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The skills of physiotherapists have been employed to enhance access to optimal care in Emergency Departments (ED). No study has yet been conducted on the practices in France. The primary objective of this study was to describe the French practices of physiotherapy within an ED, and to secondary examine the effect on patient discharge.
A retrospective observational study was conducted on patients who received a referral for physiotherapy in the ED (E-PT) of the Universitarian Hospital of Nantes during a six-month observation period in 2022. A total of 461 medical records were extracted, including patient characteristics and the main chief complaint at the time of admission. Details on the delivery of E-PT were collected, as well as the end status at the exit of the ED. Descriptive statistics were performed to analyse the data. A propensity score analysis examined the association between the patients' status at the exit of the ED and E-PT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Emergency Physiotherapy (E-PT) | Subcohort of patients receiving a referral + Emergency Physiotherapy (E-PT) during their visit to Emergency Department |
| |
| control (CTL) | Subcohort of patients receiving a referral + but no Emergency Physiotherapy (E-PT) during their visit to Emergency Department |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physical Therapy | Behavioral | Assessment and/or treatment by physitoherapist during the visit |
|
| Measure | Description | Time Frame |
|---|---|---|
| Discharge at the exit of ED | the type of discharge (home / hospitalisation) | up to 7 days (date of exit) |
| Measure | Description | Time Frame |
|---|---|---|
| Length of stay | duration of stay in the ED | up to 7 days (date of exit) |
| Measure | Description | Time Frame |
|---|---|---|
| Age | Age of patients | date of presenting to ED |
| Day of admission | day of the week | date of presenting to ED |
Inclusion Criteria:
Exclusion Criteria:
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All adult patients visiting the Emergency Department
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| Name | Affiliation | Role |
|---|---|---|
| Guillaume Le Sant, PhD | guillaume.le-sant@univ-nantes.fr | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nantes | Nantes | France | ||||
| Université de Nantes - MIP UR 4334 (Motricity, Movement, Interactions) |
The data that support the findings of this study are available from the corresponding author, [GLS], upon reasonable request. The data is not publicly available or to reusable due to privacy and ethical restrictions.
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| ID | Term |
|---|---|
| D010146 | Pain |
| D013180 | Sprains and Strains |
| D012131 | Respiratory Insufficiency |
| D014717 | Vertigo |
| D055809 | Illness Behavior |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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| Chief complaint | The chief complaint for visiting the ED | date of presenting to ED |
| Gender | gender of patients | date of presenting to ED |
| Unit of referral | the unit of medical referral for E-PT | date of presenting to ED |
| Nantes |
| France |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D015837 | Vestibular Diseases |
| D007759 | Labyrinth Diseases |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D009422 | Nervous System Diseases |
| D001519 | Behavior |