse, B.
• Format: Journal Article
• Language: English
• Published: US Oxford University Press 01.07.2017
• Subjects: Abstracts
• ISSN: 2399-5300; 2399-5300
• DOI: 10.1093/geroni/igx004.4037

BACKGROUND: The annual number of surgical fractures among elderly people is growing in context of an average age that is increasing. Because of comorbidities, management of geriatric patients usually requires a multidisciplinary management. In Nancy University Hospital elderly inpatients can benefit of a geriatric assessment by the Geriatric Mobile Team (EMLG). Since April, 2015, a geriatric assessment is systematically proposed for elderly people, over 75 years-old, admitted in the Traumatology Department by the Emergency Department. PURPOSE: Purpose of the study is to analyze the impact of the systematic assessment of the EMLG in the Traumatology Department by a comparative retrospective study of type before/after during 7 consecutive months (June to December) on 2014 (without systematic assessment by EMLG) and on 2015 (with systematic assessment by EMLG). The main results concern: future of the patients (home, nursing home, rehabilitation department), rate of death and rate of rehospitalisation at a month, and follow-up of recommendations of EMLG. PRELIMINARY RESULTS: During the seven consecutive months on 2015, 196 inpatients received geriatric assessment by EMLG. The main recommandations were therapeutic adjustements for 92 patients and advices for pain management for 65 patients. Recommandations were partly or completely followed for 109 patients. 122 inpatients were transferred by Nancy University Hospital to rehabilitation departments. During the first month of follow-up, 9 patients died and 19 patients were readmitted in Nancy University Hospital. Intervention of the Geriatric Mobile Team trend to reduce hospital readmissions. The definitive results of two periods will be presented during the congress.