Showing papers by "Bertrand Yersin published in 1998"
TL;DR: The results suggested that alcohol-dependent patients perceived their problems more as psychological than physical, and the severity of alcohol dependence and depression seemed to influence the perception of HRQoL negatively.
Abstract: Health-related quality of life (HRQoL) was evaluated in a sample of alcohol-dependent patients with the 36-item Medical Outcome Study Short-Form Health Survey (MOS-SF-36). the instrument was administered to 147 patients (77% males), aged 26–78, with a DSM-III-R diagnosis of alcohol dependence. the Hamilton Depression Scale (HDS), the Severity of Alcohol Dependence Questionnaire (SADQ), and the Addiction Severity Index (ASI) were also administered to the first 100 patients included in the study. the reliability and validity of the MOS-SF-36 were evaluated. Test-retest intraclass coefficients for a 10-day interval were in the range. 65 to. 79, whereas the Cronbach a coefficient indicated good internal consistency (range. 70 to. 89). Compared to scores observed in the general population, MOS-SF-36 scores for alcohol-dependent patients were relatively low (indicating worse perception of HRQoL), especially in the psychological and role dimensions (range 52/100 to 55/100), but were closer to populational values...
108 citations
TL;DR: This study shows the low mortality of AOO when treated but also demonstrates the need to improve psychosocial evaluation and referral of drug addicts admitted with AOO.
Abstract: Aims. To characterize the population of drug users consulting the Emergency Room (ER) of a university hospital with acute opiate overdose (AOO) and to assess rate of referral to specialized treatment programme. Design. Survey of a 12-month sample of AOO patients. Measurements. Medical and psychosocial features of the drug users, details of emergency treatment and referral by a mobile resuscitation team (SMUR) and the ER of our hospital (CHUV-Lausanne, Switzerland). In addition fatal AOO cases were collected by the Institute of Forensic Medicine (IFM) during the same period. Findings. One hundred and eighty-four cases of AOO (134 patients) were treated. The files of the IFM detailed six additional deceased cases. This population of drug users was characterized by an over-representation of men (73%), by young age (27.4 years), by a high rate of multi-drugs use (90%) and by a high rate of multiple previous overdoses (2.6). Average length of stay was 20.1 hours but 41% of cases stayed less than 8 hours. Only one patient was readmitted within an 8-hour period. When discharged, 78% returned home. Unexpectedly, 67% of patients were not referred to any therapeutic programme for drug addiction. Conclusion. This study shows the low mortality of AOO when treated but also demonstrates the need to improve psychosocial evaluation and referral of drug addicts admitted with AOO.
51 citations
01 Jan 1998
TL;DR: Donnees demographiques : intoxications volontaires: descriptif succinct: descriptionsifs 1. Medicaments, 2. Effets indesirables, descriptifs 3. Associations.
Abstract: [Table des matieres] I. Mise en perspective et methodologie. II. Donnees demographiques : intoxications volontaires: descriptif succinct. III. Effets indesirables, descriptifs. 1. Medicaments. 2. Effets indesirables. 3. Imputabilite. 4. Gravite. 5. Evitabilite. 6. Responsabilite de l'evitabilite. 7. Destination des patients a la sortie de l'hopital. 8. Caracteristiques des patients. 9. Duree de sejour et couts. 10. Duree d'hospitalisation. 11. Jours d'hospitalisation imputables et evitables. 12. Cout des hospitalisations. IV. Associations. 1. Effets indesirables et medicaments incrimines. 2. Nombre de medicaments consommes. 3. Profil clinique des patients. V. Validation.
5 citations