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Coulongeat M, Marlet J, Aidoud A, Donati F, Jamard S, Van Der Werf S, Debacq C, Leroy V, Lemaignen A, Munier S, Fougère B. Impact of influenza immunity on the mortality among older adults hospitalized with COVID-19: a retrospective cohort study. Clin Exp Med 2023; 23:4955-4965. [PMID: 37906387 DOI: 10.1007/s10238-023-01203-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Accepted: 09/21/2023] [Indexed: 11/02/2023]
Abstract
It has been suggested that the outcomes of coronavirus disease 2019 (COVID-19) are better in individuals having recently received an influenza vaccine than in non-vaccinated individuals. We hypothesized that this association depends on the humoral responses against influenza viruses. We aim to assess the relationship between the humoral immunity against influenza and the 3-month all-cause mortality among hospitalized older patients with COVID-19. We performed an exploratory retrospective study of older patients (aged 65 and over) hospitalized for confirmed COVID-19 between November 2020 and June 2021. Previous humoral responses to influenza viruses were assessed using a hemagglutination inhibition assay on routinely collected blood samples. The study's primary outcome was the 3-month all-cause mortality, and the secondary outcomes were severe COVID-19 (oxygen requirement ≥ 6 L/min or ventilatory support) and complications (kidney or heart failure, thrombosis and bacterial infection). In the cohort of 95 patients with COVID-19, immunity against influenza vaccine subtypes/lineages was not significantly associated with 3-month all-cause mortality, with an OR [95%CI] of 0.22 [0.02-1.95] (p = 0.174) for the H1N1pdm09 subtype, 0.21 [0.03-1.24] (p = 0.081) for A/Hong Kong/2671/2019 H3N2 subtype, 1.98 [0.51-8.24] (p = 0.329) for the B/Victoria lineage, and 1.82 [0.40-8.45] (p = 0.437) for the B/Yamagata lineage. Immunity against influenza vaccine subtypes/lineages was also not significantly associated with severity and complication. Immunity against influenza subtypes/lineages included in the 2020-2021 vaccine was not associated with a lower 3-month all-cause mortality among COVID-19 hospitalized patients.Trial registration: The study was approved by a hospital committee with competency for research not requiring approval by an institutional review board (Tours University Medical Center, Tours, France: reference: 2021_015). All patients give the informed consent.
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Affiliation(s)
- Matthieu Coulongeat
- Division of Geriatric Medicine, Tours University Medical Center, 37044, Tours, France.
- Division of Geriatric Medicine, University Hospital Center of ORLEANS, 45100, Orléans, France.
| | - Julien Marlet
- Service de Bactériologie-Virologie-Hygiène, CHRU de Tours, Tours, France
- INSERM U1259, Université de Tours, 37044, Tours, France
| | - Amal Aidoud
- Division of Geriatric Medicine, Tours University Medical Center, 37044, Tours, France
- Tours University, EA4245 Transplantation, Immunologie, Inflammation, Tours, France
| | - Flora Donati
- Institut Pasteur, Université Paris Cité, CNRS UMR3569, Unité de Génétique Moléculaire Des Virus À ARN, 75015, Paris, France
- Institut Pasteur, CNR Virus Des Infections Respiratoires, 75015, Paris, France
| | - Simon Jamard
- Service de Maladies Infectieuses Et Tropicales (SMIT), Centre Hospitalier Universitaire de Tours, 37044, Tours, France
| | - Sylvie Van Der Werf
- Institut Pasteur, Université Paris Cité, CNRS UMR3569, Unité de Génétique Moléculaire Des Virus À ARN, 75015, Paris, France
- Institut Pasteur, CNR Virus Des Infections Respiratoires, 75015, Paris, France
| | - Camille Debacq
- Division of Geriatric Medicine, Tours University Medical Center, 37044, Tours, France
| | - Victoire Leroy
- Division of Geriatric Medicine, Tours University Medical Center, 37044, Tours, France
- Centre Mémoire Ressources Et Recherche (CMRR), Centre Hospitalier Universitaire de Tours, 37044, Tours, France
- Education, Ethics, Health (EA 7505), Tours University, 37044, Tours, France
| | - Adrien Lemaignen
- Service de Maladies Infectieuses Et Tropicales (SMIT), Centre Hospitalier Universitaire de Tours, 37044, Tours, France
| | - Sandie Munier
- Institut Pasteur, Université Paris Cité, CNRS UMR3569, Unité de Génétique Moléculaire Des Virus À ARN, 75015, Paris, France
- Institut Pasteur, CNR Virus Des Infections Respiratoires, 75015, Paris, France
| | - Bertrand Fougère
- Division of Geriatric Medicine, Tours University Medical Center, 37044, Tours, France
- Education, Ethics, Health (EA 7505), Tours University, 37044, Tours, France
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Abensur Vuillaume L, Frija-Masson J, Hadjiat M, Riquier T, d’Ortho MP, Le Borgne P, Goetz C, Voss PL, Ougazzaden A, Salvestrini JP, Leïchlé T. Biosensors for the Rapid Detection of Cardiovascular Biomarkers of Vital Interest: Needs, Analysis and Perspectives. J Pers Med 2022; 12:1942. [PMID: 36556163 PMCID: PMC9781598 DOI: 10.3390/jpm12121942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 11/09/2022] [Accepted: 11/11/2022] [Indexed: 11/23/2022] Open
Abstract
We have previously surveyed a panel of 508 physicians from around the world about which biomarkers would be relevant if obtained in a very short time frame, corresponding to emergency situations (life-threatening or not). The biomarkers that emerged from this study were markers of cardiovascular disease: troponin, D-dimers, and brain natriuretic peptide (BNP). Cardiovascular disease is a group of disorders affecting the heart and blood vessels. At the intersection of medicine, basic research and engineering, biosensors that address the need for rapid biological analysis could find a place of choice in the hospital or primary care ecosystem. Rapid, reliable, and inexpensive analysis with a multi-marker approach, including machine learning analysis for patient risk analysis, could meet the demand of medical teams. The objective of this opinion review, proposed by a multidisciplinary team of experts (physicians, biologists, market access experts, and engineers), is to present cases where a rapid biological response is indeed valuable, to provide a short overview of current biosensor technologies for cardiac biomarkers designed for a short result time, and to discuss existing market access issues.
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Affiliation(s)
- Laure Abensur Vuillaume
- Emergency Department CHR Metz-Thionville, 57000 Metz, France
- IRL 2958 Georgia Tech CNRS, 57000 Metz, France
| | - Justine Frija-Masson
- Digital Medical Hub, AP-HP, 75000 Paris, France
- Service de Physiologie Clinique-Explorations Fonctionnelles, Hôpital Bichat, AP-HP, F-75018 Paris, France
- UFR de Médecine, Université Paris Cité, NeuroDiderot, INSERM, F-75019 Paris, France
| | - Meriem Hadjiat
- Biology Department, CHR Metz-Thionville, 57000 Metz, France
| | | | - Marie-Pia d’Ortho
- Digital Medical Hub, AP-HP, 75000 Paris, France
- Service de Physiologie Clinique-Explorations Fonctionnelles, Hôpital Bichat, AP-HP, F-75018 Paris, France
- UFR de Médecine, Université Paris Cité, NeuroDiderot, INSERM, F-75019 Paris, France
| | - Pierrick Le Borgne
- Emergency Department, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France
- INSERM (French National Institute of Health and Medical Research), UMR 1260, Regenerative NanoMedicine (RNM), Fédération de Médecine Translationnelle (FMTS), University of Strasbourg, 67000 Strasbourg, France
| | - Christophe Goetz
- Clinical Research Support, CHR Metz-Thionville, 57000 Metz, France
| | - Paul L. Voss
- IRL 2958 Georgia Tech CNRS, 57000 Metz, France
- Georgia Institute of Technology, School of Electrical and Computer Engineering, Atlanta, GA 30332-0250, USA
| | - Abdallah Ougazzaden
- IRL 2958 Georgia Tech CNRS, 57000 Metz, France
- Georgia Institute of Technology, School of Electrical and Computer Engineering, Atlanta, GA 30332-0250, USA
| | - Jean-Paul Salvestrini
- IRL 2958 Georgia Tech CNRS, 57000 Metz, France
- Georgia Institute of Technology, School of Electrical and Computer Engineering, Atlanta, GA 30332-0250, USA
| | - Thierry Leïchlé
- IRL 2958 Georgia Tech CNRS, 57000 Metz, France
- LAAS-CNRS, 31400 Toulouse, France
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Plichart M, Orvoën G, Jourdain P, Quinquis L, Coste J, Escande M, Friocourt P, Paillaud E, Chedhomme FX, Labourée F, Boully C, Benetos A, Domerego JJ, Komajda M, Hanon O. Brain natriuretic peptide usefulness in very elderly dyspnoeic patients: the BED study. Eur J Heart Fail 2016; 19:540-548. [DOI: 10.1002/ejhf.699] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2016] [Revised: 10/07/2016] [Accepted: 10/17/2016] [Indexed: 12/28/2022] Open
Affiliation(s)
- Matthieu Plichart
- Assistance Publique-Hôpitaux de Paris; Broca Hospital; Paris France
- EA 4468, Paris Cardiovascular Research Centre, PARCC; Paris France
- University Paris Descartes, Sorbonne Paris Cité; Paris France
- Inserm, UMR-S970, Paris Cardiovascular Research Centre, PARCC; Paris France
| | - Galdric Orvoën
- Assistance Publique-Hôpitaux de Paris; Broca Hospital; Paris France
- EA 4468, Paris Cardiovascular Research Centre, PARCC; Paris France
- University Paris Descartes, Sorbonne Paris Cité; Paris France
| | | | - Laurent Quinquis
- Assistance Publique - Hôpitaux de Paris, Hôtel Dieu Hospital, Epidemiology and Biostatistics Unit; University Paris Descartes, Sorbonne Paris Cité; Paris France
| | - Joël Coste
- Assistance Publique - Hôpitaux de Paris, Hôtel Dieu Hospital, Epidemiology and Biostatistics Unit; University Paris Descartes, Sorbonne Paris Cité; Paris France
| | - Michele Escande
- Clinique Vert Coteau, Cardiology Department; Marseille France
| | | | - Elena Paillaud
- Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital; Créteil France
| | - François-Xavier Chedhomme
- Assistance Publique-Hôpitaux de Paris; Broca Hospital; Paris France
- EA 4468, Paris Cardiovascular Research Centre, PARCC; Paris France
- University Paris Descartes, Sorbonne Paris Cité; Paris France
| | - Florian Labourée
- Assistance Publique-Hôpitaux de Paris; Broca Hospital; Paris France
- EA 4468, Paris Cardiovascular Research Centre, PARCC; Paris France
- University Paris Descartes, Sorbonne Paris Cité; Paris France
| | - Clémence Boully
- Assistance Publique-Hôpitaux de Paris; Broca Hospital; Paris France
- EA 4468, Paris Cardiovascular Research Centre, PARCC; Paris France
- University Paris Descartes, Sorbonne Paris Cité; Paris France
| | - Athanase Benetos
- Department of Geriatrics; University Hospital of Nancy, INSERM U1116, University of Lorraine; France
| | | | - Michel Komajda
- Department of Cardiology, Pitié-Salpétrière Hospital; University Pierre et Marie Curie and IHU ICAN; Paris France
| | - Olivier Hanon
- Assistance Publique-Hôpitaux de Paris; Broca Hospital; Paris France
- EA 4468, Paris Cardiovascular Research Centre, PARCC; Paris France
- University Paris Descartes, Sorbonne Paris Cité; Paris France
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Meune C, Avouac J, Airò P, Beretta L, Dieudé P, Wahbi K, Caramaschi P, Tiev K, Cappelli S, Diot E, Vacca A, Cracowski JL, Sibilia J, Kahan A, Matucci-Cerinic M, Allanore Y. Prediction of pulmonary hypertension related to systemic sclerosis by an index based on simple clinical observations. ACTA ACUST UNITED AC 2011; 63:2790-6. [PMID: 21547892 DOI: 10.1002/art.30432] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
OBJECTIVE To develop a score to estimate the risk of developing pulmonary hypertension (PH) in patients with systemic sclerosis (SSc). METHODS We first examined the prevalence and characteristics of precapillary PH confirmed by right-heart catheterization in a cross-sectional (derivation) sample of 1,165 SSc patients, and we developed a risk prediction score (RPS) based on simple clinical observations associated with PH. We next prospectively tested the 3-year predictive power of the "Cochin RPS" in a separate (validation) sample of 443 patients presenting with PH-free SSc at baseline. RESULTS In the derivation sample, age, forced vital capacity, and diffusing capacity for carbon monoxide/alveolar volume were independently associated with the presence of PH and were used to create the Cochin RPS. PH developed during followup in 20 patients in the validation sample. The area under the receiver operating characteristic curve of the Cochin RPS was 0.87 (95% confidence interval 0.79-0.95). With a cutoff value of 2.73, patients at risk of PH during followup could be identified with 89.5% sensitivity and 74.1% specificity. PH occurred in 0.6% of patients in the lowest 2 quintiles of the Cochin RPS, in 1.7% of patients in the third and fourth quintiles, and in 17.1% of patients in the highest quintile (P<0.0001 by log rank test). Patients in the highest quintile incurred a >35-fold higher risk of developing PH compared with patients in the 2 lowest quintiles (P=0.001). CONCLUSION Using routine clinical observations, we developed a simple score that accurately predicted the risk of PH in SSc.
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Affiliation(s)
- Christophe Meune
- Paris Descartes University and Department of Rheumatology A, Cochin Hospital, AP-HP, Paris, France
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