Manioc : Portail | resultats 1 - 17 pour la recherche: Saad, Christian

Abyssinie
Auteur(s) : Noël des Vergers, Adolphe (1804-1867)
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Géographie complète et universelle : illustrée de 50 gravures, 8 cartes, 5 planches et du portrait de l'auteur. Tome deuxième
Auteur(s) : Malte-Brun, Conrad (1775-1826)
Auteurs secondaires : Malte-Brun, Victor-Adolphe (1816-1889)
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L'Eldorado de Guyane réclame des chercheurs d'or mécanisés
Auteur(s) : Quris, Bernard
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La géologie et les mines de la France d'outre-mer : recueil de conférences
Auteurs secondaires : Lacroix, Alfred (1863-1948) Bureau d'études géologiques et minières (France)
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Time interval between infective endocarditis first symptoms and diagnosis: relationship to infective endocarditis characteristics, microorganisms and prognosis.
Auteur(s) : N’Guyen, Yohan Duval, Xavier Revest, Matthieu Saada, Matthieu Erpelding, Marie-Line Selton-Suty, Christine Bouchiat, Coralie Delahaye, François
Auteurs secondaires : Modèles et méthodes de l'évaluation thérapeutique des maladies chroniques ; Université Paris Diderot - Paris 7 (UPD7) - Institut National de la Santé et de la Recherche Médicale (INSERM) INSERA CIC ; Hôpital Bichat - Claude Bernard ; Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Bichat - Claude Bernard [Paris] - Université Paris Diderot - Paris 7 (UPD7) - Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Bichat - Claude Bernard [Paris] - Université Paris Diderot - Paris 7 (UPD7) Service des maladies infectieuses et réanimation médicale ; Université de Rennes 1 (UR1) - Hôpital Pontchaillou Maladies chroniques, santé perçue, et processus d'adaptation. Approches épidémiologiques et psychologiques. (APEMAC - EA 4360) ; Université Paris Descartes - Paris 5 (UPD5) - Université de Lorraine (UL) Centre d'Investigation Clinique - Epidemiologie Clinique/essais Cliniques Nancy ; Cancéropôle du Grand Est - Institut National de la Santé et de la Recherche Médicale (INSERM) Institut Lorrain du Coeur et des Vaisseaux Louis Mathieu [Nancy] Institut Pasteur de Dakar ; Institut Pasteur de Dakar - Réseau International des Instituts Pasteur (RIIP) Laboratoire Chrono-environnement (LCE) ; Université Bourgogne Franche-Comté (UBFC) - Université de Franche-Comté (UFC) - Centre National de la Recherche Scientifique (CNRS)

Éditeur(s) : HAL CCSD Taylor & Francis
Résumé : International audience
To analyze the characteristics and outcome of infective endocarditis (IE) according to the time interval between IE first symptoms and diagnosis.
Among the IE cases of a French population-based epidemiological survey, patients having early-diagnosed IE (diagnosis of IE within 1 month of first symptoms) were compared with those having late-diagnosed IE (diagnosis of IE more than 1 month after first symptoms).
Among the 486 definite-IE, 124 (25%) had late-diagnosed IE whereas others had early-diagnosed IE. Early-diagnosed IE were independently associated with female gender (OR = 1.8; 95% CI [1.0-3.0]), prosthetic valve (OR= 2.6; 95% CI [1.4-5.0]) and staphylococci as causative pathogen (OR = 3.7; 95% CI [2.2-6.2]). Cardiac surgery theoretical indication rates were not different between early and late-diagnosed IE (56.3% vs 58.9%), whereas valve surgery performance was lower in early-diagnosed IE (41% vs 53%; p = .03). In-hospital mortality rates were higher in early-diagnosed IE than in late-diagnosed IE (25.1% vs 16.1%; p < .001).
The time interval between IE first symptoms and diagnosis is closely related to the IE clinical presentation, patient characteristics and causative microorganism. Better prognosis reported in late-diagnosed IE may be related to a higher rate of valvular surgery. KEY MESSAGES Infective endocarditis, which time interval between first symptoms and diagnosis was less than one month, were mainly due to Staphylococcus aureus in France. Staphylococcus aureus infective endocarditis were associated with septic shock, transient ischemic attack or stroke and higher mortality rates than infective endocarditis due to other bacteria or infective endocarditis, which time interval between first symptoms and diagnosis was more than one month. Infective endocarditis, which time interval between first symptoms and diagnosis was more than one month, were accounting for one quarter of all infective endocarditis in our study and were associated with vertebral osteomyelitis and a higher rate of cardiac surgery performed for hemodynamic indication than other infective endocarditis.
ISSN: 0785-3890

hal-01509563
https://hal.archives-ouvertes.fr/hal-01509563
PUBMED : 27607562

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