[From comprehensive geriatric assessment to an integrated multidimensional assessment system : interRAI tools and their applications].

The multidimensional assessment carried out with interRAI tools constitutes an operationalization of the International Classification of Functioning, Disability and Health (ICF) and is adapted to the specificities of each place of care. From a single assessment, the interRAI approach makes it possible to conduct a multidimensional assessment of functional autonomy and to produce a series of indicators (health, areas of intervention, quality of care and consumption of resources). It helps to identify clinical needs to be the subject of a personalized care plan and the strengths and weaknesses of health organizations to modify the professional practices.

Thirty-day hospital readmission predictors in older patients receiving hospital-at-home: a 3-year retrospective study in France.

Objective: This study described older patients receiving hospitalisation-at-home (HaH) services and identified factors associated with 30-day hospital readmission.

Design: 3-year retrospective study in 2017-2019 in France.

Participants: 75 108 patients aged 75 years and older who were discharged from hospital medical wards (internal medicine and geriatric units) and admitted to HaH.

[Emergency intervention of hospitalisation at home in nursing home during the pandemic period of Covid-19].

Background: In the context of the pandemic Covid-19, the Hospitalization A Home (HAH) of the Assistance Publique - Hôpitaux de Paris (APHP) has implemented a new organisation with emergency interventions to meet the needs of residents in palliative care in nursing home. The objective of the study was to describe their clinical characteristics, the modalities of the intervention and their care pathways during the HAH intervention.

Methods: This is a descriptive study on the emergency intervention of the HAH in 74 nursing home in the area of Ile-de-France during one month (April 2020) with a sample of 132 residents.

[Organization of patient transfer from conventional hospital to hospitalization at home].

Introduction: The organization of patient transfer from conventional hospital to hospitalization at home (HAH) is not well known.

Purpose Of Research: Our study aims to describe this organization by identifying the key professionals of the pathways and the incentives and obstacles to the continuity of care.

Results: Patient transfer from conventional hospital to HAH is a period of strong tension between all health care professionals and the organization of discharge is not sufficiently anticipated by hospital prescribers.

Implementation of palliative care day hospital for outpatients with advanced cancer.

Objectives: To describe the population of a palliative care day hospital (PCDH) in oncology and analyse the end-of-life trajectory.

Methods: Monocentric retrospective cohort study of all referred patients for the first time to PCDH over an 8-month period with the data collected in all PCDH in their pathway care.

Results: 116 patients were included for 319 stays in PCDH.