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Biomedical subjects

G Sebbane

Publications and source records attributed to G Sebbane.

5 recordsLinked to original sources
PubMed2003

[Medical characteristics of patients in long-term care facilities and predictions on the weight of their management].

The objective of this study was to highlight the heterogeneous nature of the medical profiles of patients living in long term care units (LCU) and to present the morbidity factors associated with-the weight and burden of ensuring long term medical care and treatment. Typology analysis, performed on a group of 600 LCU patients, highlights two types of patients: one who is characterised by having few or no serious diseases, and the other (representing nearly one-third of the sample population) corresponding to patients with serious poly-pathologies and requiring a high level of medical attention and nursing care. Factors associated with a higher level of care are diseases such as those related to cardiac or respiratory deficiencies. This predictive model for the burden of care could be used to measure the suitability between the state of the patients and the their optimum structures for care.

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PubMed2003

[Current problems in geriatrics and radiology. Teleradiology: organization and evaluation].

The realization of radiological examinations in the elderly population must be adjusted to the needs of patients that usually have health problems and very little patience. Its organization must be thought as a whole: appointment, reception of an awaited patient, human accompaniment allowing good cooperation, nursing support, and prompt availability of reports. Adapted equipment facilitates the examination: stretchers to raise and carry invalid patients, digital radiography. Structural linking of radiology and geriatric units with a departmental support avoids the isolation of medical and ancillary staff, reinforce the bonds with geriatricians and facilitates the access to CT before any contrast-enhanced (barium, iodinated) examination. Teleradiology is a complementary tool of making the medical support available and reinforce the interactivity with geriatricians. The simplicity of the questions in current geriatrics makes it possible to use teleradiology in daily practice.

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PubMed1992

[Drugs and aged subjects institutionalized in geriatric units].

Our one-year retrospective study evaluated drug use in a population of 136 patients over 60 years old hospitalized in a geriatric ward (moderate--and long-term institutionalization). After having classified the reason for hospitalization, the length of stay and the number of pathologies per patient, the number of prescribed medications was quantified by means of a drug-day unit (D-D). The mean number was 3.36 D-D, which was independent of sex, age and reason for admission. The most frequently prescribed medications treated central nervous system, cardiovascular and metabolic disorders. These results were compared to those of CREDOC 1981 and CREDES 1987. In addition, 14 iatrogenic episodes were identified in this study; aminoglycosides and cardiovascular drugs were responsible for the majority of them, despite the precautions taken in light of the therapeutic indications. The iatrogenesis thus identified was not due to biological abnormalities found in the elderly. In our opinion, this evaluation of drug use is a good predictive element for understanding iatrogenicity on a larger scale and thereby to attempt to avoid it.

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PubMed1989

[Assays of apolipoproteins A and B as atherogenicity factors in aged patients at hospitals].

A systematic study of 100 elderly patients in a hospital geriatric unit was undertaken to analyse the relationship between clinical cardiovascular events (angina, myocardial infarction, hypertension, cerebrovascular accidents, temporo-spatial disorientation, invalidity, incontinence) and plasma lipids (total cholesterol, HDL and LDL fractions, triglycerides, apolipoprotein A and B and total cholesterol/HDL and apolipoprotein B/A ratios). The average triglyceride and apolipoprotein A concentrations were related to the patient's validity: The triglycerides were significantly higher in the group of invalid patients (+22%), p = 0.05. The apolipoprotein A levels were significantly lower in the invalid group (-12%), p = 0.05.

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