Revue médicale suisse
-
Revue médicale suisse · Nov 2007
[How to organize the emergency department of primary care hospitals in the future? Nyon's regional hospital experience].
Optimization of patients flow can decrease the overcrowding of the emergency department (ED) and improve the level of patient's satisfaction. The prospective analysis of 502 consecutive admissions at the Nyon regional hospital's ED shows a mean length of stay (LOS) of 145 minutes, for a majority of low-severity cases admitted during working hours. ⋯ Our analysis shows that both the ED's structure and the medical organization create a gap between ED performance as care provider and the patients' expectations, and suggests that a separation of low-versus high-complexity cases is necessary. Patients' flow analysis can detect ED overcrowding and may help find the appropriate solutions to reduce it.
-
Revue médicale suisse · Nov 2007
Review Meta Analysis[Management of elderly patients with delirium or dementia in Swiss nursing homes].
Management of elderly patients with delirium or dementia in Swiss nursing homes Dementia and delirium are among the most frequent medical conditions in older nursing home residents. Their management require a coordinated interdisciplinary approach, including for drug prescription. Using a systematic literature review of published meta-analyses and guidelines, prescription algorithms were developed adressing the pharmacological management of cognitive symptoms of dementia and delirium in older nursing home residents in the canton of Fribourg.
-
Revue médicale suisse · Oct 2007
[Acute confusional episode--delirium in elderly patients. Definition, etiology and treatment].
Delirium, (acute confusional episode in European nomenclature) frequently occurs to elderly patients. This confusional condition is characterized by a sudden beginning and fluctuating clinical manifestations. ⋯ Generally transient and reversible, confusional state remains a medical emergency, motivating numerous consilium and psychiatric admissions. On the base of a case report, we aim to recall the high frequency of this affection in a somatic context and the importance of early diagnosis and treatment.