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Stichelbout R, Sinzogan Eyoum C, Billoir P, Benhamou Y, Demeyere M, Miranda S. Pulmonary vascular obstruction increases the risk of recurrent thrombotic events after cessation of anticoagulation in unprovoked pulmonary embolism: A retrospective cohort study. Vasc Med 2024:1358863X241239648. [PMID: 38660787 DOI: 10.1177/1358863x241239648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/26/2024]
Affiliation(s)
- Romain Stichelbout
- Service de Médecine Interne, Centre Hospitalier Universitaire de Rouen, Rouen, Normandie, France
| | - Calliste Sinzogan Eyoum
- Service de Médecine Interne, Centre Hospitalier Universitaire de Rouen, Rouen, Normandie, France
| | - Paul Billoir
- Service D'hémostase, Centre Hospitalier Universitaire de Rouen, Rouen, Normandie, France
- Unité EnVI, Université de Rouen Normandie, Rouen, Normandie, France
| | - Ygal Benhamou
- Service de Médecine Interne, Centre Hospitalier Universitaire de Rouen, Rouen, Normandie, France
- Unité EnVI, Université de Rouen Normandie, Rouen, Normandie, France
| | - Matthieu Demeyere
- Service de Radiologie, Centre Hospitalier Universitaire de Rouen, Rouen, Normandie, France
| | - Sebastien Miranda
- Service de Médecine Interne, Centre Hospitalier Universitaire de Rouen, Rouen, Normandie, France
- Unité EnVI, Université de Rouen Normandie, Rouen, Normandie, France
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Cadour F, Cour A, Senlis J, Rapacchi S, Chennoufi H, Michelin P, McQuade C, Demeyere M, Dacher JN. How to use MRI in cardiac disease with diastolic dysfunction? Br J Radiol 2024:tqae071. [PMID: 38574383 DOI: 10.1093/bjr/tqae071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Revised: 11/14/2023] [Accepted: 03/29/2024] [Indexed: 04/06/2024] Open
Abstract
Left ventricular (LV) diastolic dysfunction (DD) is an initially asymptomatic condition that can progress to heart failure, either with preserved or reduced ejection fraction. As such, DD is a growing public health problem. Impaired relaxation, the first stage of DD, is associated with altered LV filling. With progression, reducing LV compliance leads to restrictive cardiomyopathy. While cardiac magnetic resonance (CMR) imaging is the reference for LV systolic function assessment, transthoracic echocardiography (TTE) with Doppler flow measurements remains the standard for diastolic function assessment. Rather than simply replicating TTE measurements, CMR should complement and further advance TTE findings. We provide herein a step-by-step review of CMR findings in DD as well as imaging features which may help to identify the underlying cause.
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Affiliation(s)
- Farah Cadour
- Department of Radiology, Cardiac Imaging Unit, University Hospital of Rouen, France
- UNIROUEN, Inserm U1096, UFR médecine pharmacie, Rouen, France
| | - Adrien Cour
- Department of Radiology, Cardiac Imaging Unit, University Hospital of Rouen, France
| | - Jules Senlis
- Department of Radiology, Cardiac Imaging Unit, University Hospital of Rouen, France
| | - Stanislas Rapacchi
- Aix-Marseille University, CNRS, CRMBM, Marseille, France
- APHM, CHU Timone, CEMEREM, Marseille, France
| | - Hajer Chennoufi
- Department of Radiology, Cardiac Imaging Unit, University Hospital of Rouen, France
| | - Paul Michelin
- Department of Radiology, Cardiac Imaging Unit, University Hospital of Rouen, France
| | - Colin McQuade
- Department of Medical Imaging, University of Toronto, University Medical Imaging Toronto, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada
| | - Matthieu Demeyere
- Department of Radiology, Cardiac Imaging Unit, University Hospital of Rouen, France
| | - Jean-Nicolas Dacher
- Department of Radiology, Cardiac Imaging Unit, University Hospital of Rouen, France
- UNIROUEN, Inserm U1096, UFR médecine pharmacie, Rouen, France
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Cour A, Burel J, Garnier M, Durand E, Demeyere M, Dacher JN. CT annulus sizing prior to transcatheter aortic valve replacement (TAVR): evaluation of free-breathing versus breath-holding acquisition. Eur Radiol 2023; 33:8521-8527. [PMID: 37470824 DOI: 10.1007/s00330-023-09913-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 05/07/2023] [Accepted: 05/14/2023] [Indexed: 07/21/2023]
Abstract
OBJECTIVES To assess feasibility and accuracy of aortic annulus measurements using cardiac computed tomography angiography (CTA) performed during free-breathing prior to transcatheter aortic valve replacement (TAVR). MATERIALS AND METHODS Sixty consecutive TAVR candidates underwent free-breathing wide-detector cardiac CTA, followed by a percutaneous valve replacement. For each, a theoretical valve size was suggested through CT measurements of the annulus, then compared to the size of the actual implanted transcatheter heart valve (THV). The procedural success and the 30-day outcomes were collected. Image quality of the annulus was also studied according to subjective and objective criteria. Data of a control group of 60 patients previously evaluated on breath-holding were also evaluated. RESULTS A total of 120 patients (mean age, 83 years ± 7, 60 men) were evaluated. All CT acquisitions provided sufficient image quality allowing precise annulus measurements. Mean attenuation (p < 0.001) and image noise (p = 0.01) were higher in the free-breathing group, while image quality was comparable (p = 0.36). The agreement rate between CT-suggested valve size and THV implanted size was comparable, estimated at 87% (κ = 0.79, 95%CI 0.566, 0.908) on free-breathing vs. 82% (κ = 0.78, 95%CI 0.634, 0.904) on breath-holding. The procedure was successful for all patients without increase in 30-day mortality or adverse events. CONCLUSIONS Free-breathing cardiac CTA allows accurate aortic annulus measurements without compromising image quality or patients' outcome after TAVR. Elderly patients experiencing dyspnea, discomfort, or hearing loss that could prevent proper breath-holding should not be excluded from CT prior to TAVR. CLINICAL RELEVANCE STATEMENT To decrease elderly patients' discomfort, MDCT evaluation prior to transcatheter aortic valve replacement (TAVR) may be performed on quiet breathing with no significant impact on the outcome. KEY POINTS • Adhering to CT breathing commands can be challenging for patients with dyspnea, hearing impairment, agitation, or pulmonary diseases. • Free-breathing cardiac CT may be an alternative to breath-holding for patients unable to follow the breathing commands. • Wide-detector CT acquisition on free-breathing does not impair annulus measurements and prosthesis sizing in patients scheduled for TAVR.
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Affiliation(s)
- Adrien Cour
- Department of Radiology, Cardiac Imaging Unit, Rouen University Hospital, 37 Boulevard Gambetta, F-76000, Rouen, France
| | - Julien Burel
- Department of Radiology, Cardiac Imaging Unit, Rouen University Hospital, 37 Boulevard Gambetta, F-76000, Rouen, France
| | - Matthieu Garnier
- Department of Radiology, Cardiac Imaging Unit, Rouen University Hospital, 37 Boulevard Gambetta, F-76000, Rouen, France
| | - Eric Durand
- Department of Cardiology, CHU Rouen, 37 Boulevard Gambetta, F-76000, Rouen, France
- Normandie Univ, UNIROUEN INSERM U1096, F-76000, Rouen, France
| | - Matthieu Demeyere
- Department of Radiology, Cardiac Imaging Unit, Rouen University Hospital, 37 Boulevard Gambetta, F-76000, Rouen, France
| | - Jean-Nicolas Dacher
- Department of Radiology, Cardiac Imaging Unit, Rouen University Hospital, 37 Boulevard Gambetta, F-76000, Rouen, France.
- Normandie Univ, UNIROUEN INSERM U1096, F-76000, Rouen, France.
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Garnier M, Curado A, Grancher A, Demeyere M, Verdalle-Cazes M, Burel J, Dacher JN. Fusion imaging for pulmonary artery embolization: impact on fluoroscopy duration and contrast agent exposure. Br J Radiol 2023; 96:20220815. [PMID: 37660369 PMCID: PMC10607406 DOI: 10.1259/bjr.20220815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 07/03/2023] [Accepted: 08/04/2023] [Indexed: 09/05/2023] Open
Abstract
OBJECTIVES To assess the impact of fusion imaging guidance on fluoroscopy duration and volume of contrast agent used for pulmonary artery embolization. METHODS Thirty-four consecutive patients who underwent pulmonary artery embolization for pulmonary arterio-venous malformation (n = 28) or hemoptysis (n = 6) were retrospectively included. In the experimental group (n = 15), patients were treated using fusion imaging with 2D/3D registration. In the control group (n = 19), no fusion imaging has been used. Fluoroscopy duration and amount of contrast used were measured and intergroup comparison was performed. RESULTS The average volume of contrast agent used for embolization in the fusion group (118.3 ml) was significantly lower than in the control group (285.3 ml) (p < 0.002). The mean fluoroscopy duration was not significantly different between both groups (19.5 min in the fusion group vs 31.4 min in the control group (p = 0.10)). No significant difference was observed regarding the average X-ray exposure (Air Kerma) (p = 0.68 in the univariate analysis). Technical success rate was 100% for both groups. CONCLUSION Fusion imaging significantly reduces contrast medium volumes needed to perform pulmonary artery embolization. The fluoroscopy duration and the X-ray exposure did not vary significantly. ADVANCES IN KNOWLEDGE CTA-based fusion imaging using 2D-3D registration is a valuable tool for performing pulmonary artery embolization, helpful for planning and guiding catheterization.Compared to the traditional imaging guidance, fusion imaging reduces the volume of contrast agent used.
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Affiliation(s)
| | - Adelya Curado
- Department of Radiology, CHU de Rouen, Rouen, France
| | - Adrien Grancher
- Department of Hepatogastroenterology, Normandie Univ, UNIROUEN, Inserm U1245, IRON group, Rouen University Hospital, Rouen, France
| | | | | | - Julien Burel
- Department of Radiology, CHU de Rouen, Rouen, France
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Declercq PL, Fournel I, Demeyere M, Berraies A, Ksiazek E, Nyunga M, Daubin C, Ampere A, Sauneuf B, Badie J, Delbove A, Nseir S, Artaud-Macari E, Bironneau V, Ramakers M, Maizel J, Miailhe AF, Lacombe B, Delberghe N, Oulehri W, Georges H, Tchenio X, Clarot C, Redureau E, Bourdin G, Federici L, Adda M, Schnell D, Bousta M, Salmon-Gandonnière C, Vanderlinden T, Plantefeve G, Delacour D, Delpierre C, Le Bouar G, Sedillot N, Beduneau G, Rivière A, Meunier-Beillard N, Gélinotte S, Rigaud JP, Labruyère M, Georges M, Binquet C, Quenot JP. Correction: Influence of socio-economic status on functional recovery after ARDS caused by SARS-CoV-2: the multicentre, observational RECOVIDS study. Intensive Care Med 2023; 49:1438-1439. [PMID: 37755457 PMCID: PMC10622337 DOI: 10.1007/s00134-023-07217-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/28/2023]
Affiliation(s)
| | - Isabelle Fournel
- Centre d'Investigation Clinique, CHU Dijon, Dijon, France
- INSERM, CIC 1432, Module Epidémiologie Clinique, Dijon, France
| | | | | | - Eléa Ksiazek
- Centre d'Investigation Clinique, CHU Dijon, Dijon, France
- INSERM, CIC 1432, Module Epidémiologie Clinique, Dijon, France
| | - Martine Nyunga
- Service de Médecine Intensive Réanimation, CH de Roubaix, Roubaix, France
| | - Cédric Daubin
- Department of Medical Intensive Care, CHU de Caen Normandie, Caen, France
| | | | - Bertrand Sauneuf
- Service de Médecine Intensive Réanimation, CH Public du Cotentin, Cherbourg-en-Cotentin, France
| | - Julio Badie
- Service de Médecine Intensive Réanimation, Hopital Nord Franche-Comte, Trevenans, France
| | - Agathe Delbove
- Service de Réanimation Polyvalente, CHBA Vannes, Vannes, France
| | - Saad Nseir
- Service de Médecine Intensive Réanimation, CHRU Roger Salengro, Lille, France
- Inserm U1285, Univ. Lille, CNRS, UMR 8576-UGSF-Unité de Glycobiologie Structurale et Fonctionnelle, Lille, France
| | - Elise Artaud-Macari
- University of Normandie, UNIROUEN, EA3830, CHU Rouen, Department of Pneumology, Thoracic Oncology and Respiratory Intensive Care Unit, Rouen, France
| | - Vanessa Bironneau
- Service de Pneumologie, CHU Poitiers, Poitiers, France
- INSERM CIC 1402, ALIVES Research Group, Université de Poitiers, Poitiers, France
| | - Michel Ramakers
- Service de Médecine Intensive Réanimation, Centre Hospitalier Mémorial de Saint-Lô, Saint-Lô, France
| | - Julien Maizel
- Service de Médecine Intensive Réanimation, CHU d'Amiens, Amiens, France
| | | | - Béatrice Lacombe
- Service de Réanimation Polyvalente, Groupe Hospitalier Bretagne Sud, Lorient, France
| | | | - Walid Oulehri
- Service de Réanimation Chirurgicale, CHRU Strasbourg, Strasbourg, France
| | - Hugues Georges
- Service de Médecine Intensive Réanimation, CH de Tourcoing, Tourcoing, France
| | - Xavier Tchenio
- Service de Réanimation Polyvalente, Centre Hospitalier Fleyriat, Bourg en Bresse, France
| | | | - Elise Redureau
- Service de Pneumologie, CHD Vendée, La Roche-sur-Yon, France
| | - Gaël Bourdin
- Service de Réanimation Polyvalente, CH Saint Joseph Saint Luc, Lyon, France
| | - Laura Federici
- Service de Médecine Intensive Réanimation, AP-HP, Hôpital Louis Mourier, Colombes, France
| | - Mélanie Adda
- Service de Médecine Intensive Réanimation, Hôpitaux de Marseille, Hôpital Nord, Marseille, France
| | - David Schnell
- Service de Réanimation Polyvalente et USC, CH d'Angoulême, Angoulême, France
| | - Mehdi Bousta
- Service de Réanimation Médico-Chirugicale, Groupe Hospitalier du Havre, Le Havre, France
| | | | - Thierry Vanderlinden
- Intensive Care Unit, St Philibert hospital, ETHICS EA 7446, Lille Catholic University, Lille, France
| | - Gaëtan Plantefeve
- Service de Médecine Intensive Réanimation, CH d'Argenteuil, Argenteuil, France
| | - David Delacour
- Service de radiologie, Clinique du Cèdre, Bois-Guillaume, France
| | | | - Gurvan Le Bouar
- Service de Médecine Intensive Réanimation, CHES Evreux, Evreux, France
| | - Nicholas Sedillot
- Service de Réanimation Polyvalente, Centre Hospitalier Fleyriat, Bourg en Bresse, France
| | - Gaëtan Beduneau
- Normandie Univ, UNIROUEN, UR3830, CHU Rouen, Department of Medical Intensive Care, 76000, Rouen, France
| | - Antoine Rivière
- Service de Réanimation Polyvalente, CH d'Abbeville, Abbeville, France
| | - Nicolas Meunier-Beillard
- Centre d'Investigation Clinique, CHU Dijon, Dijon, France
- INSERM, CIC 1432, Module Epidémiologie Clinique, Dijon, France
| | | | - Jean-Philippe Rigaud
- Service de Médecine Intensive Réanimation, CH de Dieppe, Dieppe, France
- Espace de Réflexion Ethique de Normandie, CHU Caen, Caen, France
| | - Marie Labruyère
- Department of Intensive Care, Burgundy University Hospital, 14 rue Paul Gaffarel, B.P 77908, 21079, Dijon Cedex, France
- Lipness Team, INSERM Research Center LNC-UMR1231 and LabEx LipSTIC, University of Burgundy, Dijon, France
- INSERM CIC 1432, Clinical Epidemiology, University of Burgundy, Dijon, France
| | - Marjolaine Georges
- Department of Pulmonary Medicine and Intensive Care Unit, University Hospital, Dijon, France
| | - Christine Binquet
- Centre d'Investigation Clinique, CHU Dijon, Dijon, France
- INSERM, CIC 1432, Module Epidémiologie Clinique, Dijon, France
| | - Jean-Pierre Quenot
- Department of Intensive Care, Burgundy University Hospital, 14 rue Paul Gaffarel, B.P 77908, 21079, Dijon Cedex, France.
- Lipness Team, INSERM Research Center LNC-UMR1231 and LabEx LipSTIC, University of Burgundy, Dijon, France.
- INSERM CIC 1432, Clinical Epidemiology, University of Burgundy, Dijon, France.
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Declercq PL, Fournel I, Demeyere M, Berraies A, Ksiazek E, Nyunga M, Daubin C, Ampere A, Sauneuf B, Badie J, Delbove A, Nseir S, Artaud-Macari E, Bironneau V, Ramakers M, Maizel J, Miailhe AF, Lacombe B, Delberghe N, Oulehri W, Georges H, Tchenio X, Clarot C, Redureau E, Bourdin G, Federici L, Adda M, Schnell D, Bousta M, Salmon-Gandonnière C, Vanderlinden T, Plantefeve G, Delacour D, Delpierre C, Le Bouar G, Sedillot N, Beduneau G, Rivière A, Meunier-Beillard N, Gélinotte S, Rigaud JP, Labruyère M, Georges M, Binquet C, Quenot JP. Influence of socio-economic status on functional recovery after ARDS caused by SARS-CoV-2: the multicentre, observational RECOVIDS study. Intensive Care Med 2023; 49:1168-1180. [PMID: 37620561 PMCID: PMC10556111 DOI: 10.1007/s00134-023-07180-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2023] [Accepted: 07/28/2023] [Indexed: 08/26/2023]
Abstract
PURPOSE Survivors after acute respiratory distress syndrome (ARDS) due to coronavirus disease 2019 (COVID-19) are at high risk of developing respiratory sequelae and functional impairment. The healthcare crisis caused by the pandemic hit socially disadvantaged populations. We aimed to evaluate the influence of socio-economic status on respiratory sequelae after COVID-19 ARDS. METHODS We carried out a prospective multicenter study in 30 French intensive care units (ICUs), where ARDS survivors were pre-enrolled if they fulfilled the Berlin ARDS criteria. For patients receiving high flow oxygen therapy, a flow ≥ 50 l/min and an FiO2 ≥ 50% were required for enrollment. Socio-economic deprivation was defined by an EPICES (Evaluation de la Précarité et des Inégalités de santé dans les Centres d'Examens de Santé - Evaluation of Deprivation and Inequalities in Health Examination Centres) score ≥ 30.17 and patients were included if they performed the 6-month evaluation. The primary outcome was respiratory sequelae 6 months after ICU discharge, defined by at least one of the following criteria: forced vital capacity < 80% of theoretical value, diffusing capacity of the lung for carbon monoxide < 80% of theoretical value, oxygen desaturation during a 6-min walk test and fibrotic-like findings on chest computed tomography. RESULTS Among 401 analyzable patients, 160 (40%) were socio-economically deprived and 241 (60%) non-deprived; 319 (80%) patients had respiratory sequelae 6 months after ICU discharge (81% vs 78%, deprived vs non-deprived, respectively). No significant effect of socio-economic status was identified on lung sequelae (odds ratio (OR), 1.19 [95% confidence interval (CI), 0.72-1.97]), even after adjustment for age, sex, most invasive respiratory support, obesity, most severe P/F ratio (adjusted OR, 1.02 [95% CI 0.57-1.83]). CONCLUSIONS In COVID-19 ARDS survivors, socio-economic status had no significant influence on respiratory sequelae 6 months after ICU discharge.
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Affiliation(s)
| | - Isabelle Fournel
- Centre d’Investigation Clinique, CHU Dijon, Dijon, France
- INSERM, CIC 1432, Module Epidémiologie Clinique, Dijon, France
| | | | | | - Eléa Ksiazek
- Centre d’Investigation Clinique, CHU Dijon, Dijon, France
- INSERM, CIC 1432, Module Epidémiologie Clinique, Dijon, France
| | - Martine Nyunga
- Service de Médecine Intensive Réanimation, CH de Roubaix, Roubaix, France
| | - Cédric Daubin
- Department of Medical Intensive Care, CHU de Caen Normandie, Caen, France
| | | | - Bertrand Sauneuf
- Service de Médecine Intensive Réanimation, CH Public du Cotentin, Cherbourg-en-Cotentin, France
| | - Julio Badie
- Service de Médecine Intensive Réanimation, Hopital Nord Franche-Comte, Trevenans, France
| | - Agathe Delbove
- Service de Réanimation Polyvalente, CHBA Vannes, Vannes, France
| | - Saad Nseir
- Service de Médecine Intensive Réanimation, CHRU Roger Salengro, Lille, France
- Inserm U1285, Univ. Lille, CNRS, UMR 8576-UGSF-Unité de Glycobiologie Structurale et Fonctionnelle, Lille, France
| | - Elise Artaud-Macari
- University of Normandie, UNIROUEN, EA3830, CHU Rouen, Department of Pneumology, Thoracic Oncology and Respiratory Intensive Care Unit, Rouen, France
| | - Vanessa Bironneau
- Service de Pneumologie, CHU Poitiers, Poitiers, France
- INSERM CIC 1402, ALIVES Research Group, Université de Poitiers, Poitiers, France
| | - Michel Ramakers
- Service de Médecine Intensive Réanimation, Centre Hospitalier Mémorial de Saint-Lô, Saint-Lô, France
| | - Julien Maizel
- Service de Médecine Intensive Réanimation, CHU d’Amiens, Amiens, France
| | | | - Béatrice Lacombe
- Service de Réanimation Polyvalente, Groupe Hospitalier Bretagne Sud, Lorient, France
| | | | - Walid Oulehri
- Service de Réanimation Chirurgicale, CHRU Strasbourg, Strasbourg, France
| | - Hugues Georges
- Service de Médecine Intensive Réanimation, CH de Tourcoing, Tourcoing, France
| | - Xavier Tchenio
- Service de Réanimation Polyvalente, Centre Hospitalier Fleyriat, Bourg en Bresse, France
| | | | - Elise Redureau
- Service de Pneumologie, CHD Vendée, La Roche-sur-Yon, France
| | - Gaël Bourdin
- Service de Réanimation Polyvalente, CH Saint Joseph Saint Luc, Lyon, France
| | - Laura Federici
- Service de Médecine Intensive Réanimation, AP-HP, Hôpital Louis Mourier, Colombes, France
| | - Mélanie Adda
- Service de Médecine Intensive Réanimation, Hôpitaux de Marseille, Hôpital Nord, Marseille, France
| | - David Schnell
- Service de Réanimation Polyvalente et USC, CH d’Angoulême, Angoulême, France
| | - Mehdi Bousta
- Service de Réanimation Médico-Chirugicale, Groupe Hospitalier du Havre, Le Havre, France
| | | | - Thierry Vanderlinden
- Intensive Care Unit, St Philibert hospital, ETHICS EA 7446, Lille Catholic University, Lille, France
| | - Gaëtan Plantefeve
- Service de Médecine Intensive Réanimation, CH d’Argenteuil, Argenteuil, France
| | - David Delacour
- Service de radiologie, Clinique du Cèdre, Bois-Guillaume, France
| | | | - Gurvan Le Bouar
- Service de Médecine Intensive Réanimation, CHES Evreux, Evreux, France
| | - Nicholas Sedillot
- Service de Réanimation Polyvalente, Centre Hospitalier Fleyriat, Bourg en Bresse, France
| | - Gaëtan Beduneau
- Normandie Univ, UNIROUEN, UR3830, CHU Rouen, Department of Medical Intensive Care, 76000 Rouen, France
| | - Antoine Rivière
- Service de Réanimation Polyvalente, CH d’Abbeville, Abbeville, France
| | - Nicolas Meunier-Beillard
- Centre d’Investigation Clinique, CHU Dijon, Dijon, France
- INSERM, CIC 1432, Module Epidémiologie Clinique, Dijon, France
| | | | - Jean-Philippe Rigaud
- Service de Médecine Intensive Réanimation, CH de Dieppe, Dieppe, France
- Espace de Réflexion Ethique de Normandie, CHU Caen, Caen, France
| | - Marie Labruyère
- Department of Intensive Care, Burgundy University Hospital, 14 rue Paul Gaffarel, B.P 77908, 21079 Dijon Cedex, France
- Lipness Team, INSERM Research Center LNC-UMR1231 and LabEx LipSTIC, University of Burgundy, Dijon, France
- INSERM CIC 1432, Clinical Epidemiology, University of Burgundy, Dijon, France
| | - Marjolaine Georges
- Department of Pulmonary Medicine and Intensive Care Unit, University Hospital, Dijon, France
| | - Christine Binquet
- Centre d’Investigation Clinique, CHU Dijon, Dijon, France
- INSERM, CIC 1432, Module Epidémiologie Clinique, Dijon, France
| | - Jean-Pierre Quenot
- Department of Intensive Care, Burgundy University Hospital, 14 rue Paul Gaffarel, B.P 77908, 21079 Dijon Cedex, France
- Lipness Team, INSERM Research Center LNC-UMR1231 and LabEx LipSTIC, University of Burgundy, Dijon, France
- INSERM CIC 1432, Clinical Epidemiology, University of Burgundy, Dijon, France
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Declercq PL, Fournel I, Demeyere M, Ksiazek E, Meunier-Beillard N, Rivière A, Clarot C, Maizel J, Schnell D, Plantefeve G, Ampere A, Daubin C, Sauneuf B, Kalfon P, Federici L, Redureau É, Bousta M, Lagache L, Vanderlinden T, Nseir S, La Combe B, Bourdin G, Monchi M, Nyunga M, Ramakers M, Oulehri W, Georges H, Salmon Gandonniere C, Badie J, Delbove A, Monnet X, Beduneau G, Artaud-Macari É, Abraham P, Delberghe N, Le Bouar G, Miailhe AF, Hraiech S, Bironneau V, Sedillot N, Hoppe MA, Barbar SD, Calcaianu GD, Dellamonica J, Terzi N, Delpierre C, Gélinotte S, Rigaud JP, Labruyère M, Georges M, Binquet C, Quenot JP. Influence of socioeconomic status on functional recovery after ARDS caused by SARS-CoV-2: a multicentre, observational study. BMJ Open 2022; 12:e057368. [PMID: 35459672 PMCID: PMC9035836 DOI: 10.1136/bmjopen-2021-057368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
INTRODUCTION Prognosis of patients with COVID-19 depends on the severity of the pulmonary affection. The most severe cases may progress to acute respiratory distress syndrome (ARDS), which is associated with a risk of long-term repercussions on respiratory function and neuromuscular outcomes. The functional repercussions of severe forms of COVID-19 may have a major impact on quality of life, and impair the ability to return to work or exercise. Social inequalities in healthcare may influence prognosis, with socially vulnerable individuals more likely to develop severe forms of disease. We describe here the protocol for a prospective, multicentre study that aims to investigate the influence of social vulnerability on functional recovery in patients who were hospitalised in intensive care for ARDS caused by COVID-19. This study will also include an embedded qualitative study that aims to describe facilitators and barriers to compliance with rehabilitation, describe patients' health practices and identify social representations of health, disease and care. METHODS AND ANALYSIS The "Functional Recovery From Acute Respiratory Distress Syndrome (ARDS) Due to COVID-19: Influence of Socio-Economic Status" (RECOVIDS) study is a mixed-methods, observational, multicentre cohort study performed during the routine follow-up of post-intensive care unit (ICU) functional recovery after ARDS. All patients admitted to a participating ICU for PCR-proven SARS-CoV-2 infection and who underwent chest CT scan at the initial phase AND who received respiratory support (mechanical or not) or high-flow nasal oxygen, AND had ARDS diagnosed by the Berlin criteria will be eligible. The primary outcome is the presence of lung sequelae at 6 months after ICU discharge, defined either by alterations on pulmonary function tests, oxygen desaturation during a standardised 6 min walk test or fibrosis-like pulmonary findings on chest CT. Patients will be considered to be socially disadvantaged if they have an "Evaluation de la Précarité et des Inégalités de santé dans les Centres d'Examen de Santé" (EPICES) score ≥30.17 at inclusion. ETHICS AND DISSEMINATION The study protocol and the informed consent form were approved by an independent ethics committee (Comité de Protection des Personnes Sud Méditerranée II) on 10 July 2020 (2020-A02014-35). All patients will provide informed consent before participation. Findings will be published in peer-reviewed journals and presented at national and international congresses. TRIAL REGISTRATION NUMBER NCT04556513.
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Affiliation(s)
| | - Isabelle Fournel
- Centre d'Investigation Clinique INSERM 1432, Centre Hospitalier Universitaire de Dijon, Dijon, France
| | - Matthieu Demeyere
- Department of Radiology, University Hospital Centre Rouen, Rouen, France
| | - Eléa Ksiazek
- Centre d'Investigation Clinique, Épidémiologie Clinique/Essais Cliniques, University Hospital Centre Dijon, Dijon, France
- Module Epidémiologie Clinique, INSERM CIC 1432, Dijon, France
| | - Nicolas Meunier-Beillard
- Centre d'Investigation Clinique, Épidémiologie Clinique/Essais Cliniques, University Hospital Centre Dijon, Dijon, France
| | - Antoine Rivière
- Service de Médecine Intensive-Réanimation, Abbeville Hospital Centre, Abbeville, France
| | - Caroline Clarot
- Service de Pneumologie, Abbeville Hospital Centre, Abbeville, France
| | - Julien Maizel
- Service de Médecine Intensive-Réanimation, University Hospital Centre Amiens-Picardie, Amiens, France
| | - David Schnell
- Service de Médecine Intensive-Réanimation, Hospital Centre Angouleme, Angouleme, France
| | - Gaetan Plantefeve
- Service de Médecine-Intensive Réanimation, Centre Hospitalier d'Argenteuil, Argenteuil, France
| | - Alexandre Ampere
- Service de Pneumologie, Hospital Centre Bethune, Bethune, France
| | - Cédric Daubin
- Department of Medical Intensive Care, CHRU de Caen, Caen, France
| | - Bertrand Sauneuf
- Service de Médecine Intensive-Réanimation, Cotentin Public Hospital Centre, Cherbourg-Octeville, France
| | - Pierre Kalfon
- Service de Médecine Intensive-Réanimation, Hospital Centre Chartres, Chartres, France
| | - Laura Federici
- Service de Médecine Intensive-Réanimation, Hôpital Louis-Mourier, Colombes, France
| | - Élise Redureau
- Service de Médecine Intensive-Réanimation, Departmental Hospital Centre La Roche-sur-Yon, La Roche-sur-Yon, France
| | - Mehdi Bousta
- Service de Réanimation Médico-Chirurgicale, Hospital Group Le Havre, Le Havre, France
| | - Laurie Lagache
- Service de Réanimation Médico-Chirurgicale, Hospital Group Le Havre, Le Havre, France
| | - Thierry Vanderlinden
- Service de Médecine Intensive-Réanimation, Hospital Group of Lille Catholic University, Lille, France
| | - Saad Nseir
- Médecine Intensive-Réanimation, Regional and University Hospital Centre Lille, Lille, France
| | - Béatrice La Combe
- Service de Réanimation Polyvalente, Groupe Hospitalier Bretagne Sud, Lorient, France
| | - Gaël Bourdin
- Service de Médecine Intensive-Réanimation, Centre Hospitalier Saint Joseph Saint Luc, Lyon, France
| | - Mehran Monchi
- Service de Médecine Intensive-Réanimation, Melun Hospital Centre, Melun, France
| | - Martine Nyunga
- Service de Médecine Intensive-Réanimation, Roubaix Hospital Center, Roubaix, France
| | - Michel Ramakers
- Service de Médecine Intensive-Réanimation, Centre Hospitalier Mémorial de Saint-Lô, Saint-Lo, France
| | - Walid Oulehri
- Service de Réanimation Chirurgicale, University Hospitals Strasbourg, Strasbourg, France
| | - Hugues Georges
- Service de Médecine Intensive-Réanimation, Hospital Centre Gustave Dron de Tourcoing, Tourcoing, France
| | | | - Julio Badie
- Service de Médecine Intensive-Réanimation, Hopital Nord Franche-Comte, Montbeliard, France
| | - Agathe Delbove
- Réanimation Polyvalente, Centre Hospitalier Bretagne Atlantique, Vannes, France
| | - Xavier Monnet
- Service de Médecine Intensive-Réanimation, University Hospitals Southern Paris, Le Kremlin-Bicetre, France
| | - Gaetan Beduneau
- Département de Réanimation Médicale, Centre Hospitalier Universitaire de Rouen, Rouen, France
| | | | - Paul Abraham
- Service d'Anesthésie-Réanimation, Groupement Hospitalier Edouard Herriot, Lyon, France
| | | | - Gurvan Le Bouar
- Service de Médecine Intensive-Réanimation, University Hospital Centre Rouen, Rouen, France
| | - Arnaud-Felix Miailhe
- Service de Médecine Intensive-Réanimation, University Hospital Centre Nantes, Nantes, France
| | - Sami Hraiech
- Service de Médecine Intensive-Réanimation, Hôpital Nord, Marseille, France
| | - Vanessa Bironneau
- Service de Pneumologie, University Hospital Centre Poitiers, Poitiers, France
| | - Nicholas Sedillot
- Réanimation Polyvalente, Hôpital Fleyriat, Centre Hospitalier de Bourg-en-Bresse, Bourg-en-Bresse, France
| | - Marie-Anne Hoppe
- Service de Médecine Intensive-Réanimation, Hospital Centre La Rochelle, La Rochelle, France
| | - Saber Davide Barbar
- Intensive Care Unit, Centre Hospitalier Universitaire de Nimes, Nimes, France
| | | | | | - Nicolas Terzi
- Service de Médecine Intensive-Réanimation, University Hospital Centre Grenoble Alpes, Grenoble, France
| | - Cyrille Delpierre
- Centre d'Epidémiologie et de Recherche en santé des POPulations (CERPOP), University of Toulouse, Toulouse, France
| | - Stéphanie Gélinotte
- Service de Médecine Intensive-Réanimation, Hospital Centre Dieppe, Dieppe, France
| | - Jean-Philippe Rigaud
- Service de Médecine Intensive-Réanimation, Hospital Centre Dieppe, Dieppe, France
| | - Marie Labruyère
- Service de Médecine Intensive-Réanimation, University Hospital Centre Dijon, Dijon, France
| | - Marjolaine Georges
- Department of Pulmonary Medicine, University Hospital, Seattle, Washington, USA
| | - Christine Binquet
- Centre d'Investigation Clinique, CHU Dijon, Dijon, France
- Clinical Epidemiology, INSERM CIC 1432, Dijon, France
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Garnier M, Curado A, Billoir P, Barbay V, Demeyere M, Dacher JN. Imaging of Oxford/AstraZeneca® COVID-19 vaccine-induced immune thrombotic thrombocytopenia. Diagn Interv Imaging 2021; 102:649-650. [PMID: 33962903 PMCID: PMC8080133 DOI: 10.1016/j.diii.2021.04.005] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 04/25/2021] [Accepted: 04/26/2021] [Indexed: 11/26/2022]
Affiliation(s)
| | - Adelya Curado
- Department of Radiology, CHU de Rouen, 76000 Rouen, France
| | - Paul Billoir
- Vascular Hemostasis Unit, CHU de Rouen, 76000 Rouen, France
| | | | | | - Jean-Nicolas Dacher
- Department of Radiology, CHU de Rouen, 76000 Rouen, France; UNIROUEN, Inserm U1096, 76000 Rouen, France
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Demeyere M, Delacour D, Bouchart F, Michelin P, Bauer F, Dubourg B, Dacher JN. Persistent left superior vena cava: An unusual cause of curable pulmonary hypertension. Diagn Interv Imaging 2018; 99:47-48. [DOI: 10.1016/j.diii.2017.05.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2017] [Revised: 05/06/2017] [Accepted: 05/09/2017] [Indexed: 10/18/2022]
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Delacour D, Demeyere M, Dubourg B, Dacher JN. Left pulmonary artery sling: A rare cause of congenital stridor. Diagn Interv Imaging 2016; 98:85-87. [PMID: 27473189 DOI: 10.1016/j.diii.2016.06.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2016] [Revised: 06/26/2016] [Accepted: 06/28/2016] [Indexed: 12/28/2022]
Affiliation(s)
- D Delacour
- Department of Radiology, Unit of Cardiac Imaging, University Hospital of Rouen, 1, rue de Germont, 76031 Rouen, France
| | - M Demeyere
- Department of Radiology, Unit of Cardiac Imaging, University Hospital of Rouen, 1, rue de Germont, 76031 Rouen, France
| | - B Dubourg
- Department of Radiology, Unit of Cardiac Imaging, University Hospital of Rouen, 1, rue de Germont, 76031 Rouen, France; Inserm U1096, UFR Médecine Pharmacie, 22, boulevard Gambetta, 76183 Rouen, France
| | - J-N Dacher
- Department of Radiology, Unit of Cardiac Imaging, University Hospital of Rouen, 1, rue de Germont, 76031 Rouen, France; Inserm U1096, UFR Médecine Pharmacie, 22, boulevard Gambetta, 76183 Rouen, France.
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