title: [Modalities of hospitalization in emergency of institutionalized patients].
abstract: OBJECTIVE
  Institutionalized people represent 9 to 37% of the patients hospitalized in emergency. The aim of this study is to clarify practical conditions of decision and realization of an hospitalization in emergency from an institution.
  
  
  METHODS
  This is a prospective and descriptive longitudinal study of the hospitalizations in emergency of institutionalized elderly during six months, from 11 nursing homes.
  
  
  RESULTS
  The patients hospitalized in emergency are old (86.7 ± 7.3 years), more than 80% are women, widows and dependent (GIR 3). Main reasons for hospitalization in emergency are falls in a third of cases and cardio-pulmonary failure (27%). The alert is given by nurses and auxiliary nurses in 60% of cases. The decision of hospitalization is medical in more than 80% of cases. The medical opinion is only on phone in 24.4% of cases. After hospitalizations, 85% of patients came back straight to their institution and 10% died during their stay at the hospital.
  
  
  CONCLUSIONS
  The terms of hospitalization in emergency of institutionalized patients must be improved. Nursing homes are an integral part of the geriatric network.
authors.affiliation: Service de médecine polyvalente gériatrique, CHU de Nantes.
authors.forename: Eloïse
authors.initials: E
authors.lastname: Le Fur-Musquer
authors.forename: Florence
authors.initials: F
authors.lastname: Delamarre-Damier
authors.forename: Laure
authors.initials: L
authors.lastname: De Decker
authors.forename: Anne
authors.initials: A
authors.lastname: Le Strat
authors.forename: Anne
authors.initials: A
authors.lastname: Lebatard
authors.forename: Véronique
authors.initials: V
authors.lastname: Manigold
authors.forename: Fabienne
authors.initials: F
authors.lastname: Yvain
authors.forename: Régis
authors.initials: R
authors.lastname: Séhier
authors.forename: Claire
authors.initials: C
authors.lastname: Moulinoux
authors.forename: Claire
authors.initials: C
authors.lastname: Moisan
authors.forename: Pascal
authors.initials: P
authors.lastname: Chevalet
authors.forename: Vincent
authors.initials: V
authors.lastname: Ould-Aoudia
authors.forename: Gilles
authors.initials: G
authors.lastname: Berrut
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D016330:Frail Elderly / Q000706:statistics & numerical data*; D005602:France; D006323:Heart Arrest / Q000453:epidemiology / Q000401:mortality; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D017052:Hospital Mortality; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data*; D010359:Patient Readmission / Q000706:statistics & numerical data; D011446:Prospective Studies; D014600:Utilization Review / Q000706:statistics & numerical data