38 results match your criteria: "Bicetre Hopitaux Universitaires Paris Sud[Affiliation]"

Background: To examine the psychometrics properties of the French version of two scales measuring general (HLS-Q12) and navigational (HLS-NAV) health literacy (HL) using validation methods based on modern psychometric test theories: a Rasch model analysis.

Methods: The data on representative samples of the French adult population came from the Health Literacy Survey (N = 2 003), conducted in France in two waves (2020 and 2021), and from the third wave of SLAVACO study (N = 2 022), conducted in December 2021. A Rasch analysis was performed using a partial credit model with marginal maximum likelihood estimation adapted to polytomous data.

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The French General Population's Perception of New Information and Communication Technologies for Medical Consultations: National Survey.

J Med Internet Res

June 2023

Aix Marseille Univ, INSERM, IRD, ISSPAM, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Equipe CANBIOS Labellisée Ligue 2019, Marseille, France.

Background: The development of telehealth and telemedicine, in the form of increased teleconsultation and medical telemonitoring, accelerated during the COVID-19 health crisis in France to ensure continued access to care for the population. Since these new information and communication technologies (ICTs) are diverse and likely to transform how the health care system is organized, there is a need better to understand public attitudes toward them and their relationship with peoples' current experience of health care.

Objective: This study aimed to determine the French general population's perception of the usefulness of video recording/broadcasting (VRB) and mobile Health (mHealth) apps for medical consultations in France during the COVID-19 health crisis and the factors associated with this perception.

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Digital contact tracing during the COVID-19 pandemic in France: Associated factors and reasons for non-use.

Int J Med Inform

March 2023

Aix Marseille Univ, INSERM, IRD, ISSPAM, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Equipe CANBIOS Labellisée Ligue 2019, Marseille, France; APHM, Hop Timone, BioSTIC, Biostatistique et Technologies de l'Information et de la Communication, Marseille, France.

Objectives: To estimate the proportion of users of the TousAntiCovid app(lication) and identify factors associated with its non-use for contact tracing.

Methods: We conducted an online survey of a quota sample of French adults between 8 and 18 January 2021. Three categories of TousAntiCovid use were considered: contact tracing, other or temporary usage, and no use.

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Machine learning-based prediction of emergency neurosurgery within 24 h after moderate to severe traumatic brain injury.

World J Emerg Surg

August 2022

Déchocage- Bloc des urgences, Pole Anesthésie- Réanimation, CHU Grenoble Alpes, La Tronche, France.

Background: Rapid referral of traumatic brain injury (TBI) patients requiring emergency neurosurgery to a specialized trauma center can significantly reduce morbidity and mortality. Currently, no model has been reported to predict the need for acute neurosurgery in severe to moderate TBI patients. This study aims to evaluate the performance of Machine Learning-based models to establish to predict the need for neurosurgery procedure within 24 h after moderate to severe TBI.

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Allogeneic hematopoietic stem cell transplantation (allo-HSCT) in early cerebral adrenoleukodystrophy can stabilize neurologic function and improve survival but has associated risks including transplant-related mortality (TRM), graft failure, and graft-versus-host disease (GVHD). An observational study of 59 patients with median age at allo-HSCT of 8 years addressed impact of donor source, donor match, conditioning regimen, and cerebral disease stage on first allo-HSCT outcomes. Efficacy analyses included 53 patients stratified by disease category: advanced disease (AD; n = 16) with Loes score >9 or neurological function score (NFS) >1 and 2 early disease (ED) cohorts (ED1 [Loes ≤4 and NFS ≤1; n = 24] and ED2 [Loes >4-9 and NFS ≤1; n = 13]).

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Effect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown?

Scand J Trauma Resusc Emerg Med

September 2021

GRC 29, AP-HP, DMU DREAM, Department of Anaesthesiology and critical care, Pitié-Salpêtrière Hospital, Sorbonne University, Paris, France.

Background: During the SARS-CoV-2 pandemic, the French Government imposed various containment strategies, such as severe lockdown (SL) or moderate lockdown (ML). The aim of this study was to evaluate the effect of both strategies on severe trauma admissions and ICU capacity in Ile-de-France region (Paris Area).

Main Text: We conducted a multicenter cohort-based observational study from 1January 2017 to 31th December 2020, including all consecutive trauma patients admitted to the trauma centers of Ile-de-France region participating in the national registry (Traumabase®).

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Reperfusion therapy for acute ischemic stroke in older people: An observational real-life study.

J Am Geriatr Soc

November 2021

Department of Neurology, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Paris Saclay University, Le Kremlin Bicêtre, France.

Background: While randomized clinical trials have shown the benefit of thrombolysis and endovascular thrombectomy (EVT) in patients with acute ischemic stroke (AIS), we aimed to describe in a real-life study the differences between older (>80 years old) and younger patients treated for AIS.

Methods: Thousand patients treated with thrombolysis and/or EVT were consecutively included in a prospective monocentric database (admitted from December 2015 to May 2019 in our comprehensive stroke center). Demographic data with detailed history, baseline physical examinations and treatments, laboratory and imaging data, prestroke functional status, and outcome 3 months after stroke were analyzed.

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Early Acceptability of a Mobile App for Contact Tracing During the COVID-19 Pandemic in France: National Web-Based Survey.

JMIR Mhealth Uhealth

July 2021

Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Equipe CANBIOS Labellisée Ligue Contre le Cancer, Marseille, France.

Background: Several countries have implemented mobile apps in an attempt to trace close contacts of patients with COVID-19 and, in turn, reduce the spread of SARS-CoV-2. However, the effectiveness of this approach depends on the adherence of a large segment of the population.

Objective: The aims of this study were to evaluate the acceptability of a COVID-19 contact tracing mobile app among the French population and to investigate the barriers to its use.

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Impact of the SARS-COV-2 outbreak on epidemiology and management of major traumain France: a registry-based study (the COVITRAUMA study).

Scand J Trauma Resusc Emerg Med

March 2021

Department of Anesthesiology and Critical Care, Beaujon Hospital, DMU Parabol, AP-HP.Nord, 100 boulevard du General Leclerc, F92110, Clichy, France.

Article Synopsis
  • The study examines how the COVID-19 pandemic affected major trauma patient admissions in France, focusing on demographics and outcomes during the first wave.
  • A significant decrease in trauma patient admissions was observed during the pandemic, particularly in cases related to road traffic accidents.
  • Despite the reallocation of healthcare resources, the quality of care for trauma patients remained high, and mortality rates didn't significantly change compared to previous years.
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Pre-procedural predictive factors of symptomatic intracranial hemorrhage after thrombectomy in stroke.

J Neurol

May 2021

Department of Neurology, Hôpital Bicêtre, Stroke Center, 78 rue du General Leclerc, 94270, Le Kremlin Bicêtre, France.

Objective: Symptomatic intracerebral hemorrhage (sICH) is a common complication of acute ischemic stroke (AIS) associated with limited treatments and poor outcomes. We aimed to identify predictive factors of sICH in patients with AIS following mechanical thrombectomy (MT) in a real-world setting.

Methods: Patients with large vessel occlusion of the anterior circulation treated with MT were consecutively included in a prospective monocentric cohort.

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Cancer information overload: Association between a brief version of the CIO scale and multiple cancer risk management behaviours.

Patient Educ Couns

May 2021

Aix Marseille Univ, INSERM, IRD, SESSTIM, Cancer, Biomedicine & Society group, Equipe Labellisée Ligue Contre le Cancer, Marseille, France; APHM, BIOSTIC, Hop Timone, Marseille, France. Electronic address:

Objectives: To demonstrate the best psychometric properties of the revised 5-item Cancer Information Overload (CIO) scale over the 10- and 8-item versions, for both English and French native speakers, and to explore the relationships between CIO and several cancer risk management behaviours in a large sample of caregivers, cancer survivors and healthy subjects.

Methods: 2809 participants (2568 from France, 241 from Australia) from two cancer survivor networks answered a self-administered questionnaire. After assessing the psychometric properties we studied the impact of CIO on health behaviours using multivariate logistic regression.

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Comparison of Pressure Reactivity Index and Mean Velocity Index to Evaluate Cerebrovascular Reactivity During Induced Arterial Blood Pressure Variations in Severe Brain Injury.

Neurocrit Care

June 2021

Department of Anesthesiology and Critical Care, Bicêtre Hôpitaux Universitaires Paris Sud, Université Paris Saclay, AP-HP, 78 Rue du Général Leclerc, 94275, Le Kremlin Bicêtre, France.

Objectives: To compare the assessment of cerebral autoregulation by cerebrovascular reactivity indices based on intracranial pressure (Pressure Reactivity Index, PRx) and on transcranial Doppler (Mean Velocity Index, Mx) during controlled variations of arterial blood pressure in severe brain injury. Primary outcome was the agreement between both cerebrovascular reactivity indices measured by the Bland-and-Altman method. Secondary outcomes were the association of cerebrovascular reactivity indices with arterial blood pressure variation, and the comparison of optimal cerebral perfusion pressures determined by both indices.

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Validation of a new test for early assessment of unilateral neglect in acute stroke: The Rapid Unilateral Neglect Screening (RUNS) test.

Ann Phys Rehabil Med

July 2021

Stroke Unit, Neurology Department, Assistance Publique-Hôpitaux de Paris (AP-HP), Bicêtre Hôpitaux Universitaires Paris Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France.

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Blood product needs and transfusion timelines for the multisite massive Paris 2015 terrorist attack: A retrospective analysis.

J Trauma Acute Care Surg

September 2020

From the Department of Anaesthesiology and Critical Care (T.M., S.A.), Percy Military Hospital, Clamart; French Blood Institute (A.F.), Paris, France; French Military Blood Institute (T.P.), Clamart, France; SAMU 75 (P.C.), Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France; SAMU 93 (F.L.), Hôpital Avicenne, Assistance Publique-Hôpitaux de Paris, Bobigny, France; Department of Anaesthesiology and Critical Care (T.G.), Hôpital Beaujon, Hôpitaux Universitaires Paris Nord-Val-De-Seine, Assistance Publique-Hôpitaux de Paris, Clichy, France; Université Paris Sud, Department of Anesthesiology and Critical Care (S.R.H.), Assistance Publique-Hôpitaux de Paris, Bicêtre Hôpitaux Universitaires Paris Sud, Le Kremlin Bicêtre, France; CESP, INSERM, Université Paris-Sud (S.R.H.), UVSQ, Université Paris-Saclay, France; CESP, INSERM, Maison de Solenn (S.R.H.), France; Service Médical du RAID (M.L.), Bièvres, France; Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, Department of Anaesthesiology and Critical Care (M.L., E.D., M.R.), Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, Department of Emergency Medicine and Surgery (B.R.), Hôpital Saint-Antoine, Department of Emergency (Y.Y., D.P.), France, Hôpital Européen Georges Pompidou, Emergency Department (A.-L.F.-P.), Assistance Publique-Hôpitaux de Paris, Paris, France; Begin Military Hospital, Department of Emergency (A.W.), Saint Mandé, France; Hôpital Saint Louis, Department of Emergency (C.O.), Hôpital Lariboisière, Department of Anesthesiology and Critical Care (E.G.), Assistance Publique-Hôpitaux de Paris, Paris, France; Hôpital Henri Mondor, Department of Anaesthesiology and Critical Care (A.A.), Assistance Publique-Hôpitaux de Paris, Créteil, France; Hôpital Bichat, Division of Vascular Surgery (Y.C.), Assistance Publique-Hôpitaux de Paris, Paris, France; Institut Médico-légal de Paris (B.L.), Paris, France; Paris Fire Brigade, Emergency Medical Department (J.-P.T.), Paris, France; French Military Health Service Schools (S.A.), Lyon, France; Université Paris Diderot (E.G., Y.C.), Paris, France; Université Paris Descartes (P.C., B.L.), Paris, France; Université Paris 13 (F.L.), Bobigny, France; Sorbonne Université (M.R.), UMRS Inserm 1158, France; Sorbonne Université (D.P., B.R.), UMRS Inserm 1166, IHU ICAN, Paris, France; and Sorbonne Université (Y.Y.), UMRS Inserm 1136, Paris, France.

Objective: Hemorrhage is the leading cause of death after terrorist attack, and the immediacy of labile blood product (LBP) administration has a decisive impact on patients' outcome. The main objective of this study was to evaluate the transfusion patterns of the Paris terrorist attack victims, November 13, 2015.

Methods: We performed a retrospective analysis including all casualties admitted to hospital, aiming to describe the transfusion patterns from admission to the first week after the attack.

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Objective: Identify issues that are important to severe trauma survivors up to 3 years after the trauma.

Background: Severe trauma is the first cause of disability-adjusted life years worldwide, yet most attention has focused on acute care and the impact on long-term health is poorly evaluated.

Method: We conducted a large-scale qualitative study based on semi-structured phone interviews.

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Effect of fibrinogen concentrate administration on early mortality in traumatic hemorrhagic shock: A propensity score analysis.

J Trauma Acute Care Surg

May 2020

From the Department of Anesthesiology and Critical Care (S.R.H., J.D.), AP-HP, Bicêtre Hôpitaux Universitaires Paris-Sud, Université Paris-Sud, Le Kremlin Bicêtre; CESP (S.R.H., A.R.), INSERM, Université Paris-Sud, UVSQ, Université Paris-Saclay; CESP (S.R.H., A.R.), INSERM, Maison de Solenn; Department of Anesthesiology and Critical Care (R.M.), AP-HP, Hôpital Europeen Georges Pompidou, Universite Paris Descartes; École Polytechnique (J.B., M.N.B.), Paris; Department of Anesthesiology and Critical Care (E.M.), Military Teaching Hospital Sainte-Anne, Toulon; French Military Health Service Academy (E.M.), Ecole du Val-de-Grâce, Paris; Department of Anesthesiology and Critical Care (M.L.), AP-HM, Aix Marseille Université, Hôpital Nord, Marseille; Department of Anesthesiology and Critical Care (J.P.), Hôpitaux Universitaires de Strasbourg; Faculté de Médecine (J.P.), Fédération de Médecine Translationnelle de Strasbourg, Université de Strasbourg, Strasbourg, France; Department of Anesthesiology and Critical Care (P.S.A., T.G.), Beaujon Hospital, HUPNVS, AP-HP, Clichy; Department of Anesthesiology and Intensive Care (M.B.), Percy Military Teaching Hospital, Clamart; Department of Anesthesiology and Critical Care (F.C.), AP-HP, Hôpital Henri Mondor, Université Paris Est, Créteil; CHU Lille (D.G.), Pôle de l'Urgence, Pôle d'Anesthesie-Réanimation, Lille; Department of Anesthesiology and Critical Care (F.L.), Centre Hospitalier Universitaire Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, University Pierre et Marie Curie; CMAP (J.J.), INRIA, XPOP, École Polytechnique, Paris; Public Health and Epidemiology Department (A.R.), AP-HP, Bicêtre Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, France.

Background: Fibrinogen concentrate is widely used in traumatic hemorrhagic shock despite weak evidence in the literature. The aim of the study was to evaluate the effect of fibrinogen concentrate administration within the first 6 hours on 24-hour all-cause mortality in traumatic hemorrhagic shock using a causal inference approach.

Methods: Observational study from a French multicenter prospective trauma registry was performed.

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Contrast-enhanced ultrasound (CEUS) and diffusion-weighted imaging (DWI) are safe, repeatable imaging techniques. The aim of this paper is to discuss the advantages, technical factors and possible clinical applications of these imaging tools in focal renal lesions in children.

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Background: Transporting a severely injured patient directly to a trauma center (TC) is consensually considered optimal. Nevertheless, disagreement persists regarding the association between secondary transfer status and outcome. The aim of the study was to compare adjusted mortality between road traffic trauma patients directly or secondarily transported to a level 1 trauma center (TC) in an exclusive French trauma system with a physician staffed prehospital emergency medical system (EMS).

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Serratus Plane Block Is Effective for Pain Control in Patients With Blunt Chest Trauma: A Case Series.

Pain Pract

February 2020

Department of Anesthesiology and Critical Care, AP-HP, Bicêtre Hôpitaux Universitaires Paris Sud, Université Paris Sud, Le Kremlin Bicêtre, France.

Background: Rib fractures occur frequently following blunt chest trauma and induce morbidity and mortality. Analgesia is a cornerstone for their management, and regional analgesia is one of the tools available to reach this objective. Epidural and paravertebral blocks are the classical techniques used, but the serratus plane block (SPB) has recently been described as an effective technique for thoracic analgesia.

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Background: For more than three decades, standard treatment for rhabdomyosarcoma in Europe has included 6 months of chemotherapy. The European paediatric Soft tissue sarcoma Study Group (EpSSG) aimed to investigate whether prolonging treatment with maintenance chemotherapy would improve survival in patients with high-risk rhabdomyosarcoma.

Methods: RMS 2005 was a multicentre, open-label, randomised, controlled, phase 3 trial done at 102 hospitals in 14 countries.

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The above article was published online with incorrect author name. The right spelling should be Damjana Kljucevsek instead of Damjana Kjucevsek. The correct name is presented here.

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Validation of the Sexual Activity Questionnaire in women with endometriosis.

Hum Reprod

May 2019

EA 7285 Research Unit 'Risk and Safety in Clinical Medicine for Women and Perinatal Health', Versailles-Saint-Quentin University (UVSQ), Montigny-le-Bretonneux, France.

Study Question: Is the Sexual Activity Questionnaire (SAQ) a valid tool for patients treated for symptomatic endometriosis?

Summary Answer: For women having surgical treatment for endometriosis, we determined that the SAQ is a valid and responsive tool.

What Is Known Already: Endometriosis adversely affects sexual quality of life. Suitable validated sexual quality of life instruments for endometriosis are lacking both in clinical practice and for research.

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Objective: The aims were to review practices concerning Differential Item Functioning (DIF) detection in composite measurement scales, particularly those used in health research, and to provide guidance on how to proceed if statistically significant DIF is detected.

Methods: This work specifically addressed the Rasch model which is the subject of growing interest in the field of health owing to its particularly advantageous properties. There were three steps: 1) Literature review to describe current practices; 2) Simulation study to determine under which conditions encountered in health research studies can erroneous conclusions be drawn from group comparisons when a scale is affected by DIF but which is not considered; 3) Based on steps 1 and 2, formulation of recommendations that were subsequently reviewed by leading internationally recognized experts.

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