Publications by authors named "Fanny d'Acremont"

Article Synopsis
  • In 2019, a survey identified potentially inappropriate prescriptions (PIP) of psychotropic drugs among elderly patients, prompting a study to evaluate the clinical relevance of these prescriptions using established criteria.
  • The study focused on patients over 75 or those aged 64 to 75 with multiple health issues, analyzing prescriptions within 48 hours of hospitalization based on criteria like STOPP/STARTv2.
  • Out of 125 noted PIPs, a significant portion were considered irrelevant, particularly for benzodiazepines (49.2%), neuroleptics (50%), and antidepressants (20%), though some were deemed partially or relevant, especially among antidepressants where 66.7% were considered relevant.
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Adverse drug reactions (ADRs) are a major public health issue, especially when it comes to the elderly. Potentially inappropriate prescribing (PIP) are one of the causes of ADRs in older people. A PIP can be defined as a prescription for which the benefit/risk ratio is unfavourable compared to other therapeutic alternatives.

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Background: Mitral regurgitation is the second most frequent valvulopathy managed by surgery in Europe. For patients who have a contraindication to surgery or a high surgical risk, the percutaneous MitraClip® implantation procedure has emerged as a favourable alternative approach, but elevated procedural costs are a medicoeconomic concern.

Aim: The objective of this study was to evaluate whether the MitraClip® procedure is profitable in a high-volume French hospital.

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Background: Current scientific guidelines have extended the indication for transcatheter aortic valve replacement (TAVR) to patients who present an intermediate risk for surgery and have been so far considered for conventional surgery. We previously demonstrated that the TAVR procedure generated profits despite elevated costs, but comparison with surgery has not been performed. The objective of this study was to assess the profitability of the TAVR procedure compared with conventional surgery in a high-volume French hospital.

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Background: Transcatheter aortic valve replacement (TAVR) has revolutionized the prognosis of inoperable patients with severe aortic valve stenosis. Yet, the implantation of expensive prostheses in patients with comorbidities may be questionable in an era when healthcare costs are becoming a major concern.

Aim: The objective of this study was to assess whether the TAVR procedure is profitable in a high-volume French hospital.

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