Publications by authors named "Aurelie Vilfaillot"
Background: Intravenous (IV) access is often required for the treatment of vaso-occlusive crises in patients with sickle cell disease, but can be particularly challenging due to recurrent venous damage. The AccuVein® device, uses near-infrared light technology to visualise veins for easier venepuncture.
Methods: A randomised, controlled trial of the efficacy of the AccuVeinAV400® device in the replacement of peripheral venous lines during a vaso-occlusive crisis was conducted at two centres in France.
Article Synopsis
- The incidence of Clostridium difficile infection (CDI) has risen over the past 20 years, with asymptomatic carriers potentially serving as important reservoirs in healthcare settings.* -
- A study conducted from September 2019 to January 2020 in 11 hospitals in Paris included 2,389 patients over 3 years old, revealing a 3.2% asymptomatic carriage rate of toxigenic strains of CDI.* -
- Key factors associated with increased asymptomatic carriage were co-carriage of multidrug-resistant organisms and previous CDI history, while consuming raw milk products appeared to lower the risk.*
Article Synopsis
- Recent trials indicate that early coronary angiography (CAG) doesn't improve survival outcomes compared to delayed CAG in patients with out-of-hospital cardiac arrest (OHCA) without ST elevation, although the effects on specific subgroups are still uncertain.
- An analysis of 1,512 patients from five trials showed no significant difference in overall death rates between early and delayed CAG strategies, regardless of factors like age and prior heart issues.
- Interestingly, women appeared to have higher odds of death with early CAG, suggesting that gender may influence outcomes in this context.
Article Synopsis
- The study aimed to evaluate whether early coronary angiography (CAG) improves outcomes in patients who experienced out-of-hospital cardiac arrest (OHCA) without an ST-elevation myocardial infarction (STE) pattern on ECG.
- Using data from multiple medical databases, researchers analyzed randomized clinical trials comparing early CAG to deferred CAG, focusing on 30-day mortality and other health outcomes.
- The results showed no significant difference in 30-day mortality or neurological outcomes between the two groups, suggesting that early CAG is not beneficial for these patients.
Background: Despite bariatric surgery showing significant weight loss trajectories for many patients, a substantial proportion regain weight after the first year following surgery. The addition of telemedicine to standard care could support patients with engaging in a more active lifestyle and thus improve clinical outcomes.
Objective: Our aim was to evaluate a telemedicine intervention program dedicated to the promotion of physical activity including digital devices, teleconsultation, and telemonitoring the first 6 months following bariatric surgery.
Objectives: Since 2003, incidences of carbapenemase-producing Gram-negative bacilli (CP-GNB) and vancomycin-resistant Enterococcus faecium (VRE) have steadily increased in France. We therefore conducted a point prevalence study to estimate carriage rates of CP-GNB, VRE and ESBL-producing Enterobacterales (ESBL-PE) and associated risk factors.
Methods: Between September 2019 and January 2020, all inpatients hospitalized on a given day in 11 teaching hospitals in the Paris urban area were eligible.
Importance: Although an emergency coronary angiogram (CAG) is recommended for patients who experience an out-of-hospital cardiac arrest (OHCA) with ST-segment elevation on the postresuscitation electrocardiogram (ECG), this strategy is still debated in patients without ST-segment elevation.
Objective: To assess the 180-day survival rate with Cerebral Performance Category (CPC) 1 or 2 of patients who experience an OHCA without ST-segment elevation on ECG and undergo emergency CAG vs delayed CAG.
Design, Setting, And Participants: The Emergency vs Delayed Coronary Angiogram in Survivors of Out-of-Hospital Cardiac Arrest (EMERGE) trial randomly assigned survivors of an OHCA without ST-segment elevation on ECG to either emergency or delayed (48 to 96 hours) CAG in 22 French centers.
Article Synopsis
- Recent guidelines have been established for managing patients with chronic hypoparathyroidism, but little is understood about how closely physicians follow these recommendations.
- A study involving 118 physicians and 107 patients in France aimed to assess the practice patterns of doctors and their compliance with international guidelines over several years.
- Results showed that while many physicians monitor calcium levels regularly and prescribe appropriate medications, only about one-third reported fully adhering to the established guidelines, indicating a need for broader inclusion of various medical specialties in future recommendations.
The spread of ESBL producers in the community may impact the management of patients with bloodstream infections (BSI) involving Enterobacterales in emergency departments. Thus, from 2006 to 2018, data for all BSI episodes involving Enterobacterales from the emergency department of a French teaching hospital were retrospectively included. Antimicrobial susceptibility test results and empirical antibiotic regimens were recorded.
View Article and Find Full Text PDFBackground: The use of a 'do not interrupt' vest during medication administration rounds is recommended but there have been no controlled randomized studies to evaluate its impact on reducing administration errors. We aimed to evaluate the impact of wearing such a vest on reducing such errors. The secondary objectives were to evaluate the types and potential clinical impact of errors, the association between errors and several risk factors (such as interruptions), and nurses' experiences.
View Article and Find Full Text PDFPurpose: Restenosis remains a limitation of endovascular angioplasty with a patency of 30% in BTK at 12 months. Several studies on drug-coated balloons have not demonstrated any improvements in terms of patency and target lesions revascularization in BTK lesions. This prospective single-centre cohort study evaluates the safety and efficacy of a new generation low-dose drug-coated balloon (DCB) with a reduced crystalline structure to treat below the knee (BTK) lesions in patients with critical limb ischemia (CLI).
View Article and Find Full Text PDFBackground: In adults, the most common cause of out-of-hospital cardiac arrests (OHCA) is acute coronary artery occlusion. If an immediate coronary angiogram (CAG) is recommended for survivors presenting a ST segment elevation on the electrocardiogram (ECG) performed after resuscitation, there is still a debate regarding the best strategy in patients without ST segment elevation.
Hypothesis: Performing an immediate CAG after an OHCA without ST segment elevation on the post-resuscitation ECG and no obvious non-cardiac cause of arrest could lead to a better 180-day survival rate with no or minimal neurological sequel as compared with a delayed CAG performed 48 to 96 hours after the arrest.
Background: The assessment before surgical plication for unilateral hemidiaphragm (HD) eventration is not clearly defined and no precise criteria exist to really understand which patient is operated with which results depending on the technique used. The goal of this study was to evaluate the place of dynamic magnetic resonance imaging (dMRI) before and after plication by developing measurement criteria.
Methods: Between 2006 and 2017, 18 patients (group1: Gp1) were operated for eventrations, 15 left-sided (Gp1L) and 3 right-sided (Gp1R).
Objectives: A commercial barcode-assisted medication administration (BCMA) system was integrated to secure the medication process and particularly the dispensing stage by technicians and the administration stage with nurses. We aimed to assess the impact of this system on medication dispensing errors and barriers encountered during integration process.
Methods: We conducted a controlled randomized study in a teaching hospital, during dispensing process at the pharmacy department.
Article Synopsis
- The study investigates the intensity of end-of-life care for advanced cancer patients and examines how it varies across different hospitals, focusing on the timing of palliative care referrals.
- Data was collected from 997 decedents in Paris, analyzing factors like chemotherapy, ICU admissions, and emergency visits within 30 days before death to gauge care aggressiveness.
- Findings reveal significant variability in care practices, with only half receiving timely palliative care, and early intervention linked to less aggressive treatment at the end of life.