I. Lieu-de-l-'etude and .. , 30 A. Composition de l'équipe, p.31

I. Population and .. Duree-de-l-'etude, 31 III ANNEXE 1), 34 IV. DONNEES ETUDIEES SUR LE DEVENIR DES PATIENTS NON ADMIS, p.35

P. Origine-des, 40 3. Motifs de non admission en réanimation, p.41

I. Devenir and R. Patients, 45 A. Unités d'accueil des patients refusés à la réanimation, p.46

.. Fiabilité-globale, 51 2. Fiabilité pour les patients à gravité dépassée, p.52

.. Influence-du-mode-de-prise-de-contact, 59 a. Proposition téléphonique, un facteur de refus, p.59

I. Mortalite and R. Patients, 67 1. Impact du refus d'admission sur la survie, p.67

. Les-défaillances-d-'organes, Parmi celles-ci, la défaillance respiratoire est la plus fréquemment observée et représente à elle seule, 38,2% des motifs de sollicitation dans le groupe de patients refusés et 24,5% dans le groupe des patients admis. Ensuite viennent par ordre de fréquence : Dans le groupe des patients refusés : Défaillances cardiaques, 2%) Pathologies infectieuses5%) Défaillances neurologiques3%) Défaillances rénales et métaboliques (5,5%) Hémorragies aiguës5%) ; tentatives d'autolyse (2,5%) Défaillances hépatiques3%) Défaillances hématologiques, p.3

. Dans-le-groupe-des, Défaillances cardiaques (24,5%) Pathologies infectieuses, 6%) Gestion péri-opératoire (8,6%) Défaillances neurologiques8%) Défaillances rénales et métaboliques (6,1%) Hémorragies aiguës (4,7%) Tentatives d'autolyse (2,4%) Défaillances hépatiques (1,2%) Maladies de système (1%) Défaillances hématologiques

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