Article
Emergency Medicine
Gomaa Salem, Nora Ismail Abbas, Ahmed Yehia Zakaria, Wahid Ahmed Radwan
Summary: Post-operative arterial lactate and ScvO(2)/lactate ratio are useful predictors of early mortality in emergency open laparotomy patients. Lactate levels are correlated with mortality, while the ScvO(2)/lactate ratio is a sensitive predictor of mortality at 7 days.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2021)
Article
Medicine, General & Internal
Joshua W. Joseph, Maura Kennedy, Alden M. Landry, Regan H. Marsh, Da'Marcus E. Baymon, Dana E. Im, Paul C. Chen, Margaret E. Samuels-Kalow, Lauren M. Nentwich, Noemie Elhadad, Leon D. Sanchez
Summary: This study found racial disparities in triage scores and physician evaluations in emergency departments, with Black, Hispanic, and other racial and ethnic patients receiving less acute triage scores despite undergoing more involved physician workups. This suggests potential mistriage.
Article
Emergency Medicine
Theodore W. Heyming, Chloe Knudsen-Robbins, William Feaster, Louis Ehwerhemuepha
Summary: The study developed a machine learning model to predict the disposition of pediatric emergency department patients based on triage assessment and historical information. The model demonstrated high accuracy in training and testing, providing an effective tool for healthcare providers to stratify patients effectively.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
Joseph Inhofer, Anthony Bertasi, Matthew Gangidine, Steven J. Repas, Jasmine Holmes, Micah Harris, Madeline Stull, Catherine Marco
Summary: This study found that there is no significant difference in CLABSI rates following catheter placement between the emergency department and the intensive care unit. Factors such as age, sex, indication, site, location, and type of healthcare professional placing the line did not affect the odds of CLABSI.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Review
Critical Care Medicine
Jianneng Pan, Yuxiang Sun, Zhaojun Xu, Pingping Dong, Xiaoyang Zhou
Summary: This meta-analysis found that the variation in central venous oxygen saturation (?ScvO(2)) can reliably indicate fluid responsiveness in mechanically ventilated patients receiving volume expansion. The study concluded that ?ScvO(2) performs well in defining fluid responsiveness in this patient population.
Article
Medicine, General & Internal
Khalifa Rashid, Maaz Ullah, Syed T. Ahmed, Muhammad Z. Sajid, Muhammad A. Hayat, Bakht Nawaz, Kiran Abbas
Summary: This study found that increasing patient age and certain vital signs such as severe bradycardia, tachycardia, and severe hypoxia were associated with under-triage of moderate acuity. Larger and multicenter studies should be conducted to evaluate other triage systems for a more accurate evaluation of patient severity.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Review
Health Care Sciences & Services
Michael Jose Joseph, Matthew Summerscales, Saieesha Yogesan, Anthony Bell, Michele Genevieve, Yogesan Kanagasingam
Summary: Triage is a system used to prioritize patients in the emergency department based on their need for urgent care. E-triage interventions like kiosks have been proposed as a solution to overcrowding. Our literature review found that introducing kiosks in emergency departments can improve the triage process, with six out of nine articles reporting positive findings.
NPJ DIGITAL MEDICINE
(2023)
Article
Anesthesiology
Norddine Zeroual, Cinderella Blin, Marine Saour, Helene David, Safa Aouinti, Marie-Christine Picot, Pascal H. Colson, Philippe Gaudard
Summary: Recent guidelines on transfusion in cardiac surgery suggest that hemoglobin might not be the only criterion to trigger transfusion. Instead, central venous oxygen saturation (Svo(2)) could help in the decision process of transfusion. A randomized study showed that a restrictive transfusion strategy adjusted with central Svo(2) could significantly reduce the incidence of transfusion after cardiac surgery.
Article
Emergency Medicine
Yun-Kuan Lin, Kun-Chuan Chen, Jen-Hung Wang, Pei-Fang Lai
Summary: This study examines the accuracy of the simple triage and rapid treatment (START) protocol for emergency department (ED) triage. The study finds poor agreement between START categories determined in the ED and consensus-based standard categories, but suggests that START is acceptable in identifying emergent patients and predicting ED disposition.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Health Care Sciences & Services
Aslinur Sircan-Kucuksayan, Oktay Eray, Murat Buyukaksu, Birce Gumus, Oguz Dursun, Murat Canpolat
Summary: This study evaluated the potential of sublingual venous oxygen saturation in estimating central venous oxygen saturation. The results showed that sublingual venous oxygen saturation was similar to central venous oxygen saturation of healthy individuals, indicating its potential to non-invasively and in real-time estimate central venous oxygen saturation in intensive care units.
TECHNOLOGY AND HEALTH CARE
(2022)
Article
Critical Care Medicine
Amjad N. Kanj, Lucrezia Rovati, Claudia Castillo Zambrano, Alberto Marquez, Kellie Robbins, Gustavo Cortes Puentes, Alice Gallo De Moraes, Ognjen Gajic
Summary: This study aimed to assess the occurrence of low ScvO(2) in patients with severe hypoxemia and its association with clinical management and patient outcomes. The results showed that 56% of mechanically ventilated patients with severe hypoxemia had ScvO(2) <70%. Patients with low ScvO(2) had worse systemic oxygenation and hemodynamic parameters, and were more likely to undergo blood transfusions and receive medications.
Article
Emergency Medicine
Sean Boley, Abbey Sidebottom, Marc Vacquier, David Watson, Jeremy Olsen, Kelsey Echols, Sara Friedman
Summary: The study shows that in a fast-track triage model, White patients are less likely to be triaged to the main emergency department area compared to Black patients, and Black patients are less likely to be given a high acuity score. Among high acuity patients, Black patients are more likely to be triaged to the fast-track area.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Emergency Medicine
Ming-Tai Cheng, Chih-Wei Sung, Chia-Hsin Ko, Yun Chang Chen, Chiat Qiao Liew, Dean-An Ling, Edward Che-Wei Liao, Tsung-Chien Lu, Nai-Wen Ku, Li-Chen Fu, Chien-Hua Huang, Chu-Lin Tsai
Summary: This study compares the accuracy of emergency physician gestalt with a computerized triage process. The results show that physician gestalt for triage has similar performance to the computerized system. Physicians have an advantage in identifying low-risk patients, which can reduce time pressure for healthcare providers and promote rapid discharge.
ACADEMIC EMERGENCY MEDICINE
(2022)
Article
Computer Science, Information Systems
Vlada Rozova, Katrina Witt, Jo Robinson, Yan Li, Karin Verspoor
Summary: Accurate identification of self-harm presentations to Emergency Departments through a machine learning-based NLP model can provide timely mental health support and aid in understanding suicidal intent burden. The best-performing model achieved 90% Precision and 90% Recall on blind test data, demonstrating the practical value of NLP in identifying patients for mental health follow-up and supporting suicide prevention efforts.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Review
Multidisciplinary Sciences
Chenxia Wu, Luoxia Hu, Qinkang Shen, Hua Xu, Haijun Huang
Summary: This study summarized the diagnostic value of extubation failure tested by ΔScvO2. A total of five studies including 353 patients were included, and the pooled analysis showed that ΔScvO2 performed well in predicting extubation failure. However, further studies with larger sample sizes and well-designed models are needed to confirm its diagnostic accuracy and utility in mechanical ventilation patients.
Article
Oncology
Simona Pagliuca, Cecile Bailly, Alexis Talbot, Remi Bertinchamp, Olivier Peyrony, Arben Elezi, Pierre Bourrier, Etienne Lengline
Summary: This study demonstrates the benefits of using PoCUS in hematology, showing its potential to improve diagnostic accuracy for patients and its relatively low level of difficulty in application.
LEUKEMIA & LYMPHOMA
(2021)
Article
Emergency Medicine
Melanie Roussel, Anthony Chauvin, Pierrick Le Borgne, Marie Drogrey, Xavier Eyer, Ulysse Hatabian, Christophe Choquet, Olivier Peyrony, Laura Luhmann, Christian Kassasseya, Valentin Belaud, Vincent Navarro, Ben Bloom, Emmanuel Montassier, Yonathan Freund
Summary: Seizures are a common reason for emergency department visits. A study conducted in French emergency departments from January to December 2019 found that starting outpatient BZD treatment in discharged seizure patients did not independently impact the risk of early seizure recurrence within 30 days. Factors independently associated with seizure recurrence included chronic epileptic treatment and having had a focal seizure.
ACADEMIC EMERGENCY MEDICINE
(2021)
Article
Medicine, General & Internal
Olivier Peyrony, Jean-Paul Fontaine, Eloise Trabattoni, Lionel Nakad, Sylvain Charreyre, Adrien Picaud, Juliane Bosc, Damien Viglino, Laurent Jacquin, Said Laribi, Laurent Pereira, Sylvain Thiriez, Anne-Laure Paquet, Alexandre Tanneau, Elie Azoulay, Sylvie Chevret
Summary: The study found that most cancer patients receiving prehospital emergency care were directed to the emergency department. Patients who were directly transported to the ICU had a high mortality rate, highlighting the need to improve triage policies.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Critical Care Medicine
Anne-Pascale Meert, Sebastian Wittnebel, Stephane Holbrechts, Michael Piagnerelli, France Lemaitre, Olivier Peyrony, Laurent Calvel, Jean Lemaitre, Emmanuel Canet, Alexandre Demoule, Michael Darmon, Louis Voigt, Virginie Lemiale, Frederic Pene, David Schnell, Etienne Lengline, Thierry Berghmans, Laurence Fievet, Christiane Jungels, Xiaoxiao Wang, Ionela Bold, Aureliano Pistone, Adriano Salaroli, Bogdan Grigoriu, Dominique Benoit, Anne-Claire Toffart, Jean-Jacques Lafitte, Jean-Paul Sculier
Summary: The study involved a consensus conference to address questions related to the use of invasive methods of monitoring and life-support techniques for cancer patients in the ICU. The methodology included a systematic literature review, experts' opinions, and discussions on nine predefined questions covering various aspects of patient care.
INTENSIVE CARE MEDICINE
(2021)
Letter
Dermatology
P. Moghadam, L. Frumholtz, L. Jaume, A. De Masson, M. Jachiet, E. Begon, L. Sulimovic, A. Petit, H. Bachelez, M. Bagot, J. -D. Bouaziz, C. Cassius
JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY
(2021)
Article
Medicine, General & Internal
Donia Bouzid, Benoit Visseaux, Christian Kassasseya, Asma Daoud, Florent Femy, Christelle Hermand, Jennifer Truchot, Sebastien Beaune, Nicolas Javaud, Olivier Peyrony, Anthony Chauvin, Prabakar Vaittinada Ayar, Arthur Bourg, Bruno Riou, Stephane Marot, Ben Bloom, Marine Cachanado, Tabassome Simon, Yonathan Freund
Summary: This study compares baseline characteristics and in-hospital outcomes of patients with SARS-CoV-2 infection with the Delta variant versus the Omicron variant in the emergency department. The results show that patients infected with the Omicron variant were younger, had a lower rate of obesity, were more vaccinated, had a lower rate of dyspnea, and had a higher rate of discharge home from the ED. Compared with Delta, Omicron infection was independently associated with a lower risk for ICU admission, mechanical ventilation, and in-hospital mortality.
ANNALS OF INTERNAL MEDICINE
(2022)
Letter
Emergency Medicine
Charlotte Lecomte, Jessica Franchitti, Jean-Paul Fontaine, Sami Ellouze, Olivier Peyrony
EUROPEAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Emergency Medicine
Aude Lucet, Jessica Franchitti, Lea Legay, Helene Milacic, Jean-Paul Fontaine, Sami Ellouze, Olivier Peyrony
Summary: Delayed admission to the ICU is associated with worse outcomes in cancer patients. Cancer patients who were directly admitted to the ICU from the emergency department had better 180-day survival compared to those who were admitted secondarily from the wards.
EUROPEAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Health Care Sciences & Services
Daniel Aiham Ghazali, Christophe Choquet, Donia Bouzid, Olivier Peyrony, Jean-Paul Fontaine, Curac Sonja, Nicolas Javaud, Patrick Plaisance, Eric Revue, Anthony Chauvin, Enrique Casalino
Summary: This study examines the organizational and managerial tools implemented in 5 academic EDs in a heavily affected region in France during the COVID-19 pandemic. The EDs focused on early detection, isolation measures, and tailored strategies based on the real-time PCR COVID-19 positivity rate. The crisis highlighted hospitals' adaptability and coordination in reallocating resources and optimizing patient pathways.
QUALITY MANAGEMENT IN HEALTH CARE
(2023)
Article
Allergy
Prabakar Vaittinada Ayar, Camille Taille, Pradeebane Vaittinada Ayar, Matthieu Gay, Alhassane Diallo, Aichata Fofana Dara, Olivier Peyrony, Olivier Chassany, Enrique Casalino
Summary: This study aimed to identify factors associated with multiple emergency department visits for asthma and found that patients who visited the emergency department seemed unfamiliar with their illness or treatments but were concerned about their disease. The results showed that asthma exacerbation, perceiving asthma as a handicap, and reported atopy were associated with multiple and systematic emergency department visits, while high educational level and lack of maintenance inhaled corticosteroids were protective.
JOURNAL OF ASTHMA AND ALLERGY
(2022)
Article
Infectious Diseases
Sabrina Kepka, Kevin Zarca, Damien Viglino, Nicolas Marjanovic, Omide Taheri, Olivier Peyrony, Thibaut Desmettre, Valerie Wilme, Tania Marx, Joris Muller, Sebastien Harscoat, Pierrick Le Borgne, Eric Bayle, Nicolas Lefebvre, Yves Hansmann, Samira Fafi-Kremer, Mickael Ohana, Isabelle Durand Zaleski, Pascal Bilbault
Summary: This study aimed to compare triage strategies in emergency departments (EDs) during the COVID-19 pandemic in terms of costs and organizational benefits. The results showed that the strategy of systematic ultra-low-dose (ULD) chest CT was the most cost-effective, reducing the length of stay in the ED. Systematic ULD chest CT for patients with COVID-like symptoms in the ED is an important strategy for managing patients during the pandemic.
CLINICAL MICROBIOLOGY AND INFECTION
(2022)
Article
Microbiology
Audrey Baron, Olivier Peyrony, Maud Salmona, Nadia Mahjoub, Sami Ellouze, Maud Anastassiou, Constance Delaugerre, Jean-Paul Fontaine, Sylvie Chevret, Jerome LeGoff, Linda Feghoul
Summary: The use of the ID NOW COVID-19 system in an emergency department was found to significantly reduce the length of stay for patients. The implementation of molecular point-of-care testing for SARS-CoV-2 resulted in faster results and decreased overcrowding in the emergency department. This study emphasizes the importance and benefits of COVID-19 molecular point-of-care testing in preventing overcrowding and facilitating patient care and isolation.
MICROBIOLOGY SPECTRUM
(2022)
Article
Medicine, General & Internal
Melanie Roussel, Ben Bloom, Mehdi Taalba, Christophe Choquet, Delphine Douillet, Florent Femy, Alexis Marouk, Judith Gorlicki, Camille Gerlier, Richard Macrez, Emilien Arnaud, Rudy Bompard, Emmanuel Montassier, Olivier Hugli, Charlotte Czopik, Xavier Eyer, Axel Benhamed, Olivier Peyrony, Tahar Chouihed, Andrea Penaloza, Alessio Marra, Said Laribi, Paul-Georges Reuter, Wilhelm Behringer, Marion Douplat, Jeremy Guenezan, Nicolas Javaud, Olivier Lucidarme, Marine Cachanado, Ainhoa Aparicio-Monforte, Yonathan Freund
Summary: Despite the validation of clinical decision rules, there has been an increase in the use of CTPA for suspected pulmonary embolism in the emergency department, along with a higher number of diagnosed PEs and especially low-risk PEs.
ANNALS OF INTERNAL MEDICINE
(2023)
Letter
Emergency Medicine
Marta Cancella de Abreu, Olivier Peyrony, Christelle Hermand, Rudy Bompard, Donia Bouzid, Xavier Eyer
EUROPEAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Infectious Diseases
Patricia Monzo-Gallo, Mariana Chumbita, Carlos Lopera, Tommaso Francesco Aiello, Oliver Peyrony, Marta Bodro, Sabina Herrera, Abiu Sempere, Mariana Fernandez-Pittol, Genoveva Cuesta, Silvia Simo, Mariana Benegas, Claudia Fortuny, Josep Mensa, Alex Soriano, Pedro Puerta-Alcalde, Francesc Marco, Carolina Garcia-Vidal
Summary: We conducted a retrospective observational study to describe the epidemiology of invasive fungal infections (IFIs) and outcomes in hospitalized patients. A total of 367 IFIs were diagnosed, with candidemia and invasive aspergillosis being the most common types. Corticosteroid use and prior viral infection were identified as the main risk factors. The overall mortality rate at 12 weeks was 32.2%.