Publications by authors named "A F Miailhe"

Article Synopsis
  • Leptospirosis is more prevalent in tropical regions but can require ICU care globally; this study compares severe cases in Réunion (tropical) and mainland France (temperate) to understand clinical outcomes and characteristics.
  • The study analyzed two groups of ICU patients with severe leptospirosis, finding that while patient demographics differed (e.g., metropolitan patients were older), severity, length of stay, and mortality rates were similar across both regions.
  • Three distinct clinical phenotypes were identified: hepato-renal leptospirosis (54.5% with 8.3% mortality), moderately severe leptospirosis (38.5% with 1.8% mortality), and very severe leptospirosis (7
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Article Synopsis
  • The study investigates the impact of socio-economic status on respiratory issues in survivors of ARDS due to COVID-19, finding that 40% of patients were socio-economically deprived.
  • After a follow-up of 6 months post-ICU, 80% of the 401 patients showed respiratory issues, but socio-economic status did not significantly affect the prevalence of these complications.
  • The results suggest that, regardless of socio-economic background, the majority of ARDS survivors experienced respiratory sequelae, indicating the widespread impact of COVID-19 on lung health.
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Article Synopsis
  • * A new multicentre study, called RECOVIDS, aims to explore how social vulnerability impacts recovery in patients who were hospitalized for ARDS related to COVID-19, incorporating both quantitative measurements and qualitative insights into patient experiences.
  • * The study will examine patients admitted to intensive care for severe COVID-19 and track their lung health six months post-discharge, focusing on identifying lung sequelae through various tests and assessing the role of socio-economic status in their rehabilitation process.
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Background: Alcohol withdrawal syndrome (AWS) is a common condition in hospitalized patients, yet its epidemiology in the ICU remains poorly characterized.

Methods: Retrospective cohort of patients admitted to the Nantes University Hospital ICU between January 1, 2017, and December 31, 2019, and coded for AWS using ICD-10 criteria. The objective of the study was to identify factors associated with complicated hospital stay defined as ICU length of stay ≥7 days or hospital mortality.

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