Publications by authors named "Devi Rochemont"

Background: Smoking influence on poststroke prognosis remains controversial. These conflicting results could be due to some residual confounding factors not fully considered in previous studies, including social deprivation. This study aimed to assess the joint impact of deprivation and smoking on functional outcomes after ischemic stroke.

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Background: In French Guiana poverty is widespread and specialized care is lacking. We aimed to compare strokes between precarious and non-precarious patients within French Guiana and to compare the epidemiology of ischemic strokes and their outcomes between French Guiana and mainland France.

Methods: A multicenter prospective cohort examined the influence of social inequalities on stroke characteristics.

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A prospective study was conducted among different intra and extra-hospital populations of French Guiana to evaluate the performance of saliva testing compared to nasopharyngeal swabs. Persons aged 3 years and older with mild symptoms suggestive of COVID-19 and asymptomatic persons with a testing indication were prospectively enrolled. Nasopharyngeal and salivary samples were stored at 4°C before analysis.

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Background: Infectious complications in kidney transplant recipients (KTRs) are well studied in temperate countries but remain barely known in tropical ones. The main objective of this study was to describe infection-related hospitalizations in patients living in the Amazon, where it has never been described.

Methods: All KTRs residing in French Guiana between 2007 and 2018 were included retrospectively.

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Current testing for COVID-19 relies on reverse-transcriptase polymerase chain reaction from a nasopharyngeal swab specimen. Saliva samples have advantages regarding ease and painlessness of collection, which does not require trained staff and may allow self-sampling. We enrolled 776 persons at various field-testing sites and collected nasopharyngeal and pooled saliva samples.

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Article Synopsis
  • Social deprivation negatively impacts the 1-year survival rates of patients with ischemic stroke, with higher mortality observed in deprived individuals compared to those who are not deprived.
  • The study involved 1,540 patients, using the EPICES score to evaluate individual social deprivation and found no significant difference in mortality within the first 90 days but a marked excess in mortality from 90 days to 12 months for deprived patients.
  • In patients with intracerebral hemorrhage, social deprivation did not influence 12-month mortality, indicating that specific post-stroke care may be necessary for those with ischemic strokes who are socially deprived.
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Article Synopsis
  • A study evaluated the EPICES questionnaire, which measures social deprivation (precariousness), in different regions of France, including mainland France, French West Indies, and French Guiana.
  • Using data from the INDIA study, which examined how social inequalities affect stroke patients, researchers analyzed 1,553 participants with a focus on Differential Item Functioning (DIF) across regions.
  • Five specific items showed significant DIF, indicating varying interpretations based on local contexts, but overall, the EPICES score remained a reliable indicator of social deprivation despite these differences.
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Background: French Guiana has the highest incidence of ischemic and hemorrhagic stroke of all French territories. However, there is no further information on the epidemiology and management of stroke in French Guiana. Our goal was to describe the characteristics of patients in French Guiana in order to generate hypotheses regarding the determinants explaining the magnitude of this public health problem.

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End stage renal disease is a major public health problem in the French Departments of Guadeloupe and Guiana because of the high prevalence of both type 2 diabetes and hypertension. We investigated factors associated with an emergency start of dialysis, 3 months' quality of life for patients starting a first replacement therapy in Guadeloupe and French Guiana using the data of the Réseau épidémiologie et information en néphrologie network, completed with data from the quality of life questionnaires SF-36 and KDQoL. A total of 242 patients (184 in Guadeloupe and 58 in Guiana) were included.

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Background: End-Stage renal disease (ESRD) causes considerable morbidity and mortality, and significantly alters patients' quality of life. There are very few published data on this problem in the French Overseas territories. The development of a registry on end stage renal disease in French Guiana in 2011 allowed to describe the magnitude of this problem in the region for the first time.

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