Post-acute and rehabilitation care in young patients with multiple comorbidities: An observational study
Introduction. - A unique structure devoted to post-acute and rehabilitation care for patients under 75 with multiple comorbidities has been created within the Department of Internal Medicine, Bichat Hospital, Paris. We aim to report on demographic factors, clinical characteristics and outcomes of pa...
Gespeichert in:
| Veröffentlicht in: | La revue de medecine interne 2020-11, Vol.41 (11), p.727-731 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | fre |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 731 |
|---|---|
| container_issue | 11 |
| container_start_page | 727 |
| container_title | La revue de medecine interne |
| container_volume | 41 |
| creator | Hannane, S. Sacre, K. Alexandra, J-F Dossier, A. Goulenok, T. Bernard, C. Nolland, M. van Gysel, D. Papo, T. Chauveheid, M-P |
| description | Introduction. - A unique structure devoted to post-acute and rehabilitation care for patients under 75 with multiple comorbidities has been created within the Department of Internal Medicine, Bichat Hospital, Paris. We aim to report on demographic factors, clinical characteristics and outcomes of patients hospitalized in this pilot structure.
Methods. - All consecutive adult patients admitted between May 2017 and May 2018 were retrospectively reviewed.
Results. - Analysis was performed on 61 (61 [24-75] years-old) admitted patients. The median length of hospital stays was 108 [13-974] days. At admission, the median Charlson comorbidity index was 6 [0-12] predicting a 10-year survival of 21 [0-99]%. Most patients were unemployed (83.6%) and had very low-income (< national minimum wage in 65.6% of cases). At hospital discharge, most patients (85.4%) were able to return home. The complete resolution of health problems occurred in most cases (65.6%) and was associated with a lower probability of both hospital readmission and death 1-year after discharge.
Conclusion. - The structure served a high percentage of patients with major and complex health needs but limited access to care due to individual disabilities, low-income and underinsured status. However, despite major health disorders, functional limitations, and vulnerability, admission improved patient outcomes and reduced excess hospital readmissions in most cases. (C) 2020 Societe Nationale Francaise de Medecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved. |
| doi_str_mv | 10.1016/j.revmed.2020.07.003 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmed_primary_32753244</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2430656879</sourcerecordid><originalsourceid>FETCH-LOGICAL-p211t-6c17f315fee67d5aebcb9f7595493b177b52692d437e3bb21e24aa9d50f097a63</originalsourceid><addsrcrecordid>eNqNkEtLxDAQgIMouj7-gUiOgrTm0SSNN1l8gaAHPS9JO3WztE1tUmX_vdFdPTuXgZlvhpkPoVNKckqovFzlI3x0UOeMMJITlRPCd9CMKllmnDK2i2aEFWVWSskP0GEIK0JImtT76IAzJTgrihlaPvsQM1NNEbDpazzC0ljXumii8z2uzAjY9Xjtp_4ND6kIfQz408Ul7qY2uqEFXPnOj9bVLnXDFb7usbcBxo-fFabFIU71-hjtNaYNcLLNR-j19uZlfp89Pt09zK8fs4FRGjNZUdVwKhoAqWphwFZWN0poUWhuqVJWMKlZXXAF3FpGgRXG6FqQhmhlJD9C55u9w-jfJwhx0blQQduaHvwUFqzgRApZKp3Qsy062SRyMYyuM-N68WsnARcb4BOsb0KVnq_gD0s6hWbpLvIdPNHl_-n51vA8iY38C65iiyo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2430656879</pqid></control><display><type>article</type><title>Post-acute and rehabilitation care in young patients with multiple comorbidities: An observational study</title><source>MEDLINE</source><source>Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><source>Access via ScienceDirect (Elsevier)</source><creator>Hannane, S. ; Sacre, K. ; Alexandra, J-F ; Dossier, A. ; Goulenok, T. ; Bernard, C. ; Nolland, M. ; van Gysel, D. ; Papo, T. ; Chauveheid, M-P</creator><creatorcontrib>Hannane, S. ; Sacre, K. ; Alexandra, J-F ; Dossier, A. ; Goulenok, T. ; Bernard, C. ; Nolland, M. ; van Gysel, D. ; Papo, T. ; Chauveheid, M-P</creatorcontrib><description>Introduction. - A unique structure devoted to post-acute and rehabilitation care for patients under 75 with multiple comorbidities has been created within the Department of Internal Medicine, Bichat Hospital, Paris. We aim to report on demographic factors, clinical characteristics and outcomes of patients hospitalized in this pilot structure.
Methods. - All consecutive adult patients admitted between May 2017 and May 2018 were retrospectively reviewed.
Results. - Analysis was performed on 61 (61 [24-75] years-old) admitted patients. The median length of hospital stays was 108 [13-974] days. At admission, the median Charlson comorbidity index was 6 [0-12] predicting a 10-year survival of 21 [0-99]%. Most patients were unemployed (83.6%) and had very low-income (< national minimum wage in 65.6% of cases). At hospital discharge, most patients (85.4%) were able to return home. The complete resolution of health problems occurred in most cases (65.6%) and was associated with a lower probability of both hospital readmission and death 1-year after discharge.
Conclusion. - The structure served a high percentage of patients with major and complex health needs but limited access to care due to individual disabilities, low-income and underinsured status. However, despite major health disorders, functional limitations, and vulnerability, admission improved patient outcomes and reduced excess hospital readmissions in most cases. (C) 2020 Societe Nationale Francaise de Medecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.</description><identifier>ISSN: 0248-8663</identifier><identifier>EISSN: 1768-3122</identifier><identifier>DOI: 10.1016/j.revmed.2020.07.003</identifier><identifier>PMID: 32753244</identifier><language>fre</language><publisher>ISSY-LES-MOULINEAUX: Elsevier</publisher><subject><![CDATA[Adult ; Aftercare - methods ; Aftercare - organization & administration ; Aftercare - statistics & numerical data ; Age Factors ; Aged ; Comorbidity ; Female ; General & Internal Medicine ; Hospitals, Rehabilitation - organization & administration ; Hospitals, Rehabilitation - standards ; Hospitals, Rehabilitation - statistics & numerical data ; Humans ; Length of Stay - statistics & numerical data ; Life Sciences & Biomedicine ; Male ; Medicine, General & Internal ; Middle Aged ; Paris - epidemiology ; Patient Readmission - statistics & numerical data ; Pilot Projects ; Rehabilitation - methods ; Rehabilitation - organization & administration ; Rehabilitation - statistics & numerical data ; Retrospective Studies ; Science & Technology ; Subacute Care - methods ; Subacute Care - organization & administration ; Subacute Care - statistics & numerical data ; Young Adult]]></subject><ispartof>La revue de medecine interne, 2020-11, Vol.41 (11), p.727-731</ispartof><rights>Copyright © 2020. Published by Elsevier Masson SAS.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>0</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000592549000003</woscitedreferencesoriginalsourcerecordid><cites>FETCH-LOGICAL-p211t-6c17f315fee67d5aebcb9f7595493b177b52692d437e3bb21e24aa9d50f097a63</cites><orcidid>0000-0002-6544-234X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930,28253</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32753244$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hannane, S.</creatorcontrib><creatorcontrib>Sacre, K.</creatorcontrib><creatorcontrib>Alexandra, J-F</creatorcontrib><creatorcontrib>Dossier, A.</creatorcontrib><creatorcontrib>Goulenok, T.</creatorcontrib><creatorcontrib>Bernard, C.</creatorcontrib><creatorcontrib>Nolland, M.</creatorcontrib><creatorcontrib>van Gysel, D.</creatorcontrib><creatorcontrib>Papo, T.</creatorcontrib><creatorcontrib>Chauveheid, M-P</creatorcontrib><title>Post-acute and rehabilitation care in young patients with multiple comorbidities: An observational study</title><title>La revue de medecine interne</title><addtitle>REV MED INTERNE</addtitle><addtitle>Rev Med Interne</addtitle><description>Introduction. - A unique structure devoted to post-acute and rehabilitation care for patients under 75 with multiple comorbidities has been created within the Department of Internal Medicine, Bichat Hospital, Paris. We aim to report on demographic factors, clinical characteristics and outcomes of patients hospitalized in this pilot structure.
Methods. - All consecutive adult patients admitted between May 2017 and May 2018 were retrospectively reviewed.
Results. - Analysis was performed on 61 (61 [24-75] years-old) admitted patients. The median length of hospital stays was 108 [13-974] days. At admission, the median Charlson comorbidity index was 6 [0-12] predicting a 10-year survival of 21 [0-99]%. Most patients were unemployed (83.6%) and had very low-income (< national minimum wage in 65.6% of cases). At hospital discharge, most patients (85.4%) were able to return home. The complete resolution of health problems occurred in most cases (65.6%) and was associated with a lower probability of both hospital readmission and death 1-year after discharge.
Conclusion. - The structure served a high percentage of patients with major and complex health needs but limited access to care due to individual disabilities, low-income and underinsured status. However, despite major health disorders, functional limitations, and vulnerability, admission improved patient outcomes and reduced excess hospital readmissions in most cases. (C) 2020 Societe Nationale Francaise de Medecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.</description><subject>Adult</subject><subject>Aftercare - methods</subject><subject>Aftercare - organization & administration</subject><subject>Aftercare - statistics & numerical data</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Comorbidity</subject><subject>Female</subject><subject>General & Internal Medicine</subject><subject>Hospitals, Rehabilitation - organization & administration</subject><subject>Hospitals, Rehabilitation - standards</subject><subject>Hospitals, Rehabilitation - statistics & numerical data</subject><subject>Humans</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Medicine, General & Internal</subject><subject>Middle Aged</subject><subject>Paris - epidemiology</subject><subject>Patient Readmission - statistics & numerical data</subject><subject>Pilot Projects</subject><subject>Rehabilitation - methods</subject><subject>Rehabilitation - organization & administration</subject><subject>Rehabilitation - statistics & numerical data</subject><subject>Retrospective Studies</subject><subject>Science & Technology</subject><subject>Subacute Care - methods</subject><subject>Subacute Care - organization & administration</subject><subject>Subacute Care - statistics & numerical data</subject><subject>Young Adult</subject><issn>0248-8663</issn><issn>1768-3122</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>EIF</sourceid><recordid>eNqNkEtLxDAQgIMouj7-gUiOgrTm0SSNN1l8gaAHPS9JO3WztE1tUmX_vdFdPTuXgZlvhpkPoVNKckqovFzlI3x0UOeMMJITlRPCd9CMKllmnDK2i2aEFWVWSskP0GEIK0JImtT76IAzJTgrihlaPvsQM1NNEbDpazzC0ljXumii8z2uzAjY9Xjtp_4ND6kIfQz408Ul7qY2uqEFXPnOj9bVLnXDFb7usbcBxo-fFabFIU71-hjtNaYNcLLNR-j19uZlfp89Pt09zK8fs4FRGjNZUdVwKhoAqWphwFZWN0poUWhuqVJWMKlZXXAF3FpGgRXG6FqQhmhlJD9C55u9w-jfJwhx0blQQduaHvwUFqzgRApZKp3Qsy062SRyMYyuM-N68WsnARcb4BOsb0KVnq_gD0s6hWbpLvIdPNHl_-n51vA8iY38C65iiyo</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Hannane, S.</creator><creator>Sacre, K.</creator><creator>Alexandra, J-F</creator><creator>Dossier, A.</creator><creator>Goulenok, T.</creator><creator>Bernard, C.</creator><creator>Nolland, M.</creator><creator>van Gysel, D.</creator><creator>Papo, T.</creator><creator>Chauveheid, M-P</creator><general>Elsevier</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6544-234X</orcidid></search><sort><creationdate>20201101</creationdate><title>Post-acute and rehabilitation care in young patients with multiple comorbidities: An observational study</title><author>Hannane, S. ; Sacre, K. ; Alexandra, J-F ; Dossier, A. ; Goulenok, T. ; Bernard, C. ; Nolland, M. ; van Gysel, D. ; Papo, T. ; Chauveheid, M-P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-6c17f315fee67d5aebcb9f7595493b177b52692d437e3bb21e24aa9d50f097a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aftercare - methods</topic><topic>Aftercare - organization & administration</topic><topic>Aftercare - statistics & numerical data</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Comorbidity</topic><topic>Female</topic><topic>General & Internal Medicine</topic><topic>Hospitals, Rehabilitation - organization & administration</topic><topic>Hospitals, Rehabilitation - standards</topic><topic>Hospitals, Rehabilitation - statistics & numerical data</topic><topic>Humans</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Life Sciences & Biomedicine</topic><topic>Male</topic><topic>Medicine, General & Internal</topic><topic>Middle Aged</topic><topic>Paris - epidemiology</topic><topic>Patient Readmission - statistics & numerical data</topic><topic>Pilot Projects</topic><topic>Rehabilitation - methods</topic><topic>Rehabilitation - organization & administration</topic><topic>Rehabilitation - statistics & numerical data</topic><topic>Retrospective Studies</topic><topic>Science & Technology</topic><topic>Subacute Care - methods</topic><topic>Subacute Care - organization & administration</topic><topic>Subacute Care - statistics & numerical data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hannane, S.</creatorcontrib><creatorcontrib>Sacre, K.</creatorcontrib><creatorcontrib>Alexandra, J-F</creatorcontrib><creatorcontrib>Dossier, A.</creatorcontrib><creatorcontrib>Goulenok, T.</creatorcontrib><creatorcontrib>Bernard, C.</creatorcontrib><creatorcontrib>Nolland, M.</creatorcontrib><creatorcontrib>van Gysel, D.</creatorcontrib><creatorcontrib>Papo, T.</creatorcontrib><creatorcontrib>Chauveheid, M-P</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>La revue de medecine interne</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hannane, S.</au><au>Sacre, K.</au><au>Alexandra, J-F</au><au>Dossier, A.</au><au>Goulenok, T.</au><au>Bernard, C.</au><au>Nolland, M.</au><au>van Gysel, D.</au><au>Papo, T.</au><au>Chauveheid, M-P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Post-acute and rehabilitation care in young patients with multiple comorbidities: An observational study</atitle><jtitle>La revue de medecine interne</jtitle><stitle>REV MED INTERNE</stitle><addtitle>Rev Med Interne</addtitle><date>2020-11-01</date><risdate>2020</risdate><volume>41</volume><issue>11</issue><spage>727</spage><epage>731</epage><pages>727-731</pages><issn>0248-8663</issn><eissn>1768-3122</eissn><abstract>Introduction. - A unique structure devoted to post-acute and rehabilitation care for patients under 75 with multiple comorbidities has been created within the Department of Internal Medicine, Bichat Hospital, Paris. We aim to report on demographic factors, clinical characteristics and outcomes of patients hospitalized in this pilot structure.
Methods. - All consecutive adult patients admitted between May 2017 and May 2018 were retrospectively reviewed.
Results. - Analysis was performed on 61 (61 [24-75] years-old) admitted patients. The median length of hospital stays was 108 [13-974] days. At admission, the median Charlson comorbidity index was 6 [0-12] predicting a 10-year survival of 21 [0-99]%. Most patients were unemployed (83.6%) and had very low-income (< national minimum wage in 65.6% of cases). At hospital discharge, most patients (85.4%) were able to return home. The complete resolution of health problems occurred in most cases (65.6%) and was associated with a lower probability of both hospital readmission and death 1-year after discharge.
Conclusion. - The structure served a high percentage of patients with major and complex health needs but limited access to care due to individual disabilities, low-income and underinsured status. However, despite major health disorders, functional limitations, and vulnerability, admission improved patient outcomes and reduced excess hospital readmissions in most cases. (C) 2020 Societe Nationale Francaise de Medecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.</abstract><cop>ISSY-LES-MOULINEAUX</cop><pub>Elsevier</pub><pmid>32753244</pmid><doi>10.1016/j.revmed.2020.07.003</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-6544-234X</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0248-8663 |
| ispartof | La revue de medecine interne, 2020-11, Vol.41 (11), p.727-731 |
| issn | 0248-8663 1768-3122 |
| language | fre |
| recordid | cdi_pubmed_primary_32753244 |
| source | MEDLINE; Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; Access via ScienceDirect (Elsevier) |
| subjects | Adult Aftercare - methods Aftercare - organization & administration Aftercare - statistics & numerical data Age Factors Aged Comorbidity Female General & Internal Medicine Hospitals, Rehabilitation - organization & administration Hospitals, Rehabilitation - standards Hospitals, Rehabilitation - statistics & numerical data Humans Length of Stay - statistics & numerical data Life Sciences & Biomedicine Male Medicine, General & Internal Middle Aged Paris - epidemiology Patient Readmission - statistics & numerical data Pilot Projects Rehabilitation - methods Rehabilitation - organization & administration Rehabilitation - statistics & numerical data Retrospective Studies Science & Technology Subacute Care - methods Subacute Care - organization & administration Subacute Care - statistics & numerical data Young Adult |
| title | Post-acute and rehabilitation care in young patients with multiple comorbidities: An observational study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-11T14%3A07%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Post-acute%20and%20rehabilitation%20care%20in%20young%20patients%20with%20multiple%20comorbidities:%20An%20observational%20study&rft.jtitle=La%20revue%20de%20medecine%20interne&rft.au=Hannane,%20S.&rft.date=2020-11-01&rft.volume=41&rft.issue=11&rft.spage=727&rft.epage=731&rft.pages=727-731&rft.issn=0248-8663&rft.eissn=1768-3122&rft_id=info:doi/10.1016/j.revmed.2020.07.003&rft_dat=%3Cproquest_pubme%3E2430656879%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2430656879&rft_id=info:pmid/32753244&rfr_iscdi=true |