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Introduction: laboratory request forms (LRF) is a means of communication between the biologist and the clinician. In Niger, to our knowledge, no study focused on the editorial quality of LRF. The purpose of this study was to evaluate the editorial quality and cost of non-compliant LRF in four main hospitals in Niamey and the representation of the CERBA laboratory in Niger. Methods: we conducted a multicenter, cross-sectional, descriptive study over a period of eight months. All LRFs sent to selected laboratories over the study period were included in this study. Results: a total of 5.651 LRFs from 30 different clinical departments were included in this study. The most reported information in the LRFs was: the patient's last name (99.79%), first name (99.65%) and date of prescription (97.45%). On the other hand, the sample date, time, and nature were reported in 0.02%, 0.21%, and 1.68% of the LRFs respectively. Overall, 9.45% of the LRFs complied with the principles of good prescribing. While the bivariate analysis showed that doctors had a tendency to prescribe better than other health workers, multivariate analysis showed that the risk of non-compliance of LRFs was not associated with the prescriber's qualification, the requesting service, and the testing cost. Conclusion: the editorial quality of LRFs is very low in the health structures evaluated. These results highlight the need for effective communication between the physicians and the biologists and a rigorous attitude of laboratory staff regarding the management of non-conformities. [ABSTRACT FROM AUTHOR]

Introduction: The aim is to study the links between anemia and geriatric criteria. Patients and methods: Prospective study carried out in an acute geriatric unit, at CHU Rouen, from May 1st 2016 to July 31 st 2016 inclusive. The anemia defined by Hb < 12 g/dL whatever the sex. Two analyzes were systematically performed: a bivariate analysis of the average (mean FRIED) of the anemic subjects to the mean of the non-anemic subjects; A multivariate analysis of outcomes FRIED SEGA ADL and IADL adjusted to anemia, age, sex, albuminemia and a history of heart failure. Results: 141 patients included, of whom 67 were anemic (57.5 %) and 74 were non-anemic (42.5 %). 89 Women (63.1 %). The average age of 86.7 years.7 deaths are recorded in the department. In bivariate analysis, anemic patients are more fragile, as evidenced by the Fried score (3.88 IC95 [3.64; 4.12] versus non-anemic subjects: 2.01 IC95 [1.73; 2.30], p <0.0001) SEGA (18.04 IC95 [17.22; 18.87] versus non-anemic subjects: 12.01 IC95 [10.90; 13.12], p <0.0001). In multivariate analysis, the FRIED score was increased by 1.89 (1.52; 2.27) in anemic patients compared to non-anemic patients. Adjusted to albuminemia, age, sex and heart failure, the result is virtually unchanged 1.84 (1.47; 2.21) and remains significant (p <0.0001). Regarding SEGA, IADL and ADL, the results are significant and independent to albuminemia, age, sex and heart failure. Conclusion: The link between frailty and anemia seems strong. The meaning of this association remains to be determined. [ABSTRACT FROM AUTHOR]