Search results for: Yonathan Freund

Items from 1 to 20 out of 37 results

article

Targeting the ‘vulnerable’ period – first 3–6 months after an acute heart failure admission – the light gets brighter

Gad Cotter, Beth Davison, Alain Cohen‐Solal, Yonathan Freund, more

European Journal of Heart Failure > 25 > 1 > 30 - 34

article

Evaluation of the “hemoptysis” item in clinical decision rules for the diagnosis of pulmonary embolism in the emergency department

Héloïse Bannelier, Judith Gorlicki, Andrea Penaloza, Delphine Douillet, more

Academic Emergency Medicine > 29 > 10 > 1205 - 1212

Background Hemoptysis is not common in pulmonary embolism (PE) and lacks specificity for its diagnosis. However, this item is present in different validated scores that estimate the clinical probability of PE. The relevance of this item in clinical decision rules (CDRs) is not clearly established. Objective The aim of this study was to evaluate the impact of removing the “hemoptysis” item from...

article

Association between benzodiazepine outpatient treatment and risk of early seizure recurrence in emergency patients with seizure: A multicenter retrospective study

Melanie Roussel, Anthony Chauvin, Pierrick Le Borgne, Marie Drogrey, more

Academic Emergency Medicine > 28 > 8 > 882 - 889

Introduction Seizures are one of the most common neurological reasons for emergency department (ED) visits. The benefit of ED‐initiated, short‐course outpatient benzodiazepine (BZD) treatment to prevent early recurrent seizure is unknown. This study assesses the risk of early seizure recurrence in patients who were or were not started with outpatient BZD in the ED. Methods This was a multicenter...

article

The failure rate does not equal the false‐negative rate: A call for tailoring diagnostic strategy validation in low prevalence populations

Yonathan Freund, Mélanie Roussel, Jeff Kline, Pierre‐Marie Roy, more

Journal of Thrombosis and Haemostasis > 19 > 7 > 1832 - 1833

article

Re: Prevalence of Pulmonary Embolism in ED patients with Suspected COVID‐19: The Truth Remains Unknown

Yonathan Freund, Marie Drogrey, Marine Cachanado, Ben Bloom, more

Academic Emergency Medicine > 27 > 11 > 1218 - 1218

article

Association Between Pulmonary Embolism and COVID‐19 in Emergency Department Patients Undergoing Computed Tomography Pulmonary Angiogram: The PEPCOV International Retrospective Study

Yonathan Freund, Marie Drogrey, Òscar Miró, Alessio Marra, more

Academic Emergency Medicine > 27 > 9 > 811 - 820

Background There have been reports of procoagulant activity in patients with COVID‐19. Whether there is an association between pulmonary embolism (PE) and COVID‐19 in the emergency department (ED) is unknown. The aim of this study was to assess whether COVID‐19 is associated with PE in ED patients who underwent a computed tomographic pulmonary angiogram (CTPA). Methods A retrospective study in...

article

Cardiopulmonary Resuscitation in Adults Over 80: Outcome and the Perception of Appropriateness by Clinicians

Patrick Druwé, Dominique D. Benoit, Koenraad G. Monsieurs, James Gagg, more

Journal of the American Geriatrics Society > 68 > 1 > 39 - 45

OBJECTIVES To determine the prevalence of clinician perception of inappropriate cardiopulmonary resuscitation (CPR) regarding the last out‐of‐hospital cardiac arrest (OHCA) encountered in an adult 80 years or older and its relationship to patient outcome. DESIGN Subanalysis of an international multicenter cross‐sectional survey (REAPPROPRIATE). SETTING Out‐of‐hospital CPR attempts registered...

article

Multicenter Implementation of a Novel Management Protocol Increases the Outpatient Treatment of Pulmonary Embolism and Deep Vein Thrombosis

Christopher Kabrhel, Rachel Rosovsky, Christopher Baugh, Jean Connors, more

Academic Emergency Medicine > 26 > 6 > 657 - 669

Objective The objective was to determine whether a protocol combining risk stratification, treatment with the direct‐acting oral anticoagulant rivaroxaban, and defined follow‐up is associated with a greater proportion of patients with venous thromboembolism (VTE) treated as outpatients, without hospital admission. Methods We performed a multicenter study of patients diagnosed with VTE (pulmonary...

article

A Rigorous Evaluation of Methoxyflurane is Needed: Comment on “Methoxyflurane Versus Standard of Care for Acute Trauma-Related Pain in the Emergency Setting: Protocol for a Randomised, Controlled Study in Italy (MEDITA)”

Emmanuel Montassier, Yonathan Freund

Advances in Therapy > 2019 > 36 > 6 > 1241-1242

Enhanced Digital Features To view enhanced digital features for this article go to https://doi.org/10.6084/m9.figshare.7808753 .

article

Early and comprehensive care bundle in the elderly for acute heart failure in the emergency department: study protocol of the ELISABETH stepped-wedge cluster randomized trial

Yonathan Freund, Judith Gorlicki, Marine Cachanado, Sarah Salhi, more

Trials > 2019 > 20 > 1 > 1-8

Background Acute heart failure (AHF) is one of the most common diagnoses for elderly patients in the emergency department (ED), with an admission rate above 80% and 1-month mortality around 10%. The European guidelines for the management of AHF are based on moderate levels of evidence, due to the lack of randomized controlled trials and the scarce evidence of any clinical added value of a specific...

article

Safety of the Combination of PERC and YEARS Rules in Patients With Low Clinical Probability of Pulmonary Embolism: A Retrospective Analysis of Two Large European Cohorts

Judith Gorlicki, Andrea Penaloza, Boris Germeau, Thomas Moumneh, more

Academic Emergency Medicine > 26 > 1 > 23 - 30

Background This study aimed to determine the failure rate of a combination of the PERC and the YEARS rules for the diagnosis of pulmonary embolism (PE) in the emergency department (ED). Methods We performed a retrospective analysis of two European cohorts of emergency patients with low gestalt clinical probability of PE (PROPER and PERCEPIC). All patients we included were managed using a conventional...

article

Effects of the intensity of prehospital treatment on short-term outcomes in patients with acute heart failure: the SEMICA-2 study

Òscar Miró, Melissa Hazlitt, Xavier Escalada, Pere Llorens, more

Clinical Research in Cardiology > 2018 > 107 > 4 > 347-361

Objective Little is known about treatments provided by advanced life support (ALS) ambulance teams to patients with acute heart failure (AHF) during the prehospital phase, and their influence on short-term outcome. We evaluated the effect of prehospital care in consecutive patients diagnosed with AHF in Spanish emergency departments (EDs). Methods We selected patients from the EAHFE registry arriving...

article

Effect of emergency physician burnout on patient waiting times

Carla Stefano, Anne-Laure Philippon, Evguenia Krastinova, Pierre Hausfater, more

Internal and Emergency Medicine > 2018 > 13 > 3 > 421-428

Burnout is common in emergency physicians. This syndrome may negatively affect patient care and alter work productivity. We seek to assess whether burnout of emergency physicians impacts waiting times in the emergency department. Prospective study in an academic ED. All patients who visited the main ED for a 4-month period in 2016 were included. Target waiting times are assigned by triage nurse to...

article

External validation of a clinical decision rule: we need events in a population in order to rule them out!

Yonathan Freund, Anne-Laure Philippon

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine > 2017 > 25 > 1 > 1-1

We respond to the Lorton et al. article on external validation of the PECARN study. With an event rate of only 0.6%, we believe that their study failed to confirm the safety of this rule. Such a low number of events should call for caution when interpreting the results of diagnostic tests.

article

Temporal trends in nitrate utilization for acute heart failure in elderly emergency patients: A single-centre observational study

Najla Lemachatti, Anne-Laure Philippon, Benjamin Bloom, Pierre Hausfater, more

Archives of Cardiovascular Diseases > 2016 > 109 > 8-9 > 449-456

We previously conducted a pilot study that reported the safety of isosorbide dinitrate boluses for elderly emergency patients with acute heart failure syndrome.To assess the temporal trend in the rate of elderly patients treated with isosorbide dinitrate, and to evaluate subsequent outcome differences.This was a single-centre study. We compared patients aged>75 years who attended the emergency...

article

The assessment of circulating volume using inferior vena cava collapse index and carotid Doppler velocity time integral in healthy volunteers: a pilot study

Tom Peachey, Andrew Tang, Elinor C. Baker, Jason Pott, more

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine > 2016 > 24 > 1 > 1-8

Background Assessment of circulating volume and the requirement for fluid replacement are fundamental to resuscitation but remain largely empirical. Passive leg raise (PLR) may determine fluid responders while avoiding potential fluid overload. We hypothesised that inferior vena cava collapse index (IVCCI) and carotid artery blood flow would change predictably in response to PLR, potentially providing...

article

PROGNOSTIC SIGNIFICANCE OF AN ELEVATED CONVENTIONAL OR HIGH-SENSITIVITY CARDIAC TROPONIN IN PATIENTS WITH CHEST PAIN WITH AND WITHOUT A DIAGNOSIS OF MYOCARDIAL INFARCTION

Michael Lipinski, Thibault Lhermusier, Ricardo Escarcega Alarcon, Nevin Baker, more

Journal of the American College of Cardiology > 2015 > 65 > 10(S) > A127

article

Comparison of conventional and high-sensitivity troponin in patients with chest pain: A collaborative meta-analysis

Michael J. Lipinski, Nevin C. Baker, Ricardo O. Escárcega, Rebecca Torguson, more

American Heart Journal > 2015 > 169 > 1 > 6-16.e6

Multiple studies have evaluated the diagnostic and prognostic performance of conventional troponin (cTn) and high-sensitivity troponin (hs-cTn). We performed a collaborative meta-analysis comparing cTn and hs-cTn for diagnosis of acute myocardial infarction (AMI) and assessment of prognosis in patients with chest pain.MEDLINE/PubMed, Cochrane CENTRAL, and EMBASE were searched for studies assessing...

article

Cross-checking to reduce adverse events resulting from medical errors in the emergency department: study protocol of the CHARMED cluster randomized study

Yonathan Freund, Alexandra Rousseau, Laurence Berard, Helene Goulet, more

BMC Emergency Medicine > 2015 > 15 > 1 > 1-7

Background Medical errors and preventable adverse events are a major cause of concern, especially in the emergency department (ED) where its prevalence has been reported to be roughly of 5–10 % of visits. Due to a short length of stay, emergency patients are often managed by a sole physician – in contrast with other specialties where they can benefit from multiples handover, ward rounds and staff...

article

PERC rule to exclude the diagnosis of pulmonary embolism in emergency low-risk patients: study protocol for the PROPER randomized controlled study

Yonathan Freund, Alexandra Rousseau, France Guyot-Rousseau, Yann-Erick Claessens, more

Trials > 2015 > 16 > 1 > 1-8

Background The diagnosis of Pulmonary Embolism (PE) in the emergency department (ED) is crucial. As emergency physicians fear missing this potential life-threatening condition, PE tends to be over-investigated, exposing patients to unnecessary risks and uncertain benefit in terms of outcome. The Pulmonary Embolism Rule-out Criteria (PERC) is an eight-item block of clinical criteria that can identify...

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INFONA - science communication portal

Search results for: Yonathan Freund

Targeting the ‘vulnerable’ period – first 3–6 months after an acute heart failure admission – the light gets brighter

Evaluation of the “hemoptysis” item in clinical decision rules for the diagnosis of pulmonary embolism in the emergency department

Association between benzodiazepine outpatient treatment and risk of early seizure recurrence in emergency patients with seizure: A multicenter retrospective study

The failure rate does not equal the false‐negative rate: A call for tailoring diagnostic strategy validation in low prevalence populations

Re: Prevalence of Pulmonary Embolism in ED patients with Suspected COVID‐19: The Truth Remains Unknown

Association Between Pulmonary Embolism and COVID‐19 in Emergency Department Patients Undergoing Computed Tomography Pulmonary Angiogram: The PEPCOV International Retrospective Study

Cardiopulmonary Resuscitation in Adults Over 80: Outcome and the Perception of Appropriateness by Clinicians

Multicenter Implementation of a Novel Management Protocol Increases the Outpatient Treatment of Pulmonary Embolism and Deep Vein Thrombosis

A Rigorous Evaluation of Methoxyflurane is Needed: Comment on “Methoxyflurane Versus Standard of Care for Acute Trauma-Related Pain in the Emergency Setting: Protocol for a Randomised, Controlled Study in Italy (MEDITA)”

Early and comprehensive care bundle in the elderly for acute heart failure in the emergency department: study protocol of the ELISABETH stepped-wedge cluster randomized trial

Safety of the Combination of PERC and YEARS Rules in Patients With Low Clinical Probability of Pulmonary Embolism: A Retrospective Analysis of Two Large European Cohorts

Effects of the intensity of prehospital treatment on short-term outcomes in patients with acute heart failure: the SEMICA-2 study

Effect of emergency physician burnout on patient waiting times

External validation of a clinical decision rule: we need events in a population in order to rule them out!

Temporal trends in nitrate utilization for acute heart failure in elderly emergency patients: A single-centre observational study

The assessment of circulating volume using inferior vena cava collapse index and carotid Doppler velocity time integral in healthy volunteers: a pilot study

PROGNOSTIC SIGNIFICANCE OF AN ELEVATED CONVENTIONAL OR HIGH-SENSITIVITY CARDIAC TROPONIN IN PATIENTS WITH CHEST PAIN WITH AND WITHOUT A DIAGNOSIS OF MYOCARDIAL INFARCTION

Comparison of conventional and high-sensitivity troponin in patients with chest pain: A collaborative meta-analysis

Cross-checking to reduce adverse events resulting from medical errors in the emergency department: study protocol of the CHARMED cluster randomized study

PERC rule to exclude the diagnosis of pulmonary embolism in emergency low-risk patients: study protocol for the PROPER randomized controlled study

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