A5025465128- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Healthcare Systems and Practices
- Healthcare Policy and Management
- Respiratory Support and Mechanisms
- Health, Medicine and Society
- Sepsis Diagnosis and Treatment
- Disaster Response and Management
- Diversity and Career in Medicine
- Homelessness and Social Issues
- Palliative Care and End-of-Life Issues
- Sex and Gender in Healthcare
- Migration, Identity, and Health
- Vestibular and auditory disorders
- Heart Failure Treatment and Management
- Venous Thromboembolism Diagnosis and Management
- Healthcare Decision-Making and Restraints
- COVID-19 and healthcare impacts
- Blood donation and transfusion practices
- Healthcare Technology and Patient Monitoring
- Medical and Biological Sciences
- Migration, Health and Trauma
- Hemoglobinopathies and Related Disorders
- Family and Patient Care in Intensive Care Units
Hôpital Avicenne
2021-2025
Université Sorbonne Paris Nord
2020-2025
Université Paris Cité
2014-2025
Sorbonne Paris Cité
2014-2025
Inserm
2018-2025
Sorbonne Université
2015-2024
Assistance Publique – Hôpitaux de Paris
2015-2024
University Hospital of Geneva
2024
Université de Sherbrooke
2020-2024
Hôpital du Sacré-Cœur de Montréal
2022-2024
<h3>Importance</h3> An international task force recently redefined the concept of sepsis. This recommended use quick Sequential Organ Failure Assessment (qSOFA) score instead systemic inflammatory response syndrome (SIRS) criteria to identify patients at high risk mortality. However, these new have not been prospectively validated in some settings, and their added value emergency department remains unknown. <h3>Objective</h3> To validate qSOFA as a mortality predictor compare performances...
The safety of the pulmonary embolism rule-out criteria (PERC), an 8-item block clinical aimed at ruling out (PE), has not been assessed in a randomized trial.To prospectively validate PERC-based strategy to rule PE.A crossover cluster-randomized noninferiority trial 14 emergency departments France. Patients with low gestalt probability PE were included from August 2015 September 2016, and followed up until December 2016.Each center was for sequence intervention periods. In PERC period,...
<h3>Importance</h3> Clinical guidelines for the early management of acute heart failure in emergency department (ED) setting are based on only moderate levels evidence, with subsequent low adherence to these guidelines. <h3>Objective</h3> To test effect an guideline-recommended care bundle short-term prognosis older patients ED. <h3>Design, Setting, and Participants</h3> Stepped-wedge cluster randomized trial 15 EDs France 503 75 years a diagnosis ED from December 2018 September 2019...
Abstract Background There have been reports of procoagulant activity in patients with COVID‐19. Whether there is an association between pulmonary embolism (PE) and COVID‐19 the emergency department (ED) unknown. The aim this study was to assess whether associated PE ED who underwent a computed tomographic angiogram (CTPA). Methods A retrospective 26 EDs from six countries. whom CTPA performed for suspected during 2‐month period covering pandemic peak. primary endpoint occurrence on CTPA....
Emergency departments (ED) are environments that at high risk for medical errors. Previous studies suggested the proportion of errors may decrease when more than 1 physician is involved.To reduce by implementing systematic cross-checking between emergency physicians.This cluster randomized crossover trial includes a random sample 14 adult patients (age ≥18 years) per day during two 10-day period in 6 EDs (n = 1680 patients) France.Systematic physicians, 3 times day, which included brief...
Out-of-hospital cardiac arrest (OHCA) mortality remains alarmingly high in most countries. The majority of pharmacological attempts to improve outcomes have failed. Randomized trials shown limited survival benefits with vasopressin, fibrinolysis, amiodarone, or lidocaine. Even the adrenaline remain a matter debate. In this context, relying on technology may seem appealing. However, technological strategies also yielded disappointing results. This is exemplified by automated external chest...
To determine whether homeless patients experience suboptimal care in the emergency department (ED) by provision of fewer health resources.We conducted a prospective multicenter cohort study 30 EDs France. During 72 hours March 2015, all that visited participating were included study. The primary service measure was order physician diagnostic investigation or treatment ED. Secondary measures services ED waiting time, number and type investigations per patient, ED, discharge disposition.A...
Objective On 13 November 2015, Paris was the target of multiple terrorist attacks responsible for a massive influx casualties in emergency departments (EDs). Because activation local crisis plan and arrival extra staff, our capacities increased markedly. Our aim to analyze whether center, this challenging context, efficiently managed patients. Patients methods We carried out monocentric retrospective study. All patients received first 24 h were included (isolated psychological trauma with no...
Hemorrhage is the leading cause of death after terrorist attack, and immediacy labile blood product (LBP) administration has a decisive impact on patients' outcome. The main objective this study was to evaluate transfusion patterns Paris attack victims, November 13, 2015.We performed retrospective analysis including all casualties admitted hospital, aiming describe from admission first week attack.Sixty-eight 337 patients were transfused. More than three quarters products consumed in initial...
Context Obese patients are raising specific questions in emergency care such as equipment issues or urgent procedures. Even though obesity prevalence and subsequent health expenditure increasing worldwide, there is scarce literature about their resource utilization of Emergency Departments (ED). These few studies do not take into account both socio-economic situation comorbidities which well-known factors influencing healthcare use. Our objective was to assess the obese individuals (Body...
Paramount to guide the diagnostic strategy, prevalence of pulmonary embolism in patients with syncope and no other symptoms is uncertain. We aimed assess that present emergency department (ED) chest pain nor dyspnea.Multicenter prospective cohort study seven EDs France. Adult who presented ED (transient loss consciousness) were included. Patients or dyspnea excluded. Included underwent formal work-up for embolism, including D-dimer testing further imaging if positive. Cases adjudicated by...
The quick sequential organ failure assessment (qSOFA) score showed good prognostic performance in patients with suspicion of infection the emergency department (ED). However, previous studies only assessed individual values qSOFA during ED stay. As this may vary over short timeframes, optimal time measurement, and value its variation are unclear. objective present study was to prospectively assess change first 3 h (ΔqSOFA = at h-qSOFA inclusion).This is an international prospective cohort...
Background: We aimed to describe red blood cell (RBC) transfusions in the emergency department (ED) with a particular focus on hemoglobin (Hb) level thresholds that are used this setting. Methods: This was cross-sectional study of 12 EDs including all adult patients received RBC transfusion January and February 2018. Descriptive statistics were reported. Logistic regression performed assess variables independently associated pre-transfusion Hb ≥ 8 g/dL. Results: During period, 529...
Abstract Background Emergency departments (EDs) are operating at or above capacity, which has negative consequences on patients in terms of quality care and morbi-mortality. Redirection strategies for low-acuity ED to primary practices usually based subjective eligibility criteria that sometimes necessitate formal medical assessment. Literature investigating the effect those interventions is equivocal. The aim present study was assess safety a redirection process using an electronic clinical...
Abstract Background The individual factors associated to Frequent Users (FUs) in Emergency Departments are well known. However, the characteristics of their geographical distribution and how territorial specificities intertwined with ED use limited. Investigating healthcare would help targeting local health policies. We aim at describing ED’s FUs within Paris region. Methods performed a retrospective analysis all visits region 2015. Data were collected from universal insurance’s claims...