Audit about Medical Decision Data Transmission Concerning Patients with Dementia Entering French Nursing Homes Does Not Confirm the Diagnosis英文文献资料.docVIP

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Audit about Medical Decision Data Transmission Concerning Patients with Dementia Entering French Nursing Homes Does Not Confirm the Diagnosis英文文献资料.doc

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Audit about Medical Decision Data Transmission Concerning Patients with Dementia Entering French Nursing Homes Does Not Confirm the Diagnosis英文文献资料

HindawiPublishingCorporation InternationalJournalofFamilyMedicine Volume2010,ArticleID857581,5pages doi:10.1155/2010/857581 ResearchArticle AuditaboutMedicalDecision:DataTransmissionConcerning PatientswithDementiaEnteringFrenchNursingHomesDoes NotCon?rmtheDiagnosis CadierS′ebastien, LeFlochBernard, 1 Hummers-PradierEva, BaraisMarie, BarrainePierre, ChironBenoit, 2 1 1 1 NabbePatrice, andLeResteJean-Yves 1 1 1 1 2 D′epartementdeM′edecineG′en′erale,Universit′edeBretagneOccidentale,29238Brest,France Institutf¨urAllgemeinmedizin,MedizinischeHochschule,30625Hannover,Germany CorrespondenceshouldbeaddressedtoLeResteJean-Yves,lerestejy@aliceadsl.fr Received2May2010;Revised4August2010;Accepted6September2010 AcademicEditor:SusanDovey Copyright?2010CadierS′ebastienetal. This is an open access article distributed under the Creative Commons Attribution License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly cited. Background.Dementiawasa?ecting855.000patientsinFrancein2007.Lanmeur’sruralhospitalpopulationwasrepresentative oftheFrenchnursinghome’spopulation.ThefollowupwasassumedbylocalGPs,whichisalsousualcareinFrancefornursing homes.Thestudylookedatclinicalandparaclinicaldatatransmittedattheinstitutionalizationtimeofpatientssu?eringfrom dementia.Aim.showingthatadmissionlettersdidallowestablishingadiagnosisofdementiafortheGPs.Method.weincludedall patientswithdementiaatthetimeofinstitutionalizationbetweenJuly2000andJuly2007.Wesearchedintheadmissionlettersfor 25criteriaextractedfromtheFrenchguidelinesfordementiaandAlzheimerdiseasediagnosis(multiplecross-sectionalanalysis peryear).Results.293patientswereincluded.Themediannumberofdiagnosticcriteriapresentinthelettersofadmissionis1 (?rstquartile:zero,thirdquartile:4,andmaximum:12).Conclusions.thedatainadmissionlettersdidnotallowthediagnosisof dementiaaccordingtotheFrenchguidelines.WeknowthatdementiaisundercheckedandundertreatedinFra