Publications by authors named "O Zambon"
Article Synopsis
- Post-intensive care syndrome (PICS) is a recognized issue that affects patients after their time in the ICU, involving ongoing physical, cognitive, and mental health problems.
- A survey sent to French ICUs revealed that only 28.6% provide follow-up visits, typically 3 to 6 months after discharge, with about 5% of patients attending these visits annually.
- Many ICUs identify barriers like staff shortages and low prioritization of PICS screening, yet nearly half of those not currently offering follow-ups expressed interest in starting within a year.
Background: Ventilator-associated pneumonia (VAP) is the leading nosocomial infection in critical care and is associated with adverse outcomes. When VAP is suspected, starting antibiotic therapy (AT) immediately after pulmonary sampling may expose uninfected patients to unnecessary treatment, whereas waiting for bacteriological confirmation may delay AT in infected patients. As no robust data exist to choose between these strategies, the decision must balance the pre-test diagnostic probability, clinical severity, and risk of antimicrobial resistance.
View Article and Find Full Text PDFBackground: Although acute stroke is a leading cause of morbidity and mortality worldwide, data on outcomes of stroke patients requiring ICU admission are limited. We aimed to identify factors associated with a good neurological outcome (defined as a modified Rankin Scale score [mRS] of 0-2) 6 months after ICU admission.
Methods: We retrospectively studied consecutive patients who were admitted to the ICU of a French university-affiliated hospital between January 2014 and December 2018 and whose ICD-10 code indicated acute stroke.
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.
Background: To evaluate the ability of the oxygen reserve index (ORI) to predict the occurrence of mild hypoxemia (defined as SpO < 97%) during endotracheal intubation (ETI) of patients in the intensive care unit (ICU).
Methods: This observational single-centre study included patients without hypoxemia (defined as SpO/FiO > 214) who required ETI in the ICU. Patients were followed during preoxygenation and ETI then until hospital discharge and/or day 28.