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La prise en charge de la douleur des crises vaso-occlusives des patients drépanocytaires aux urgences
Mémoire de Master / Thèse d'exercice   Open Access

La prise en charge de la douleur des crises vaso-occlusives des patients drépanocytaires aux urgences

Lorie Ndiaye
Masters , Université de Montpellier
15/11/2024

Résumé

Sickle cell disease Vaso occlusive crisis Emergency department Healthcare professional training Drépanocytose -- Complications (médecine) Troubles de la circulation sanguine Gestion de la douleur Hôpitaux -- Services des urgences Formation médicale continue Titration morphinique Délai de prise en charge
The management of vaso-occlusive crises in sickle cell patients in emergency department is often complex. It requires the rapid administration of effective analgesia, mainly through morphine titration, and the elimination of negative perceptions towards patients. This study compares the management of sickle cell patients before and after the training of healthcare professionals. Method: this is a prospective, single-center, before-and-after study conducted at the University Hospital of Montpellier between May 2023 and August 2024. The first phase involved the inclusion of patients and healthcare professionals, followed by training on the management of sickle cell patients, and finally, a second phase of inclusion of patients and healthcare professionals. The primary objective was to compare, before and after the training of healthcare professionals, the proportion of patients receiving morphine titration within 30 minutes of their admission (short delay). Results: among the 144 eligible healthcare professionals, 78 were included. Among the 42 eligible patients, 40 were included. In both populations, a significant increase in the proportion of patients receiving morphin in short delay was observed. Conclusion: the training of emergency healthcare professionals increases the number of patients receiving effective analgesia within 30 minutes, thereby improving the emergency department experience.

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