排序方式: 共有11条查询结果,搜索用时 15 毫秒
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Sébastien Champion Yannick Lefort Bernard-Alex Gaüzère Didier Drouet Bruno Julien Bouchet Guillaume Bossard Sabina Djouhri David Vandroux Kushal Mayaram Bruno Mégarbane 《Journal of critical care》2014
Purpose
Prediction of arterial thromboembolic events (ATEs) in relation to supraventricular arrhythmia (SVA) has been poorly investigated in the intensive care unit (ICU). We aimed at evaluating CHADS2 and CHA2DS2-VASc scores to predict SVA-related ATE in the ICU.Methods
We conducted a prospective observational study including all the patients except those in the postoperative course of cardiac surgery who presented SVA lasting 30 seconds or longer during their ICU stay. We looked for ATE during ICU stay, at the first and sixth month of follow-up after ICU discharge.Results
During the 15-month study period, 108 (12.8%) of 846 ICU patients experienced SVA with 12 SVA-related ATE occurring 6 days (3; 13) (median, 10%-90% percentiles) after SVA onset. In our SVA patients, CHADS2 score was 2 (0; 5), and CHA2DS2-VASc score 3 (0; 7). Both CHADS2 (odds ratio (OR), 1.6 [1.1; 2.4]; P = .01) and CHA2DS2-VASc scores (OR, 1.4 [1.04; 1.8]; P = .03) were significantly associated with ATE onset. However, the most accurate threshold for predicting ATE was CHADS2 score of 4 or higher. Using a multivariate analysis, only patient's history of stroke was associated with ATE onset (OR, 9.2 [2.4; 35]; P = .001).Conclusion
CHADS2 and CHA2DS2-VASc scores are predictive of SVA-related thromboembolism in the critically ill patient. 相似文献7.
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Patrick Gérardin Adrian Fianu Denis Malvy Corinne Mussard Karim Boussaïd Olivier Rollot Alain Michault Bernard-Alex Gaüzere Gérard Bréart François Favier 《BMC medicine》2011,9(1):5
Background
Persistent disabilities are key manifestations of Chikungunya virus (CHIKV) infection, especially incapacitating polyarthralgia and fatigue. So far, little is known about their impact on health status. The present study aimed at describing the burden of CHIKV prolonged or late-onset symptoms on the self-perceived health of La Réunion islanders. 相似文献10.
Xavier Fritel Olivier Rollot Patrick Gérardin Bernard-Alex Gaüzère Jacques Bideault Louis Lagarde Barbara Dhuime Eric Orvain Fabrice Cuillier Duksha Ramful Sylvain Sampériz Marie-Christine Jaffar-Bandjee Alain Michault Liliane Cotte Monique Kaminski Alain Fourmaintraux the Chikungunya-Mère-Enfant Team 《Emerging infectious diseases》2010,16(3):418-425
Mother-to-child transmission of chikungunya virus was reported during the 2005–2006 outbreak on Réunion Island, France. To determine the effects of this virus on pregnancy outcomes, we conducted a study of pregnant women in Réunion in 2006. The study population was composed of 1,400 pregnant women (628 uninfected, 658 infected during pregnancy, 27 infected before pregnancy, and 87 infected on unknown dates). We compared pregnancy outcomes for 655 (628 + 27) women not infected during pregnancy with 658 who were infected during pregnancy. Infection occurred during the first trimester for 15% of the infected women, the second for 59%, and the third for 26%. Only hospital admission during pregnancy differed between infected and uninfected women (40% vs. 29%). Other outcomes (cesarean deliveries, obstetric hemorrhaging, preterm births, stillbirths after 22 weeks, birthweight, congenital malformations, and newborn admissions) were similar. This virus had no observable effect on pregnancy outcomes. 相似文献