SpringerLink
Log in

Comment réduire la dépendance iatrogène chez les sujets âgés hospitalisés ?

  • Article Original / Original Article
  • Published:
Les cahiers de l'année gérontologique

Résumé

L’hospitalisation représente la première cause de déclin fonctionnel chez les personnes âgées; 30 à 60% d’entre elles perdent de l’autonomie sur les activités de base de la vie quotidienne (AVQ). Cette perte d’indépendance résulte de l’affection aigue qui a motivé l’hospitalisation mais est aussi liée aux modalités de prise en charge.

Objectif

cet article est la première étape d’un projet visant à prévenir la «dépendance iatrogène» à l’hôpital.

Methode

lors d’une réunion de deux jours à Monaco, un groupe de travail composé de 20 experts internationaux a analysé 106 articles relevants, défini les axes de travail et rédigé une synthèse.

Résultats

1- La “Dépendance Iatrogène” (Iatrogenic Disability) a été définie par le groupe d’experts comme la dépendance le plus souvent évitable en relation avec les soins. Elle fait intervenir trois composantes intriquées et cumulatives: 1) la fragilityé préexistante du patient, 2) la sévérité de la pathologie qui a conduit le malade à l’hôpital 3) enfin la structure hospitalière et les soins qu’elle dispense. 2- La prévention de la «dépendance Iatrogène » implique des étapes successives. La première consiste à prendre conscience que l’hospitalisation peut créer de la dépendance. Les études épidémiologiques ont permis d’identifier les populations à risques grâce à des scores composites (HARP, ISAR, SHERPA, COMPRI, ...).

La deuxième étape consiste à considérer que le déclin fonctionnel n’est pas une fatalité. Des référentiels qualité ont déjà été rédigés. Des interventions pour prévenir la dépendance sur des populations ciblées ont été mises en place: simple consultation gériatrique, interventions monofactorielles (mobilité, confusion, iatrogénie ...) ou interventions multidomaines (GEM Units et ACE Units, HELP, Fast Track, NICHE ...). Ces actions, essentiellement centrées sur la fragilité du patient, ont des résultats limités car elles prennent peu en compte le fonctionnement de l’institution, non orientée vers la prévention du déclin fonctionnel. La dispensation des soins affiche aussi des dysfonctionnements: manque de connaissances en gériatrie, défaut d’évaluation et de prise en charge du statut fonctionnel. Les nouvelles interventions devront non seulement repérer les patients à risques pour qu’ils bénéficient d’une prise en charge spécialisée mais aussi avoir pour cible la structure hospitalière et les soins. Ceci implique de réaliser une « démarche qualityé » graduée et de repenser l’organisation de l’hôpital autour de la personne âgée.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Références

  1. Sager MA, Rudberg MA. Functional decline associated with hospitalization for acute illness. Clin Geriatr Med 1998;14(4):669–679.

    PubMed  CAS  Google Scholar 

  2. Kleinpell RM, Fletcher K, Jennings BM. Reducing Functional Decline in Hospitalized Elderly. In: Patient Safety and Quality:An Evidence Based Hand-Book for Nurses. Rockville (MD): Agency for Health Care Research and Quality (US); 2008.

    Google Scholar 

  3. Sager MA, Franke T, Inouye SK, et al. Functional outcomes of acute medical illness and hospitalization in older persons. Arch Intern Med 1996;156(6):645–652.

    Article  PubMed  CAS  Google Scholar 

  4. Chang HH, Tsai SL, Chen CY, Liu WJ. Outcomes of hospitalized elderly patients with geriatric syndrome: report of a community hospital reform plan in Taiwan. Arch Gerontol Geriatr 2010;50 Suppl 1:S30–S33.

    Article  Google Scholar 

  5. McCusker J, Kakuma R, Abrahamowicz M. Predictors of functional decline in hospitalized elderly patients: a systematic review. J Gerontol A Biol Sci Med Sci 2002;57(9):M569–M577.

    Article  PubMed  Google Scholar 

  6. Reduire l’Incidence des Accidents Medicamenteux et Non Medicamenteux. In: Conference Nationale de Sante. Paris; 1996.

  7. Garros B. Contribution du HCSP aux reflexions sur la lutte contre l’iatrogenie. In: Conference Nationale de Sante 1998; Paris; 1998.

  8. Sutton M, Grimmer-Somers K, Jeffries L. Screening tools to identify hospitalised elderly patients at risk of functional decline: a systematic review. Int J Clin Pract 2008;62(12):1900–1909.

    Article  PubMed  CAS  Google Scholar 

  9. Formiga F, Mascaro J, Pujol R, Lopez-Soto A, Masanes F, Sacanella E. Natural history of functional decline 1 year after hospital discharge in nonagenarian patients. J Am Geriatr Soc 2003;51(7):1040–1041.

    Article  PubMed  Google Scholar 

  10. McCusker J, Cole M, Dendukuri N, Belzile E, Primeau F. Deliriumin older medical inpatients and subsequent cognitive and functional status: a prospective study. Cmaj 2001;165(5):575–583.

    PubMed  CAS  Google Scholar 

  11. Campbell SE, Seymour DG, Primrose WR, et al. Amulti-centre European study of factors affecting the discharge destination of older people admitted to hospital: analysis of in-hospital data from the ACMEplus project. Age Ageing 2005;34(5):467–475.

    Article  PubMed  Google Scholar 

  12. Salvi F, Giorgi R, Grilli A, et al. Mini Nutritional Assessment (short form) and functional decline in older patients admitted to an acute medical ward. Aging Clin Exp Res 2008;20(4):322–328.

    PubMed  Google Scholar 

  13. Sleiman I, Rozzini R, Barbisoni P, et al. Functional trajectories during hospitalization: a prognostic sign for elderly patients. J Gerontol A Biol Sci Med Sci 2009;64(6):659–663.

    Article  PubMed  Google Scholar 

  14. Carlson JE, Zocchi KA, Bettencourt DM, et al.Measuring frailty in the hospitalized elderly: concept of functional homeostasis. Am J Phys Med Rehabil 1998;77(3):252–257.

    Article  PubMed  CAS  Google Scholar 

  15. Boyd CM, Xue QL, Guralnik JM, Fried LP. Hospitalization and development of dependence in activities of daily living in a cohort of disabled older women: the Women’s Health and Aging Study I. J Gerontol A Biol Sci Med Sci 2005;60(7):888–893.

    Article  PubMed  Google Scholar 

  16. Boyd CM, Ricks M, Fried LP, et al. Functional decline and recovery of activities of daily living in hospitalized, disabled older women: the Women’s Health and Aging Study I. J Am Geriatr Soc 2009;57(10):1757–1766.

    Article  PubMed  Google Scholar 

  17. McVey LJ, Becker PM, Saltz CC, Feussner JR, Cohen HJ. Effect of a geriatric consultation team on functional status of elderly hospitalized patients. Arandomized, controlled clinical trial. Ann Intern Med 1989;110(1):79–84.

    PubMed  CAS  Google Scholar 

  18. Hirsch CH, Sommers L, Olsen A, Mullen L, Winograd CH. The natural history of functional morbidity in hospitalized older patients. J Am Geriatr Soc 1990;38(12):1296–1303.

    PubMed  CAS  Google Scholar 

  19. Margitic SE, Inouye SK, Thomas JL, Cassel CK, Regenstreif DI, Kowal J. Hospital Outcomes Project for the Elderly (HOPE): rationale and design for a prospective pooled analysis. J Am Geriatr Soc 1993;41(3):258–267.

    PubMed  CAS  Google Scholar 

  20. Arora VM, Plein C, Chen S, Siddique J, Sachs GA, Meltzer DO. Relationship between quality of care and functional decline in hospitalized vulnerable elders. Med Care 2009;47(8):895–901.

    Article  PubMed  Google Scholar 

  21. Volpato S, Cavalieri M, Sioulis F, et al. Predictive value of the Short Physical Performance Battery following hospitalization in older patients. J Gerontol A Biol Sci Med Sci 2011;66(1):89–96.

    Article  PubMed  Google Scholar 

  22. Wu AW, Yasui Y, Alzola C, et al. Predicting functional status outcomes in hospitalized patients aged 80 years and older. J Am Geriatr Soc 2000;48(5 Suppl):S6–S15.

    PubMed  CAS  Google Scholar 

  23. Wu HY, Sahadevan S, Ding YY. Factors associated with functional decline of hospitalised older persons following discharge from an acute geriatric unit. Ann Acad Med Singapore 2006;35(1):17–23.

    PubMed  CAS  Google Scholar 

  24. de Saint-Hubert M, Jamart J, Boland B, Swine C, Cornette P. Comparison of three tools predicting functional decline after hospitalization of older patients. J Am Geriatr Soc 2010;58(5):1003–1005.

    Article  PubMed  Google Scholar 

  25. King BD. Functional decline in hospitalized elders. Medsurg Nurs 2006;15(5):265–271; quiz 72.

    PubMed  Google Scholar 

  26. de Saint-Hubert M, Schoevaerdts D, Poulain G, Cornette P, Swine C. Risk factors predicting later functional decline in older hospitalized patients. Acta Clin Belg 2009;64(3):187–194.

    PubMed  Google Scholar 

  27. Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001;56(3):M146–M156.

    Article  PubMed  CAS  Google Scholar 

  28. Zureik M, Lombrail P, Davido A, et al. Predicting the outcome in elderly patients of hospital admission for acute care in Paris, France: construction and initial validation of a simplex index. J Epidemiol Community Health 1997;51(2):192–198.

    Article  PubMed  CAS  Google Scholar 

  29. Mahoney JE, Sager MA, Jalaluddin M. New walking dependence associated with hospitalization for acute medical illness: incidence and significance. J Gerontol A Biol Sci Med Sci 1998;53(4):M307–M312.

    Article  PubMed  CAS  Google Scholar 

  30. Volpato S, Onder G, Cavalieri M, et al. Characteristics of nondisabled older patients develo** new disability associated with medical illnesses and hospitalization. J Gen Intern Med 2007;22(5):668–674.

    Article  PubMed  Google Scholar 

  31. Sager MA, Rudberg MA, Jalaluddin M, et al. Hospital admission risk profile (HARP): identifying older patients at risk for functional decline following acute medical illness and hospitalization. J Am Geriatr Soc 1996;44(3):251–257.

    PubMed  CAS  Google Scholar 

  32. Anpalahan M, Gibson SJ. Geriatric syndromes as predictors of adverse outcomes of hospitalization. Intern Med J 2008;38(1):16–23.

    PubMed  CAS  Google Scholar 

  33. Covinsky KE, Palmer RM, Fortinsky RH, et al. Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: increased vulnerability with age. J Am Geriatr Soc 2003;51(4):451–458.

    Article  PubMed  Google Scholar 

  34. Inouye SK, Wagner DR, Acampora D, et al. A predictive index for functional decline in hospitalized elderly medical patients. J Gen Intern Med 1993;8(12):645–652.

    Article  PubMed  CAS  Google Scholar 

  35. Pedone C, Ercolani S, Catani M, et al. Elderly patients with cognitive impairment have a high risk for functional decline during hospitalization: The GIFA Study. J Gerontol A Biol Sci Med Sci 2005;60(12):1576–1580.

    Article  PubMed  Google Scholar 

  36. Sands LP, Yaffe K, Lui LY, Stewart A, Eng C, Covinsky K. The effects of acute illness on ADL decline over 1 year in frail older adults with and without cognitive impairment. J Gerontol A Biol Sci Med Sci 2002;57(7):M449–M454.

    Article  PubMed  Google Scholar 

  37. Inouye SK, Rushing JT, Foreman MD, Palmer RM, Pompei P. Does delirium contribute to poor hospital outcomes? A three-site epidemiologic study. J Gen Intern Med 1998;13(4):234–242.

    Article  PubMed  CAS  Google Scholar 

  38. Cornette P, Swine C, Malhomme B, Gillet JB, Meert P, D’Hoore W. Early evaluation of the risk of functional decline following hospitalization of older patients: development of a predictive tool. Eur J Public Health 2006;16(2):203–208.

    Article  PubMed  Google Scholar 

  39. Givens JL, Jones RN, Inouye SK. The overlap syndrome of depression and delirium in older hospitalized patients. J Am Geriatr Soc 2009;57(8):1347–1353.

    Article  PubMed  Google Scholar 

  40. Mateev A, Gaspoz JM, Borst F, Waldvogel F, Weber D. Use of a short-form screening procedure to detect unrecognized functional disability in the hospitalized elderly. J Clin Epidemiol 1998;51(4):309–314.

    Article  PubMed  CAS  Google Scholar 

  41. Lang PO, Meyer N, Heitz D, et al. Loss of independence inKatz’s ADL ability in connection with an acute hospitalization: early clinical markers in French older people. Eur J Epidemiol 2007;22(9):621–630.

    Article  PubMed  Google Scholar 

  42. McCusker J, Bellavance F, Cardin S, Trepanier S, Verdon J, Ardman O. Detection of older people at increased risk of adverse health outcomes after an emergency visit: the ISAR screening tool. J Am Geriatr Soc 1999;47(10):1229–1237.

    PubMed  CAS  Google Scholar 

  43. Wakefield BJ, Holman JE. Functional trajectories associated with hospitalization in older adults. West J Nurs Res 2007;29(2):161–177; discussion 78–82.

    Article  PubMed  Google Scholar 

  44. Li AK, Covinsky KE, Sands LP, Fortinsky RH, Counsell SR, Landefeld CS. Reports of financial disability predict functional decline and death in older patients discharged from the hospital. J Gen Intern Med 2005;20(2):168–174.

    Article  PubMed  Google Scholar 

  45. Graf C. Functional decline in hospitalized older adults. Am J Nurs 2006;106(1):58–67, quiz -8.

    Article  PubMed  Google Scholar 

  46. Winograd CH, Gerety MB, Chung M, Goldstein MK, Dominguez F, Jr., Vallone R. Screening for frailty: criteria and predictors of outcomes. J Am Geriatr Soc 1991;39(8):778–784.

    PubMed  CAS  Google Scholar 

  47. Onder G, Landi F, Liperoti R, Fialova D, Gambassi G, Bernabei R. Impact of inappropriate drug use among hospitalized older adults. Eur J Clin Pharmacol 2005;61(5–6):453–459.

    Article  PubMed  Google Scholar 

  48. Mahoney JE, Sager MA, Jalaluddin M. Use of an ambulation assistive device predicts functional decline associated with hospitalization. J Gerontol A Biol Sci Med Sci 1999;54(2):M83–M88.

    Article  PubMed  CAS  Google Scholar 

  49. Lindenberger EC, Landefeld CS, Sands LP, et al. Unsteadiness reported by older hospitalized patients predicts functional decline. J Am Geriatr Soc 2003;51(5):621–626.

    Article  PubMed  Google Scholar 

  50. Covinsky KE, Martin GE, Beyth RJ, Justice AC, Sehgal AR, Landefeld CS. The relationship between clinical assessments of nutritional status and adverse outcomes in older hospitalized medical patients. J Am Geriatr Soc 1999;47(5):532–538.

    PubMed  CAS  Google Scholar 

  51. Inouye SK, Bogardus ST, Jr., Baker DI, Leo-Summers L, Cooney LM, Jr. The Hospital Elder Life Program: a model of care to prevent cognitive and functional decline in older hospitalized patients. Hospital Elder Life Program. J Am Geriatr Soc 2000;48(12):1697–1706.

    PubMed  CAS  Google Scholar 

  52. Inouye SK, Studenski S, Tinetti ME, Kuchel GA. Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc 2007;55(5):780–791.

    Article  PubMed  Google Scholar 

  53. Hoogerduijn JG, Schuurmans MJ, Duijnstee MS, de Rooij SE, Grypdonck MF. Asystematic review of predictors and screening instruments to identify older hospitalized patients at risk for functional decline. J Clin Nurs 2007;16(1):46–57.

    Article  PubMed  Google Scholar 

  54. Swine Ch DJ, Schoevaerdts D, Boland B, Cornette P. L’évaluation de la personne âgée et le système RAI-MDS. Louvain Médical 2006;125(9):S337–S343.

    Google Scholar 

  55. Hustey FM, Mion LC, Connor JT, Emerman CL, Campbell J, Palmer RM. A brief risk stratification tool to predict functional decline in older adults discharged from emergency departments. J Am Geriatr Soc 2007;55(8):1269–1274.

    Article  PubMed  Google Scholar 

  56. Guralnik JM, Simonsick EM, Ferrucci L, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol 1994;49(2):M85–M94.

    PubMed  CAS  Google Scholar 

  57. Huyse FJ, de Jonge P, Slaets JP, et al. COMPRI—an instrument to detect patients with complex care needs: results from a European study. Psychosomatics 2001;42(3):222–228.

    Article  PubMed  CAS  Google Scholar 

  58. De Saint-Hubert M, Schoevaerdts D, Cornette P, D’Hoore W, Boland B, Swine C. Predicting functional adverse outcomes in hospitalized older patients: a systematic review of screening tools. J Nutr Health Aging 2010;14(5):394–399.

    Article  PubMed  Google Scholar 

  59. Hoogerduijn JG, Schuurmans MJ, Korevaar JC, Buurman BM, de Rooij SE. Identification of older hospitalised patients at risk for functional decline, a study to compare the predictive values of three screening instruments. J Clin Nurs 2010;19(9–10):1219–1225.

    Article  PubMed  Google Scholar 

  60. Braes T, Flamaing J, Sterckx W, et al. Predicting the risk of functional decline in older patients admitted to the hospital: a comparison of three screening instruments. Age Ageing 2009;38(5):600–603.

    Article  PubMed  Google Scholar 

  61. Salvi F, Morichi V, Grilli A, et al. Predictive validity of the Identification of Seniors At Risk (ISAR) screening tool in elderly patients presenting to two Italian Emergency Departments. Aging Clin Exp Res 2009;21(1):69–75.

    PubMed  Google Scholar 

  62. Rubenstein LZ, Josephson KR, Wieland GD, English PA, Sayre JA, Kane RL. Effectiveness of a geriatric evaluation unit. A randomized clinical trial. N Engl J Med 1984;311(26):1664–1670.

    Article  PubMed  CAS  Google Scholar 

  63. Stuck AE, Siu AL, Wieland GD, Adams J, Rubenstein LZ. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet 1993;342(8878):1032–1036.

    Article  PubMed  CAS  Google Scholar 

  64. Calkins E NB. Care of older people in the hospital. In: Calkins E BC, Wagner EH, Pacala JT, ed. New ways to care for older people Building systems based on evidence. New York Springer; 1998:99–111.

  65. Ellis G, Langhorne P. Comprehensive geriatric assessment for older hospital patients. Br Med Bull 2004;71:45–59.

    Article  PubMed  Google Scholar 

  66. Parker SG, Fadayevatan R, Lee SD. Acute hospital care for frail older people. Age Ageing 2006;35(6):551–552.

    Article  PubMed  Google Scholar 

  67. Palmer RM CS, Landefeld SC. Acute care for elders units. Practical considerations for optimizing health outcomes. Dis manage health outcomes 2003(11):507–517.

  68. Gray L. Geriatric consultation: is there a future? Age Ageing 2007;36(1):1–2.

    Article  PubMed  Google Scholar 

  69. Siebens H, Aronow H, Edwards D, Ghasemi Z. A randomized controlled trial of exercise to improve outcomes of acute hospitalization in older adults. J Am Geriatr Soc 2000;48(12):1545–1552.

    PubMed  CAS  Google Scholar 

  70. Mallery LH, MacDonald EA, Hubley-Kozey CL, Earl ME, Rockwood K, MacKnight C. The feasibility of performing resistance exercise with acutely ill hospitalized older adults. BMC Geriatr 2003;3:3.

    Article  PubMed  Google Scholar 

  71. de Morton NA, Keating JL, Jeffs K. Exercise for acutely hospitalised older medical patients. Cochrane Database Syst Rev 2007(1):CD005955.

  72. Vidan MT, Sanchez E, Alonso M, Montero B, Ortiz J, Serra JA. An intervention integrated into daily clinical practice reduces the incidence of delirium during hospitalization in elderly patients. J Am Geriatr Soc 2009;57(11):2029–2036.

    Article  PubMed  Google Scholar 

  73. Capezuti EA SE, Mezey MD. Geriatric Evaluation and Management Units. In: The Encyclopedia of Elder Care: The comprehensive Ressource on Geriatric and Social Care. 2nd ed. New York: Springer; 2007:355–358.

    Google Scholar 

  74. Landefeld CS, Palmer RM, Kresevic DM, Fortinsky RH, Kowal J. Arandomized trial of care in a hospital medical unit especially designed to improve the functional outcomes of acutely ill older patients. N Engl J Med 1995;332(20):1338–1344.

    Article  PubMed  CAS  Google Scholar 

  75. Covinsky KE, King JT, Jr., Quinn LM, et al. Do acute care for elders units increase hospital costs? A cost analysis using the hospital perspective. J Am Geriatr Soc 1997;45(6):729–734.

    PubMed  CAS  Google Scholar 

  76. Counsell SR, Holder CM, Liebenauer LL, et al. Effects of a multicomponent intervention on functional outcomes and process of care in hospitalized older patients: a randomized controlled trial of Acute Care for Elders (ACE) in a community hospital. J Am Geriatr Soc 2000;48(12):1572–1581.

    PubMed  CAS  Google Scholar 

  77. Baztan JJ, Suarez-Garcia FM, Lopez-Arrieta J, Rodriguez-Manas L, Rodriguez-Artalejo F. Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis. Bmj 2009;338:b50.

    Article  PubMed  Google Scholar 

  78. Inouye SK, Bogardus ST, Jr., Charpentier PA, et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med 1999;340(9):669–676.

    Article  PubMed  CAS  Google Scholar 

  79. Rizzo JA, Bogardus ST, Jr., Leo-Summers L, Williams CS, Acampora D, Inouye SK. Multicomponent targeted intervention to prevent delirium in hospitalized older patients: what is the economic value? Med Care 2001;39(7):740–752.

    Article  PubMed  CAS  Google Scholar 

  80. Inouye SK, Bogardus ST, Jr., Williams CS, Leo-Summers L, Agostini JV. The role of adherence on the effectiveness of nonpharmacologic interventions: evidence from the delirium prevention trial. Arch Intern Med 2003;163(8):958–964.

    Article  PubMed  Google Scholar 

  81. Kehlet H, Rosenberg J. Late post-operative hypoxaemia and organ dysfunction. Eur J Anaesthesiol Suppl 1995;10:31–34.

    PubMed  CAS  Google Scholar 

  82. Bardram L, Funch-Jensen P, Jensen P, Crawford ME, Kehlet H. Recovery after laparoscopic colonic surgery with epidural analgesia, and early oral nutrition and mobilisation. Lancet 1995;345(8952):763–764.

    Article  PubMed  CAS  Google Scholar 

  83. Basse L, Hjort Jakobsen D, Billesbolle P, Werner M, Kehlet H. A clinical pathway to accelerate recovery after colonic resection. Ann Surg 2000;232(1):51–57.

    Article  PubMed  CAS  Google Scholar 

  84. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg 2002;183(6):630–641.

    Article  PubMed  Google Scholar 

  85. Fearon KC, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr 2005;24(3):466–477.

    Article  PubMed  CAS  Google Scholar 

  86. Muller S, Zalunardo MP, Hubner M, Clavien PA, Demartines N. A fast-track program reduces complications and length of hospital stay after open colonic surgery. Gastroenterology 2009;136(3):842–847.

    Article  PubMed  Google Scholar 

  87. Wind J, Polle SW, Fung Kon ** PH, et al. Systematic review of enhanced recovery programmes in colonic surgery. Br J Surg 2006;93(7):800–809.

    Article  PubMed  CAS  Google Scholar 

  88. Lassen K, Soop M, Nygren J, et al. Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. Arch Surg 2009;144(10):961–969.

    Article  PubMed  Google Scholar 

  89. Wilmore DW, Kehlet H. Management of patients in fast track surgery. Bmj 2001;322(7284):473–476.

    Article  PubMed  CAS  Google Scholar 

  90. Swauger K, Tomlin C. Best care for the elderly at Forsyth Medical Center. Geriatr Nurs 2002;23(3):145–150.

    Article  PubMed  Google Scholar 

  91. Mezey M, Kobayashi M, Grossman S, Firpo A, Fulmer T, Mitty E. Nurses Improving Care to Health System Elders (NICHE): implementation of best practice models. J Nurs Adm 2004;34(10):451–457.

    Article  PubMed  Google Scholar 

  92. Mezey MD FT, Abraham I. Geriatric nursing protocols for best practice. 2nd ed. New York: Springer; 2003.

    Google Scholar 

  93. Palmer RM. Acute hospital care of the elderly: minimizing the risk of functional decline. Cleve Clin JMed 1995;62(2):117–128.

    CAS  Google Scholar 

  94. Rozzini R, Sabatini T, Cassinadri A, et al. Relationship between functional loss before hospital admission and mortality in elderly persons with medical illness. J Gerontol A Biol Sci Med Sci 2005;60(9):1180–1183.

    Article  PubMed  Google Scholar 

  95. Ferrucci L, Guralnik JM, Pahor M, Corti MC, Havlik RJ.Hospital diagnoses, Medicare charges, and nursing home admissions in the year when older persons become severely disabled. Jama 1997;277(9):728–734.

    Article  PubMed  CAS  Google Scholar 

  96. Koenig HG, George LK, Stangl D, Tweed DL. Hospital stressors experienced by elderly medical inpatients: develo** a Hospital Stress Index. Int J Psychiatry Med 1995;25(1):103–122.

    Article  PubMed  CAS  Google Scholar 

  97. Gillis A, MacDonald B. Deconditioning in the hospitalized elderly. Can Nurse 2005;101(6):16–20.

    PubMed  Google Scholar 

  98. Gray SL, Sager M, Lestico MR, Jalaluddin M. Adverse drug events in hospitalized elderly. J Gerontol A Biol Sci Med Sci 1998;53(1):M59–M63.

    Article  PubMed  CAS  Google Scholar 

  99. Holroyd-Leduc JM, Sen S, Bertenthal D, et al. The relationship of indwelling urinary catheters to death, length of hospital stay, functional decline, and nursing home admission in hospitalized older medical patients. J Am Geriatr Soc 2007;55(2):227–233.

    Article  PubMed  Google Scholar 

  100. Palmer RM, Counsell S, Landefeld CS. Clinical intervention trials: the ACE unit. Clin Geriatr Med 1998;14(4):831–849.

    PubMed  CAS  Google Scholar 

  101. Lafreniere S BL, Dupras A. Expérience d’amélioration de la qualityé des soins aigus de la clientèle agée. Un défit clinique et de gestion. In: Ordre des infirmières et des infirmiers du Quebec; 2009; Montréal; 2009.

  102. Dupras A LS. Presentation sur le projet OPTIMAH (projet d’optimisation des soins auxmalades âgés hospitalisés). In; 2007; 2007.

  103. Wenger NS, Roth CP, Shekelle P. Introduction to the assessing care of vulnerable elders-3 quality indicator measurement set. J Am Geriatr Soc 2007;55Suppl 2:S247–S252.

    Article  PubMed  Google Scholar 

  104. Carr M PH. Report and Recommandations:Acute care geriatric nurse network. In: Planning TNDMoH, ed.: CNS Collaborative; 2003.

  105. AHMAC. Best practice approaches tominimise functional decline in the older person across the acute, sub-acute and residential care settings. In: Services tVGDoH, ed.: Victorian Government Department of Human Services; 2007:29.

  106. Care Quality Commission, Essential standards of quality and safety. In: National Health Service SC, Public Health, England, ed.: Parliament of United Kingdom; 2010.

  107. Dramé M, Fierobe F, Lang PO, Jolly D, Boyer F, Mahmoudi R, Somme D, Laniece I, Heitz D, Gauvain JB, Voisin T, De Wazieres B, Gonthier R, Ankri J, Saint-Jean O, Couturier P, Jeandel C, Blanchard F, Novella JL. Predictors of institution admission in the year following acute hospitalisation of elderly people. J Nutr Health Aging. 2011 May; 15(5):399–403.

    Article  PubMed  Google Scholar 

  108. Charlton KE, Nichols C, Bowden S, Lambert K, Barone L, Mason M, Milosavljevic M. Older rehabilitation patients are at high risk of malnutrition: evidence from a large Australian database. J Nutr Health Aging. 2010 Oct;14(8):622–628.

    Article  PubMed  CAS  Google Scholar 

  109. Somers A, Robays H, Vander Stichele R, Van Maele G, Bogaert M, Petrovic M. Contribution of drug related problems to hospital admission in the elderly. J Nutr Health Aging. 2010 Jun;14(6):477–482.

    Article  PubMed  CAS  Google Scholar 

  110. De Saint-Hubert M, Schoevaerdts D, Cornette P, D’Hoore W, Boland B, Swine C. Predicting functional adverse outcomes in hospitalized older patients: a systematic review of screening tools. J Nutr Health Aging. 2010 May;14(5):394–399.

    Article  PubMed  Google Scholar 

  111. Voisin T, Andrieu S, Cantet C, Vellas B; REAL. FR Group. Predictive factors of hospitalizations inAlzheimer’s disease: a two year prospective study in 686 patients of the REAL.FR study. J Nutr Health Aging. 2010 Apr;14(4):288–291.

    Article  PubMed  CAS  Google Scholar 

  112. Lang PO, Zekry D, Michel JP, Drame M, Novella JL, Jolly D, Blanchard F. Earlymarkers of prolonged hospital stay in demented inpatients: a multicentre and prospective study. J Nutr Health Aging. 2010 Feb;14(2):141–147.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Gérontopôle, Departement de Médicine Gériatric, CHU Toulouse, Toulouse, France

    C. Lafont, S. Gérard, T. Voisin & B. Vellas

  2. Department of Aging and Geriatric Research, University of Florida — Institute on Aging, Gainesville, FL, USA

    M. Pahor

  3. Inserm U 1027, Gerontopole, CHU Toulouse, Toulouse, France

    B. Vellas

Authors
  1. C. Lafont
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Gérard
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Voisin
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. Pahor
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. B. Vellas
    View author publications

    You can also search for this author in PubMed Google Scholar

Consortia

I.A.G.G. / A.M.P.A Task Force

Additional information

Membres du I.A.G.G. / A.M.P.A Task Force les 21 et 22 janvier 2011:Pr. S. Andrieu, C. Balandier, Dr. P. Bonhomme, P. Decourt, Dr. S. Connee-Bertrand, F. Couriol, Pr. J. Fitten, Pr. F. Forette, Pr.A. Franco, D. Gabeloux, Dr. C. Lafont, Dr. S. Louchart de Lachapelle, P. Migliasso, Pr. M. Pahor, Dr. A. Pesce, Dr. P. Porasso, Pr. P. Robert, G. Ruault, Dr. A. Salva, Pr. B. Vellas, RM Van Lerberghe

About this article

Cite this article

Lafont, C., Gérard, S., Voisin, T. et al. Comment réduire la dépendance iatrogène chez les sujets âgés hospitalisés ?. cah. année gerontol. 3 (Suppl 1), 6 (2011). https://doi.org/10.1007/s12612-011-0199-9

Download citation

  • Published:

  • DOI: https://doi.org/10.1007/s12612-011-0199-9

Mots clés

Search

Navigation