47 results on '"Roszyk, Laurence"'
Search Results
2. Fetal fibronectin test for threatened preterm delivery 48h after admission: Cost-effectiveness study
- Author
-
Mourgues, Charline, Rossi, Amélie, Favre, Nathalie, Delabaere, Amélie, Roszyk, Laurence, Sapin, Vincent, Debost-Legrand, Anne, and Gallot, Denis
- Published
- 2019
- Full Text
- View/download PDF
3. Rationale, study design and analysis plan of the lung imaging morphology for ventilator settings in acute respiratory distress syndrome study (LIVE study): Study protocol for a randomised controlled trial
- Author
-
Jabaudon, Matthieu, Godet, Thomas, Futier, Emmanuel, Bazin, Jean-Étienne, Sapin, Vincent, Roszyk, Laurence, Pereira, Bruno, and Constantin, Jean-Michel
- Published
- 2017
- Full Text
- View/download PDF
4. Elevated Plasma Levels of sRAGE Are Associated With Nonfocal CT-Based Lung Imaging in Patients With ARDS: A Prospective Multicenter Study
- Author
-
Mrozek, Segolene, Jabaudon, Matthieu, Jaber, Samir, Paugam-Burtz, Catherine, Lefrant, Jean-Yves, Rouby, Jean-Jacques, Asehnoune, Karim, Allaouchiche, Bernard, Baldesi, Olivier, Leone, Marc, Lu, Qin, Bazin, Jean-Etienne, Roszyk, Laurence, Sapin, Vincent, Futier, Emmanuel, Pereira, Bruno, and Constantin, Jean-Michel
- Published
- 2016
- Full Text
- View/download PDF
5. Net alveolar fluid clearance is associated with lung morphology phenotypes in acute respiratory distress syndrome
- Author
-
Jabaudon, Matthieu, Blondonnet, Raiko, Lutz, Jean, Roszyk, Laurence, Bouvier, Damien, Guérin, Renaud, Perbet, Sébastien, Cayot, Sophie, Godet, Thomas, Blanchon, Loïc, Bazin, Jean-Etienne, Futier, Emmanuel, Sapin, Vincent, and Constantin, Jean-Michel
- Published
- 2016
- Full Text
- View/download PDF
6. Additional file 3 of Thoracic epidural analgesia in intensive care unit patients with acute pancreatitis: the EPIPAN multicenter randomized controlled trial
- Author
-
Jabaudon, Matthieu, Genevrier, Alexandra, Jaber, Samir, Windisch, Olivier, Bulyez, Stéphanie, Laterre, Pierre-François, Escudier, Etienne, Sossou, Achille, Guerci, Philippe, Bertrand, Pierre-Marie, Danin, Pierre-Eric, Bonnassieux, Martin, Bühler, Leo, Heidegger, Claudia Paula, Chabanne, Russell, Godet, Thomas, Roszyk, Laurence, Sapin, Vincent, Futier, Emmanuel, Pereira, Bruno, and Constantin, Jean-Michel
- Abstract
Additional file 3. CONSORT checklist.
- Published
- 2023
- Full Text
- View/download PDF
7. Additional file 2 of Thoracic epidural analgesia in intensive care unit patients with acute pancreatitis: the EPIPAN multicenter randomized controlled trial
- Author
-
Jabaudon, Matthieu, Genevrier, Alexandra, Jaber, Samir, Windisch, Olivier, Bulyez, Stéphanie, Laterre, Pierre-François, Escudier, Etienne, Sossou, Achille, Guerci, Philippe, Bertrand, Pierre-Marie, Danin, Pierre-Eric, Bonnassieux, Martin, Bühler, Leo, Heidegger, Claudia Paula, Chabanne, Russell, Godet, Thomas, Roszyk, Laurence, Sapin, Vincent, Futier, Emmanuel, Pereira, Bruno, and Constantin, Jean-Michel
- Abstract
Additional file 2. Research protocols and analysis plans.
- Published
- 2023
- Full Text
- View/download PDF
8. Additional file 1 of Thoracic epidural analgesia in intensive care unit patients with acute pancreatitis: the EPIPAN multicenter randomized controlled trial
- Author
-
Jabaudon, Matthieu, Genevrier, Alexandra, Jaber, Samir, Windisch, Olivier, Bulyez, Stéphanie, Laterre, Pierre-François, Escudier, Etienne, Sossou, Achille, Guerci, Philippe, Bertrand, Pierre-Marie, Danin, Pierre-Eric, Bonnassieux, Martin, Bühler, Leo, Heidegger, Claudia Paula, Chabanne, Russell, Godet, Thomas, Roszyk, Laurence, Sapin, Vincent, Futier, Emmanuel, Pereira, Bruno, and Constantin, Jean-Michel
- Abstract
Additional file 1. List of investigators and additional details.
- Published
- 2023
- Full Text
- View/download PDF
9. Sevoflurane for Sedation in Acute Respiratory Distress Syndrome. A Randomized Controlled Pilot Study
- Author
-
Jabaudon, Matthieu, Boucher, Pierre, Imhoff, Etienne, Chabanne, Russell, Faure, Jean-Sébastien, Roszyk, Laurence, Thibault, Sandrine, Blondonnet, Raiko, Clairefond, Gael, Guérin, Renaud, Perbet, Sébastien, Cayot, Sophie, Godet, Thomas, Pereira, Bruno, Sapin, Vincent, Bazin, Jean-Etienne, Futier, Emmanuel, and Constantin, Jean-Michel
- Published
- 2017
- Full Text
- View/download PDF
10. Effects of a recruitment maneuver on plasma levels of soluble RAGE in patients with diffuse acute respiratory distress syndrome: a prospective randomized crossover study
- Author
-
Jabaudon, Matthieu, Hamroun, Nacim, Roszyk, Laurence, Guérin, Renaud, Bazin, Jean-Etienne, Sapin, Vincent, and Pereira, Bruno
- Subjects
Medical research ,Medicine, Experimental ,Respiratory distress syndrome -- Care and treatment ,Acute respiratory distress syndrome -- Care and treatment ,Cisatracurium ,Health care industry - Abstract
Purpose The soluble form of the receptor for advanced glycation end-products (sRAGE) is a promising marker for epithelial dysfunction, but it has not been fully characterized as a biomarker of acute respiratory distress syndrome (ARDS). Whether sRAGE could inform on the response to ventilator settings has been poorly investigated, and whether a recruitment maneuver (RM) may influence plasma sRAGE remains unknown. Methods Twenty-four patients with moderate/severe, nonfocal ARDS were enrolled in this prospective monocentric crossover study and randomized into a 'RM-SHAM' group when a 6-h-long RM sequence preceded a 6-h-long sham evaluation period, or a 'SHAM-RM' group (inverted sequences). Protective ventilation was applied, and RM consisted of the application of 40 cmH.sub.2O airway pressure for 40 s. Arterial blood was sampled for gas analyses and sRAGE measurements, 5 min pre-RM (or 40-s-long sham period), 5, 30 min, 1, 4, and 6 h after the RM (or 40-s-long sham period). Results Mean PaO.sub.2/FiO.sub.2, tidal volume, PEEP, and plateau pressure were 125 mmHg, 6.8 ml/kg (ideal body weight), and 13 and 26 cmH.sub.2O, respectively. Median baseline plasma sRAGE levels were 3,232 pg/ml. RM induced a significant decrease in sRAGE (-1,598 ± 859 pg/ml) in 1 h (p = 0.043). At 4 and 6 h post-RM, sRAGE levels increased back toward baseline values. Pre-RM sRAGE was associated with RM-induced oxygenation improvement (AUC 0.84). Conclusions We report the first kinetics study of plasma sRAGE after RM in ARDS. Our findings reinforce the value of plasma sRAGE as a biomarker of ARDS., Author(s): Matthieu Jabaudon [sup.1] [sup.2], Nacim Hamroun [sup.1], Laurence Roszyk [sup.2] [sup.3], Renaud Guérin [sup.1], Jean-Etienne Bazin [sup.1], Vincent Sapin [sup.2] [sup.3], Bruno Pereira [sup.4], Jean-Michel Constantin [sup.1] [sup.2] Author [...]
- Published
- 2015
- Full Text
- View/download PDF
11. Association between intraoperative ventilator settings and plasma levels of soluble receptor for advanced glycation end-products in patients without pre-existing lung injury
- Author
-
JABAUDON, Matthieu, FUTIER, Emmanuel, ROSZYK, Laurence, SAPIN, Vincent, PEREIRA, Bruno, and CONSTANTIN, Jean-Michel
- Published
- 2015
- Full Text
- View/download PDF
12. Soluble Receptor for Advanced Glycation End-Products Predicts Impaired Alveolar Fluid Clearance in Acute Respiratory Distress Syndrome
- Author
-
Jabaudon, Matthieu, Blondonnet, Raiko, Roszyk, Laurence, Bouvier, Damien, Audard, Jules, Clairefond, Gael, Fournier, Mathilde, Marceau, Geoffroy, Déchelotte, Pierre, Pereira, Bruno, Sapin, Vincent, and Constantin, Jean-Michel
- Published
- 2015
- Full Text
- View/download PDF
13. Predicting the severity of acute bronchiolitis in infants: Should we use a clinical score or a biomarker?
- Author
-
Amat, Flore, Henquell, Cécile, Verdan, Matthieu, Roszyk, Laurence, Mulliez, Aurélien, and Labbé, André
- Published
- 2014
- Full Text
- View/download PDF
14. Plasma neutrophil gelatinase-associated lipocalin is an early marker of acute kidney injury in adult critically ill patients: A prospective study
- Author
-
Constantin, Jean-Michel, Futier, Emmanuel, Perbet, Sebastien, Roszyk, Laurence, Lautrette, Alexandre, Gillart, Thierry, Guerin, Renaud, Jabaudon, Matthieu, Souweine, Bertrand, Bazin, Jean-Etienne, and Sapin, Vincent
- Published
- 2010
15. Added value of serial bio-adrenomedullin measurement in addition to lactate for the prognosis of septic patients admitted to ICU
- Author
-
Blet, Alice, De Roquetaillade, Charles, Hartmann, Oliver, Struck, Joachim, Mebazaa, Alexandre, Chousterman, Benjamin Glenn, Laterre, Pierre François, Berghe, Caroline, Dujardin, Marie France, Renard, Suzanne, Wittebole, Xavier, Collienne, Christine, Zapatero, Diego Castanares, Dugernier, Thierry, Vinetti, Marco, De Schryver, Nicolas, Thirifays, Anne, Mairesse, Jacques, Huberlant, Vincent, Petre, Hélène, Buelens, Isabelle, Henin, Pierre, Trine, Hugues, Laurent, Yves, Sébastien, Loix, Geukens, Paul, Kehl, Laurent, François, Bruno, Vignon, Philippe, Pichon, Nicolas, Begot, Emmanuelle, Fedou, Anne Laure, Chapellas, Catherine, Galy, Antoine, Rodier, Nicolas, Baudrillart, Ludmilla, Nouaille, Michelle, Laleu, Séverine, Mancia, Claire, Daix, Thomas, Bourzeix, Paul, Herafa, Isabelle, Duchambon, Anne Aurore, Lascarrou, Jean Baptiste, Fiancette, Maud, Colin, Gwenhael, Henry-Lagarrigue, Matthieu, Lacherade, Jean Claude, Lebert, Christine, Martin-Levfèvre, Laurent, Vinatier, Isabelle, Yehia, Aihem, Bachoumas, Konstantinos, Joret, Aurélie, Reignier, Jean, Rousseau, Cécille, Maquigneau, Natacha, Alcourt, Yolaine, Zinzonni, Vanessa Erragne, Deschamps, Angélique, Robert, Angelina, Mercier, Emmanuelle, Simeon-Vieules, Véronique, Aubrey, Aurélie, Mabilat, Christine, Garot, Denis, Ehrmann, Stephan, Legras, Annick, Jouan, Youenn, Dequin, Pierre François, Guillon, Antoine, Bodet-Contentin, Laetitia, Rouve, Emmannuelle, Salmon, Charlotte, Brick, Lysiane, Massat, Stéphanie, Desachy, Arnaud, Fally, Marie Anne, Robin, Laurence, Cracco, Christophe, Lafon, Charles, Calvat, Sylvie, Rouleau, Stéphane, Schnell, David, Lasocki, Sigismond, Fesard, Philippe, Leblanc, Damien, Bouhours, Guillaume, Chassier, Claire, Conte, Mathieu, Gaillard, Thomas, Denou, Floriane, Kerymel, Mathieu, Guyon, Marion, Loiez, Anthéa, Lebreton, Stéphanie, Meziani, Ferhat, Allam, Hayat, Chenaf, Samir, Rahmani, Hassène, Heenen, Sarah, Kummerlen, Christine, Delabranche, Xavier, Boivin, Alexandra, Clere-Jehl, Raphaël, Rabouël, Yannick, Pottecher, Julien, Bayer, Sophie, Metzger, Catherine, Hecketsweiler, Stéphane, Ludes, Pierre Olivier, Besancenot, Hortense, Dhif, Nadia, Freys, Guy, Lessinger, Jean Marc, Launoy, Anne, Ruimy, Aude, Meyer, Alain, Szozot, M., Deye, Nicolas, Gayat, Etienne, Fournier, Marie Céline, Abroug, Sarra, Louadah, Badr, Feliot, Elodie, Voicu, Sebastian, Malissin, Isabelle, Megarbane, Bruno, Manivet, Philippe, Victori, Gardianot, Kelly, Da Silva, La Foucher, Béatrice, Pierre, Valérie, Kerdjana, Lamia, Beeken, Thomas, Goury, Antoine, Garcon, Pierre, Gaugain, Samuel, Huot, Benjamin, Barthelemy, Romain, Soyer, Benjamin, Jacob, Laurent, Legrand, Matthieu, Fourniar, Marie Céline, Bonnet, Francine, Legall, Chloé, Oueslati, Haikel, Cupaciu, Alexandru, Manivat, Philippe, Louadeh, Badr, Sonneville, Romain, Letrou, Sophie, Bouadma, Lila, Mourvillier, Bruno, Deiler, Véronique, Magalhaes, Eric, Neuville, Mathilde, Timsit, Jean François, Radjou, Aguila, Gaudry, Stéphane, Dubief, Emeline, Messika, Jonathan, La Combe, Béatrice, Roux, Damien, Berquier, Guillaume, Laissi, Mohamed, Ricard, Jean Damien, Constantin, Jean Michel, Perbet, Sebastien, Delmas, Julie, Pascal, Julien, Cayot, Sophie, Guerin, Renaud, Jabaudon, Matthieu, Roszyk, Laurence, Rolhion, Christine, Bourdier, Justine, Lematte, Mathilde, Gouhier, Charlène, Verlhac, Camille, Godet, Thomas, Radji, Sophiano, Caumon, Elodie, Thibault, Sandrine, Marx, Nikolaus, Schuerholz, Tobias, Pezechk, Jessica, Feld, Florian, Brülls, Christian, Beeker, Thorben, Simon, Tim Philipp, Deisz, Robert, Schindler, Achim, Meier, Bianca, Janisch, Thorsten, Hohn, Andreas, Schedler, Dirk, Wetsch, Wolfgang, Schröder, Daniel, Meier-Hellmann, Andreas, Lucht, Alexander, Henker, Robert, Römmer, Magdalena, Meinig, Torsten, Zacharowski, Kai D., Meybohm, Patrick, Lindau, Simone, Mutlak, Haitham, Kluge, Stefan, Ringeis, Grit, Füllekrug, Birgit, Singer, Brigitte, Nierhaus, Axel, Bangert, Katrin, De Heer, Geraldine, Frings, Daniel, Fuhrmann, Valentin, Müller, Jakob, Schreiber, Jörg, Sensen, Barbara, Siedler, Stephanie, Siewecke, Annekatrin, Söffker, Gerold, Wichmann, Dominic, Kerinn, Mélanie, Jaschinski, Ulrich, Kreuser, Ilse, Zanquila, Marlene, Kortgen, Andreas, Bloos, Frank, Gonnert, Falk, Thomas-Rüddel, Daniel, Haucke, Anja, Kolanos, Steffi, Kohlberg, Karina Knuhr, Bloos, Petra, Schwope, Katrin, Di Somma, Salvatore, Rossella, Marino, Russo, Veronica, Simona, Santarelli, Bartoli, Christopher, Navarin, Sylvia, Bongiovanni, Cristina, Orru, Michela, Quatrocchi, Daniela, Zoccoli, Giada, Varchetta, Antonella, Antonelli, Massimo, De Pascale, Gennaro, Vallecoccia, Maria Sole, Cutuli, Salvatore Lucio, Digravio, Valentina, Quattrochi, Daniela, D'Arrigo, Sonia, Leone, Filippo Elvino, Beishuizen, Bert, Rinket, Martin, Border, Natalie, Bos-Burgmeijer, Mariska, Braad, Astrid, Papendorp, S., Vermeijden, J., Pickkers, Peter, Van De A, Marieke, Van Wezel, Helen, Heunks, Leo, Bordar, Natalie, Luijten-Arts, Chantal, Hoedemaekers, Astrid, Van Der Hoeven, Hans, Roovers, Noortje, Hemelaar, Pleun, Intensive care medicine, ACS - Pulmonary hypertension & thrombosis, UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire, UCL - SSS/IREC/MEDA - Pôle de médecine aiguë, and UCL - (SLuc) Service de soins intensifs
- Subjects
Male ,medicine.medical_specialty ,Multiple Organ Failure ,MEDLINE ,lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4] ,Critical Care and Intensive Care Medicine ,Sepsis ,03 medical and health sciences ,Adrenomedullin ,0302 clinical medicine ,Belgium ,Germany ,medicine ,Research Letter ,Humans ,Lactic Acid ,Hospital Mortality ,Prospective Studies ,Prospective cohort study ,Aged ,Netherlands ,Proportional Hazards Models ,Chi-Square Distribution ,business.industry ,lcsh:Medical emergencies. Critical care. Intensive care. First aid ,030208 emergency & critical care medicine ,lcsh:RC86-88.9 ,Length of Stay ,Middle Aged ,medicine.disease ,Prognosis ,Shock, Septic ,Survival Analysis ,3. Good health ,Hospitalization ,Patient Outcome Assessment ,Intensive Care Units ,030228 respiratory system ,Italy ,Shock (circulatory) ,Emergency medicine ,Female ,France ,medicine.symptom ,business ,Biomarkers - Abstract
Adrenomedullin (ADM) regulates vascular tone and endothelial permeability during sepsis. Levels of circulating biologically active ADM (bio-ADM) show an inverse relationship with blood pressure and a direct relationship with vasopressor requirement. In the present prospective observational multinational Adrenomedullin and Outcome in Sepsis and Septic Shock 1 (, AdrenOSS-1) study, we assessed relationships between circulating bio-ADM during the initial intensive care unit (ICU) stay and short-term outcome in order to eventually design a biomarker-guided randomized controlled trial.AdrenOSS-1 was a prospective observational multinational study. The primary outcome was 28-day mortality. Secondary outcomes included organ failure as defined by Sequential Organ Failure Assessment (SOFA) score, organ support with focus on vasopressor/inotropic use, and need for renal replacement therapy. AdrenOSS-1 included 583 patients admitted to the ICU with sepsis or septic shock.Circulating bio-ADM levels were measured upon admission and at day 2. Median bio-ADM concentration upon admission was 80.5 pg/ml [IQR 41.5-148.1 pg/ml]. Initial SOFA score was 7 [IQR 5-10], and 28-day mortality was 22%. We found marked associations between bio-ADM upon admission and 28-day mortality (unadjusted standardized HR 2.3 [CI 1.9-2.9]; adjusted HR 1.6 [CI 1.1-2.5]) and between bio-ADM levels and SOFA score (p0.0001). Need of vasopressor/inotrope, renal replacement therapy, and positive fluid balance were more prevalent in patients with a bio-ADM70 pg/ml upon admission than in those with bio-ADM ≤ 70 pg/ml. In patients with bio-ADM70 pg/ml upon admission, decrease in bio-ADM below 70 pg/ml at day 2 was associated with recovery of organ function at day 7 and better 28-day outcome (9.5% mortality). By contrast, persistently elevated bio-ADM at day 2 was associated with prolonged organ dysfunction and high 28-day mortality (38.1% mortality, HR 4.9, 95% CI 2.5-9.8).AdrenOSS-1 shows that early levels and rapid changes in bio-ADM estimate short-term outcome in sepsis and septic shock. These data are the backbone of the design of the biomarker-guided AdrenOSS-2 trial.ClinicalTrials.gov, NCT02393781 . Registered on March 19, 2015.
- Published
- 2020
16. Design and Rationale of the Sevoflurane for Sedation in Acute Respiratory Distress Syndrome (SESAR) Randomized Controlled Trial.
- Author
-
Blondonnet, Raiko, Simand, Laure-Anne, Vidal, Perine, Borao, Lucile, Bourguignon, Nathalie, Morand, Dominique, Bernard, Lise, Roszyk, Laurence, Audard, Jules, Godet, Thomas, Monsel, Antoine, Garnier, Marc, Quesnel, Christophe, Bazin, Jean-Etienne, Sapin, Vincent, Bastarache, Julie A., Ware, Lorraine B., Hughes, Christopher G., Pandharipande, Pratik P., and Ely, E. Wesley
- Abstract
Preclinical studies have shown that volatile anesthetics may have beneficial effects on injured lungs, and pilot clinical data support improved arterial oxygenation, attenuated inflammation, and decreased lung epithelial injury in patients with acute respiratory distress syndrome (ARDS) receiving inhaled sevoflurane compared to intravenous midazolam. Whether sevoflurane is effective in improving clinical outcomes among patients with ARDS is unknown, and the benefits and risks of inhaled sedation in ARDS require further evaluation. Here, we describe the SESAR (Sevoflurane for Sedation in ARDS) trial designed to address this question. SESAR is a two-arm, investigator-initiated, multicenter, prospective, randomized, stratified, parallel-group clinical trial with blinded outcome assessment designed to test the efficacy of sedation with sevoflurane compared to intravenous propofol in patients with moderate to severe ARDS. The primary outcome is the number of days alive and off the ventilator at 28 days, considering death as a competing event, and the key secondary outcome is 90 day survival. The planned enrollment is 700 adult participants at 37 French academic and non-academic centers. Safety and long-term outcomes will be evaluated, and biomarker measurements will help better understand mechanisms of action. The trial is funded by the French Ministry of Health, the European Society of Anaesthesiology, and Sedana Medical. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
17. Assessment of a Novel Method for Non-invasive Sampling of the Distal Airspace in Acute Respiratory Distress Syndrome Patients Receiving Inhaled Sedation with Sevoflurane: the ANAISS Study Protocol
- Author
-
Tronche, Pierre-Antoine, primary, Lalande, Robin, additional, Blondonnet, Raiko, additional, Roszyk, Laurence, additional, Zhai, Ruoyang, additional, Morand, Dominique, additional, Pereira, Bruno, additional, Sapin, Vincent, additional, Malinovsky, Jean-Marc, additional, Mourvillier, Bruno, additional, Constantin, Jean-Michel, additional, Cousson, Joël, additional, and Jabaudon, Matthieu, additional
- Published
- 2020
- Full Text
- View/download PDF
18. Analytical validation of 13 biochemistry parameters (CEA, CA 19-9, amylase, lipase, sodium, potassium, chloride, creatinine, glucose, protein, albumin, LDH, triglycerides) in body fluids
- Author
-
Oris, Charlotte, additional, Landrieaux, Lise, additional, Brailova, Marina, additional, Roszyk, Laurence, additional, Rozand, Isabelle, additional, Sapin, Vincent, additional, Bouvier, Damien, additional, and Colombier, Michèle, additional
- Published
- 2020
- Full Text
- View/download PDF
19. Nutritional and genetic determinants of vitamin B and homocysteine metabolisms in neural tube defects: A multicenter case–control study
- Author
-
Candito, Mirande, Rivet, Romain, Herbeth, Bernard, Boisson, Catherine, Rudigoz, René-Charles, Luton, Dominique, Journel, Hubert, Oury, Jean-François, Roux, François, Saura, Robert, Vernhet, Isabelle, Gaucherand, Pascal, Muller, Françoise, Guidicelli, Béatrice, Heckenroth, Hélène, Poulain, Patrice, Blayau, Martine, Francannet, Christine, Roszyk, Laurence, Brustié, Cécile, Staccini, Pascal, Gérard, Philippe, Fillion-Emery, Nathalie, Guéant-Rodriguez, Rosa-Maria, Van Obberghen, Emmanuel, and Guéant, Jean-Louis
- Published
- 2008
- Full Text
- View/download PDF
20. Limits of usual biochemical alcohol markers in cord blood at term: a fetal/maternal population-based study
- Author
-
Gallot, Denis, de Chazeron, Ingrid, Boussiron, Didier, Ughetto, Sylvie, Vendittelli, Françoise, Legros, Franz J., Roszyk, Laurence, Llorca, Pierre-Michel, Lemery, Didier, and Sapin, Vincent
- Published
- 2007
- Full Text
- View/download PDF
21. Rapid decrease in plasma D-lactate as an early potential predictor of diminished 28-day mortality in critically ill septic shock patients
- Author
-
Sapin, Vincent, Nicolet, Laurent, Aublet-Cuvelier, Bruno, Sangline, Fabienne, Roszyk, Laurence, Dastugue, Bernard, Gazuy, Nicole, Deteix, Patrice, and Souweine, Bertrand
- Published
- 2006
22. Treatment of Metabolic syndrome by combination of physical activity and diet needs an optimal protein intake: a randomized controlled trial
- Author
-
Dutheil Frédéric, Lac Gérard, Courteix Daniel, Doré Eric, Chapier Robert, Roszyk Laurence, Sapin Vincent, and Lesourd Bruno
- Subjects
Protein intake ,Physical activity ,Metabolic syndrome ,Albuminemia ,Nutrition. Foods and food supply ,TX341-641 ,Nutritional diseases. Deficiency diseases ,RC620-627 - Abstract
Abstract Background The recommended dietary allowance (RDA) for protein intake has been set at 1.0-1.3 g/kg/day for senior. To date, no consensus exists on the lower threshold intake (LTI = RDA/1.3) for the protein intake (PI) needed in senior patients ongoing both combined caloric restriction and physical activity treatment for metabolic syndrome. Considering that age, caloric restriction and exercise are three increasing factors of protein need, this study was dedicated to determine the minimal PI in this situation, through the determination of albuminemia that is the blood marker of protein homeostasis. Methods Twenty eight subjects (19 M, 9 F, 61.8 ± 6.5 years, BMI 33.4 ± 4.1 kg/m2) with metabolic syndrome completed a three-week residential programme (Day 0 to Day 21) controlled for nutrition (energy balance of −500 kcal/day) and physical activity (3.5 hours/day). Patients were randomly assigned in two groups: Normal-PI (NPI: 1.0 g/kg/day) and High-PI (HPI: 1.2 g/kg/day). Then, patients returned home and were followed for six months. Albuminemia was measured at D0, D21, D90 and D180. Results At baseline, PI was spontaneously 1.0 g/kg/day for both groups. Albuminemia was 40.6 g/l for NPI and 40.8 g/l for HPI. A marginal protein under-nutrition appeared in NPI with a decreased albuminemia at D90 below 35 g/l (34.3 versus 41.5 g/l for HPI, p Conclusion During the treatment based on restricted diet and exercise in senior people with metabolic syndrome, the lower threshold intake for protein must be set at 1.2 g/kg/day to maintain blood protein homeostasis.
- Published
- 2012
- Full Text
- View/download PDF
23. Driving pressure and acute respiratory distress syndrome in critically ill patients
- Author
-
Blondonnet, Raiko, Joubert, Elodie, Godet, Thomas, Berthelin, Pauline, Pranal, Thibaut, Roszyk, Laurence, Chabanne, Russell, Eisenmann, Nathanael, Lautrette, Alexandre, Belville, Corinne, Cayot, Sophie, Gillart, Thierry, Souweine, Bertrand, Bouvier, Damien, Blanchon, Loïc, Sapin, Vincent, Pereira, Bruno, Constantin, Jean-Michel, Jabaudon, Matthieu, Retinoids, Development and Developmental Diseases (R2D2), Université d'Auvergne - Clermont-Ferrand I (UdA), Service d'Anésthésie Réanimation [CHU Clermont-Ferrand], CHU Estaing [Clermont-Ferrand], CHU Clermont-Ferrand-CHU Clermont-Ferrand, Service de Biochimie et Génétique Moléculaire [CHU Clermont-Ferrand], CHU Clermont-Ferrand-CHU Clermont-Ferrand-CHU Gabriel Montpied [Clermont-Ferrand], CHU Clermont-Ferrand, Unité de soins intensifs [Clermont Ferrand], CHU Clermont-Ferrand-CHU Gabriel Montpied [Clermont-Ferrand], Génétique, Reproduction et Développement (GReD), Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Institut National de la Santé et de la Recherche Médicale (INSERM), Génétique, Reproduction et Développement (GReD ), Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020]), Laboratoire de Biochimie, CHU Gabriel Montpied [Clermont-Ferrand], CHU Clermont-Ferrand-CHU Clermont-Ferrand-CHU Estaing [Clermont-Ferrand], and Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS)
- Subjects
MESH: Correlation of Data ,MESH: Humans ,MESH: Middle Aged ,MESH: Adult ,acute respiratory distress syndrome ,driving pressure ,mechanical ventilation ,intensive care unit ,[SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract ,MESH: Male ,risk prediction ,MESH: Positive-Pressure Respiration ,MESH: Critical Care ,MESH: Risk Factors ,MESH: Critical Illness ,MESH: Respiratory Distress Syndrome, Adult ,MESH: Intensive Care Units ,MESH: Respiration, Artificial ,MESH: Female ,MESH: Risk Adjustment - Abstract
International audience; Elevated driving pressure (ΔP) may be associated with increased risk of acute respiratory distress syndrome (ARDS) in patients admitted via the emergency department and with post-operative pulmonary complications in surgical patients. This study investigated the association of higher ΔP with the onset of ARDS in a high-risk, intensive care unit (ICU) population.
- Published
- 2018
24. Circulating adrenomedullin estimates survival and reversibility of organ failure in sepsis: the prospective observational multinational Adrenomedullin and Outcome in Sepsis and Septic Shock-1 (AdrenOSS-1) study
- Author
-
Mebazaa, Alexandre, Geven, Christopher, Bergmann, Andreas, Massat, Stéphanie, Desachy, Arnaud, Fally, Marie Anne, Robin, Laurence, Cracco, Christophe, Lafon, Charles, Calvat, Sylvie, Rouleau, Stéphane, Schnell, David, Lasocki, Sigismond, Antonelli, Massimo, Fesard, Philippe, Leblanc, Damien, Bouhours, Guillaume, Chassier, Claire, Conte, Mathieu, Gaillard, Thomas, Denou, Floriane, Kerymel, Mathieu, Guyon, Marion, Loiez, Anthéa, Beishuizen, Albertus, Lebreton, Stéphanie, Meziani, Ferhat, Allam, Hayat, Chenaf, Samir, Rahmani, Hassène, Heenen, Sarah, Kummerlen, Christine, Delabranche, Xavier, Boivin, Alexandra, Clere-Jehl, Raphaël, Constantin, Jean-Michel, Rabouël, Yannick, Pottecher, Julien, Bayer, Sophie, Metzger, Catherine, Hecketsweiler, Stéphane, Ludes, Pierre Olivier, Besancenot, Hortense, Dhif, Nadia, Freys, Guy, Lessinger, Jean-Marc, Damoisel, Charles, Launoy, Anne, Ruimy, Aude, Meyer, Alain, Szozot, M., Deye, Nicolas, Gayat, Etienne, Fournier, Marie-Céline, Abroug, Sarra, Louadah, Badr, Feliot, Elodie, Voicu, Sebastian, Malissin, I., Megarbane, Bruno, Manivet, Philippe, Victori, Gardianot, Kelly, Da Silva, La Foucher, Béatrice, Pierre, Valérie, Kerdjana, Lamia, Di Somma, Salvatore, Beeken, Thomas, Goury, Antoine, Garcon, Pierre, Gaugain, Samuel, Chousterman, Benjamin Glen, Huot, Benjamin, Barthelemy, Romain, Soyer, Benjamin, Jacob, Laurent, Legrand, Matthieu, Dugernier, Thierry, Bonnet, Francine, Legall, Chloé, Oueslati, Haikel, Cupaciu, Alexandru, Sonneville, Romain, Letrou, Sophie, Bouadma, Lila, François, Bruno, Mourvillier, Bruno, Deiler, Véronique, Magalhaes, Eric, Neuville, Mathilde, Timsit, Jean-François, Radjou, Aguila, Gaudry, Stéphane, Dubief, Emeline, Messika, Jonathan, La Combe, Béatrice, Gaudry, Stephane, Roux, Damien, Berquier, Guillaume, Laissi, Mohamed, Ricard, Jean-Damien, Perbet, Sebastien, Delmas, Julie, Pascal, Julien, Cayot, Sophie, Guerin, Renaud, Hollinger, Alexa, Huberlant, Vincent, Jabaudon, Matthieu, Roszyk, Laurence, Rolhion, Christine, Bourdier, Justine, Lematte, Mathilde, Gouhier, Charlène, Verlhac, Camille, Godet, Thomas, Radji, Sophiano, Caumon, Elodie, Lascarrou, Jean-Baptiste, Thibault, Sandrine, Marx, Nikolaus, Schuerholz, Tobias, Pezechk, Jessica, Feld, Florian, Brülls, Christian, Beeker, Thorben, Simon, Tim-Philipp, Deisz, Robert, Schindler, Achim, Marx, Gernot, Meier, Bianca, Janisch, Thorsten, Hohn, Andreas, Schedler, Dirk, Wetsch, Wolfgang, Schröder, Daniel, Meier-Hellmann, Andreas, Lucht, Alexander, Henker, Robert, Römmer, Magdalena, Mercier, Emmanuelle, Meinig, Torsten, Zacharowski, Kai D., Meybohm, Patrick, Lindau, Simone, Mutlak, Haitham, Kluge, Stefan, Ringeis, Grit, Füllekrug, Birgit, Singer, Brigitte, Nierhaus, Axel, Bangert, Katrin, de Heer, Geraldine, Frings, Daniel, Fuhrmann, Valentin, Müller, Jakob, Schreiber, Jörg, Sensen, Barbara, Siedler, Stephanie, Siewecke, Annekatrin, Söffker, Gerold, Pickkers, Peter, Wichmann, Dominic, Kerinn, Mélanie, Jaschinski, Ulrich, Kreuser, Ilse, Zanquila, Marlene, Kortgen, Andreas, Bloos, Frank, Gonnert, Falk, Thomas-Rüddel, Daniel, Haucke, Anja, Kolanos, Steffi, Kohlberg, Karina Knuhr, Bloos, Petra, Schwope, Katrin, Rossella, Marino, Russo, Veronica, Simona, Santarelli, Bartoli, Christopher, Navarin, Sylvia, Bongiovanni, Cristina, Orru, Michela, Quatrocchi, Daniela, Zoccoli, Giada, Varchetta, Antonella, de Pascale, Gennaro, Vallecoccia, Maria Sole, Cutuli, Salvatore Lucio, Digravio, Valentina, Laterre, Pierre-François, Quattrochi, Daniela, D'Arrigo, Sonia, Leone, Filippo Elvino, Beishuizen, Bert, Rinket, Martin, Border, Natalie, Bos-Burgmeijer, Mariska, Braad, Astrid, Papendorp, S., Cornet, Alexander, AdrenOSS-1 study investigators, Vermeijden, J., Trof, Ronald J., van de A, Marieke, Van Wezel, Helen, Heunks, Leo, Luijten-Arts, Chantal, Hoedemaekers, Astrid, van der Hoeven, Hans, Wittebole, Xavier, Laterre, Pierre François, Roovers, Noortje, Hemelaar, Pleun, Berghe, Caroline, Dujardin, Marie-France, Renard, Suzanne, Collienne, Christine, Zapatero, Diego Castanares, Vinetti, Marco, De Schryver, Nicolas, Thirifays, Anne, Mairesse, Jacques, Petre, Hélène, Buelens, Isabelle, Henin, Pierre, Trine, Hugues, Laurent, Yves, Sébastien, Loix, Geukens, Paul, Blet, Alice, Kehl, Laurent, Vignon, Philippe, Pichon, Nicolas, Begot, Emmanuelle, Fedou, Anne-Laure, Chapellas, Catherine, Galy, Antoine, Rodier, Nicolas, Baudrillart, Ludmilla, Nouaille, Michelle, Laleu, Séverine, Mancia, Claire, Daix, Thomas, Bourzeix, Paul, Herafa, Isabelle, Duchambon, Anne-Aurore, Lascarrou, Jean Baptiste, Fiancette, Maud, Colin, Gwenhael, Hartmann, Oliver, Henry-Lagarrigue, Matthieu, Lacherade, Jean-Claude, Lebert, Christine, Martin-Levèvre, Laurent, Vinatier, Isabelle, Yehia, Aihem, Bachoumas, Konstantinos, Joret, Aurélie, Reignier, Jean, Rousseau, Cécille, Scigalla, Paul, Maquigneau, Natacha, Alcourt, Yolaine, Zinzonni, Vanessa Erragne, Deschamps, Angélique, Robert, Angelina, Simeon-Vieules, Véronique, Aubrey, Aurélie, Mabilat, Christine, Garot, Denis, Struck, Joachim, Ehrmann, Stephan, Legras, Annick, Manikikian, Jouan, Youenn, Dequin, Pierre François, Guillon, Antoine, Bodet-Contentin, Laetitia, Rouve, Emmannuelle, Salmon, Charlotte, Brick, Lysiane, Department of Anaesthesiology and Critical Care and Burn Unit, St-Louis Hospital, Service de biochimie INSERM UMR-S942, Hôpital Lariboisière-APHP, Université Paris Diderot - Paris 7 (UPD7), Hôpitaux Universitaires Saint-Louis, Lariboisière, Fernand-Widal, Biomarqueurs CArdioNeuroVASCulaires (BioCANVAS), Université Paris 13 (UP13)-Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM), Cliniques universitaires St Luc [Bruxelles], Hopital Saint-Louis [AP-HP] (AP-HP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Adrenomed AG, Service de Médecine Intensive et Réanimation [CHU Clermont-Ferrand], CHU Gabriel Montpied [Clermont-Ferrand], CHU Clermont-Ferrand-CHU Clermont-Ferrand, Génétique, Reproduction et Développement (GReD), Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Institut National de la Santé et de la Recherche Médicale (INSERM), Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal [Paris], Department of Intensive Care, St-Pierre Hospital, Centre d'Investigation Clinique de Limoges (CIC1435), CHU Limoges-Institut National de la Santé et de la Recherche Médicale (INSERM), CHU Tenon [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service de Réanimation Médico-Chirurgicale [Avicenne], Université Paris 13 (UP13)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Avicenne [AP-HP], Service de réanimation médicale [CHU Nantes], Centre hospitalier universitaire de Nantes (CHU Nantes), Rheinisch-Westfälische Technische Hochschule Aachen (RWTH), Centre Hospitalier Régional Universitaire de Tours (CHRU TOURS), Hôpital Saint-Louis, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Diderot - Paris 7 (UPD7), Radboud university [Nijmegen], Hôpital Bichat - Claude Bernard, Université Catholique de Louvain = Catholic University of Louvain (UCL), Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM), Physiopathologie Cardiovasculaire et Mitochondriale (MITOVASC), Université d'Angers (UA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Intensive care medicine, Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS), Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Limoges, Centre Hospitalier Régional Universitaire de Tours (CHRU Tours), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Rheinisch-Westfälische Technische Hochschule Aachen University (RWTH), Radboud University [Nijmegen], and MitoVasc - Physiopathologie Cardiovasculaire et Mitochondriale (MITOVASC)
- Subjects
Male ,medicine.medical_treatment ,[SDV]Life Sciences [q-bio] ,lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4] ,030204 cardiovascular system & hematology ,Critical Care and Intensive Care Medicine ,Medical and Health Sciences ,law.invention ,Adrenomedullin ,0302 clinical medicine ,Belgium ,law ,Germany ,Medicine ,Hospital Mortality ,Prospective Studies ,Netherlands ,Outcome ,lcsh:Medical emergencies. Critical care. Intensive care. First aid ,Hematology ,Middle Aged ,Prognosis ,Shock, Septic ,Intensive care unit ,3. Good health ,Hospitalization ,Intensive Care Units ,Infectious Diseases ,Italy ,Anesthesia ,outcome ,biomarker ,Female ,SOFA score ,France ,medicine.symptom ,Infection ,Multiple Organ Failure ,Sepsis ,03 medical and health sciences ,All institutes and research themes of the Radboud University Medical Center ,Clinical Research ,Biomarker ,Sepsis-2 ,Sepsis-3 ,Aged ,Biomarkers ,Chi-Square Distribution ,Humans ,Length of Stay ,Patient Outcome Assessment ,Proportional Hazards Models ,Survival Analysis ,Settore MED/41 - ANESTESIOLOGIA ,AdrenOSS-1 study investigators ,Lactic Acid ,Renal replacement therapy ,business.industry ,Septic shock ,Research ,Inflammatory and immune system ,Organ dysfunction ,030208 emergency & critical care medicine ,lcsh:RC86-88.9 ,medicine.disease ,Emergency & Critical Care Medicine ,Good Health and Well Being ,Blood pressure ,business - Abstract
Background Adrenomedullin (ADM) regulates vascular tone and endothelial permeability during sepsis. Levels of circulating biologically active ADM (bio-ADM) show an inverse relationship with blood pressure and a direct relationship with vasopressor requirement. In the present prospective observational multinational Adrenomedullin and Outcome in Sepsis and Septic Shock 1 (, AdrenOSS-1) study, we assessed relationships between circulating bio-ADM during the initial intensive care unit (ICU) stay and short-term outcome in order to eventually design a biomarker-guided randomized controlled trial. Methods AdrenOSS-1 was a prospective observational multinational study. The primary outcome was 28-day mortality. Secondary outcomes included organ failure as defined by Sequential Organ Failure Assessment (SOFA) score, organ support with focus on vasopressor/inotropic use, and need for renal replacement therapy. AdrenOSS-1 included 583 patients admitted to the ICU with sepsis or septic shock. Results Circulating bio-ADM levels were measured upon admission and at day 2. Median bio-ADM concentration upon admission was 80.5 pg/ml [IQR 41.5–148.1 pg/ml]. Initial SOFA score was 7 [IQR 5–10], and 28-day mortality was 22%. We found marked associations between bio-ADM upon admission and 28-day mortality (unadjusted standardized HR 2.3 [CI 1.9–2.9]; adjusted HR 1.6 [CI 1.1–2.5]) and between bio-ADM levels and SOFA score (p < 0.0001). Need of vasopressor/inotrope, renal replacement therapy, and positive fluid balance were more prevalent in patients with a bio-ADM > 70 pg/ml upon admission than in those with bio-ADM ≤ 70 pg/ml. In patients with bio-ADM > 70 pg/ml upon admission, decrease in bio-ADM below 70 pg/ml at day 2 was associated with recovery of organ function at day 7 and better 28-day outcome (9.5% mortality). By contrast, persistently elevated bio-ADM at day 2 was associated with prolonged organ dysfunction and high 28-day mortality (38.1% mortality, HR 4.9, 95% CI 2.5–9.8). Conclusions AdrenOSS-1 shows that early levels and rapid changes in bio-ADM estimate short-term outcome in sepsis and septic shock. These data are the backbone of the design of the biomarker-guided AdrenOSS-2 trial. Trial registration ClinicalTrials.gov, NCT02393781. Registered on March 19, 2015. Electronic supplementary material The online version of this article (10.1186/s13054-018-2243-2) contains supplementary material, which is available to authorized users.
- Published
- 2018
25. Predicting the severity of acute bronchiolitis in infants: Should we use a clinical score or a biomarker?
- Author
-
Amat, Flore, Henquell, Cécile, Verdan, Matthieu, Roszyk, Laurence, Mulliez, Aurélien, and Labbé, André
- Subjects
Male ,Diagnostic Tests, Routine ,acute bronchiolitis ,Mucin-1 ,Infant, Newborn ,severity prediction ,Infant ,KL‐6 ,clinical score ,Severity of Illness Index ,Decision Support Techniques ,Hospitals, University ,children ,Virus Diseases ,Bronchiolitis ,Humans ,Female ,France ,Prospective Studies ,Research Articles ,Biomarkers ,Research Article - Abstract
Krebs von den Lungen 6 antigen (KL‐6) has been shown to be a useful biomarker of the severity of Respiratory syncytial virus bronchiolitis. To assess the correlation between the clinical severity of acute bronchiolitis, serum KL‐6, and the causative viruses, 222 infants with acute bronchiolitis presenting at the Pediatric Emergency Department of Estaing University Hospital, Clermont‐Ferrand, France, were prospectively enrolled from October 2011 to May 2012. Disease severity was assessed with a score calculated from oxygen saturation, respiratory rate, and respiratory effort. A nasopharyngeal aspirate was collected to screen for a panel of 20 respiratory viruses. Serum was assessed and compared with a control group of 38 bronchiolitis‐free infants. No significant difference in KL‐6 levels was found between the children with bronchiolitis (mean 231 IU/mL ± 106) and those without (230 IU/mL ± 102), or between children who were hospitalized or not, or between the types of virus. No correlation was found between serum KL‐6 levels and the disease severity score. The absence of Human Rhinovirus was a predictive factor for hospitalization (OR 3.4 [1.4–7.9]; P = 0.006). Older age and a higher oxygen saturation were protective factors (OR 0.65[0.55–0.77]; P
- Published
- 2013
26. Validation de méthodes des dosages de 13 paramètres biochimiques (ACE, CA 19-9, amylase, lipase, sodium, potassium, chlorure, créatinine, glucose, protéines, albumine, LDH, triglycérides) dans un panel de liquides biologiques.
- Author
-
Oris, Charlotte, Landrieaux, Lise, Brailova, Marina, Roszyk, Laurence, Rozand, Isabelle, Sapin, Vincent, Bouvier, Damien, and Colombier, Michèle
- Published
- 2020
- Full Text
- View/download PDF
27. Serum soluble receptor for advanced glycation end-products during acute bronchiolitis in infant: Prospective study in 93 cases
- Author
-
Egron, Carole, primary, Roszyk, Laurence, additional, Rochette, Emmanuelle, additional, Jabaudon, Matthieu, additional, Sapin, Vincent, additional, Mulliez, Aurélien, additional, Labbé, André, additional, and Coste, Karen, additional
- Published
- 2018
- Full Text
- View/download PDF
28. Receptor for advanced glycation end-products and ARDS prediction: a multicentre observational study
- Author
-
Jabaudon, Matthieu, primary, Berthelin, Pauline, additional, Pranal, Thibaut, additional, Roszyk, Laurence, additional, Godet, Thomas, additional, Faure, Jean-Sébastien, additional, Chabanne, Russell, additional, Eisenmann, Nathanael, additional, Lautrette, Alexandre, additional, Belville, Corinne, additional, Blondonnet, Raiko, additional, Cayot, Sophie, additional, Gillart, Thierry, additional, Pascal, Julien, additional, Skrzypczak, Yvan, additional, Souweine, Bertrand, additional, Blanchon, Loic, additional, Sapin, Vincent, additional, Pereira, Bruno, additional, and Constantin, Jean-Michel, additional
- Published
- 2018
- Full Text
- View/download PDF
29. Clinical and Biological Predictors of Plasma Levels of Soluble RAGE in Critically Ill Patients: Secondary Analysis of a Prospective Multicenter Observational Study
- Author
-
Pranal, Thibaut, primary, Pereira, Bruno, additional, Berthelin, Pauline, additional, Roszyk, Laurence, additional, Godet, Thomas, additional, Chabanne, Russell, additional, Eisenmann, Nathanael, additional, Lautrette, Alexandre, additional, Belville, Corinne, additional, Blondonnet, Raiko, additional, Cayot, Sophie, additional, Gillart, Thierry, additional, Skrzypczak, Yvan, additional, Souweine, Bertrand, additional, Bouvier, Damien, additional, Blanchon, Loic, additional, Sapin, Vincent, additional, Constantin, Jean-Michel, additional, and Jabaudon, Matthieu, additional
- Published
- 2018
- Full Text
- View/download PDF
30. Epidural analgesia in critically ill patients with acute pancreatitis: the multicentre randomised controlled EPIPAN study protocol
- Author
-
UCL - SSS/IREC/MEDA - Pôle de médecine aiguë, UCL - (SLuc) Service de soins intensifs, Bulyez, Stéphanie, Pereira, Bruno, Caumon, Elodie, Imhoff, Etienne, Roszyk, Laurence, Bernard, Lise, Bühler, Leo, Heidegger, Claudia, Jaber, Samir, Lefrant, Jean-Yves, Chabanne, Russell, Bertrand, Pierre-Marie, Laterre, Pierre-François, Guerci, Philippe, Danin, Pierre-Eric, Escudier, Etienne, Sossou, Achille, Morand, Dominique, Sapin, Vincent, Constantin, Jean-Michel, Jabaudon, Matthieu, EPIPAN Study Group, AzuRea network, UCL - SSS/IREC/MEDA - Pôle de médecine aiguë, UCL - (SLuc) Service de soins intensifs, Bulyez, Stéphanie, Pereira, Bruno, Caumon, Elodie, Imhoff, Etienne, Roszyk, Laurence, Bernard, Lise, Bühler, Leo, Heidegger, Claudia, Jaber, Samir, Lefrant, Jean-Yves, Chabanne, Russell, Bertrand, Pierre-Marie, Laterre, Pierre-François, Guerci, Philippe, Danin, Pierre-Eric, Escudier, Etienne, Sossou, Achille, Morand, Dominique, Sapin, Vincent, Constantin, Jean-Michel, Jabaudon, Matthieu, EPIPAN Study Group, and AzuRea network
- Abstract
BACKGROUND: Acute pancreatitis (AP) is associated with high morbidity and mortality in its most severe forms. Most patients with severe AP require intubation and invasive mechanical ventilation, frequently for more than 7 days, which is associated with the worst outcome. Recent increasing evidence from preclinical and clinical studies support the beneficial effects of epidural analgesia (EA) in AP, such as increased gut barrier function and splanchnic, pancreatic and renal perfusion, decreased liver damage and inflammatory response, and reduced mortality. Because recent studies suggest that EA might be a safe procedure in the critically ill, we sought to determine whether EA reduced AP-associated respiratory failure and other major clinical outcomes in patients with AP. METHODS AND ANALYSIS: The Epidural Analgesia for Pancreatitis (EPIPAN) trial is an investigator-initiated, prospective, multicentre, randomised controlled two-arm trial with assessor-blinded outcome assessment. The EPIPAN trial will randomise 148 patients with AP requiring admission to an intensive care unit (ICU) to receive EA (with patient-controlled epidural administration of ropivacaine and sufentanil) combined with standard care based on current recommendations on the treatment of AP (interventional group), or standard care alone (reference group). The primary outcome is the number of ventilator-free days at day 30. Secondary outcomes include main complications of AP (eg, organ failure and mortality, among others), levels of biological markers of systemic inflammation, epithelial lung injury, renal failure, and healthcare-associated costs. ETHICS AND DISSEMINATION: The study was approved by the appropriate ethics committee (CPP Sud-Est VI). Informed consent is required. If the combined application of EA and standard care proves superior to standard care alone in patients with AP in the ICU, the use of EA may become standard practice in experienced centres, thereby decreasing potential complicati
- Published
- 2017
31. RAGE inhibition reduces acute lung injury in mice
- Author
-
Blondonnet, Raiko, primary, Audard, Jules, additional, Belville, Corinne, additional, Clairefond, Gael, additional, Lutz, Jean, additional, Bouvier, Damien, additional, Roszyk, Laurence, additional, Gross, Christelle, additional, Lavergne, Marilyne, additional, Fournet, Marianne, additional, Blanchon, Loic, additional, Vachias, Caroline, additional, Damon-Soubeyrand, Christelle, additional, Sapin, Vincent, additional, Constantin, Jean-Michel, additional, and Jabaudon, Matthieu, additional
- Published
- 2017
- Full Text
- View/download PDF
32. Epidural analgesia in critically ill patients with acute pancreatitis: the multicentre randomised controlled EPIPAN study protocol
- Author
-
Bulyez, Stéphanie, primary, Pereira, Bruno, additional, Caumon, Elodie, additional, Imhoff, Etienne, additional, Roszyk, Laurence, additional, Bernard, Lise, additional, Bühler, Leo, additional, Heidegger, Claudia, additional, Jaber, Samir, additional, Lefrant, Jean-Yves, additional, Chabanne, Russell, additional, Bertrand, Pierre-Marie, additional, Laterre, Pierre-François, additional, Guerci, Philippe, additional, Danin, Pierre-Eric, additional, Escudier, Etienne, additional, Sossou, Achille, additional, Morand, Dominique, additional, Sapin, Vincent, additional, Constantin, Jean-Michel, additional, and Jabaudon, Matthieu, additional
- Published
- 2017
- Full Text
- View/download PDF
33. Driving pressure and acute respiratory distress syndrome in critically ill patients.
- Author
-
Joubert, Elodie, Godet, Thomas, Berthelin, Pauline, Pranal, Thibaut, Chabanne, Russell, Cayot, Sophie, Gillart, Thierry, Blondonnet, Raiko, Constantin, Jean‐Michel, Jabaudon, Matthieu, Belville, Corinne, Roszyk, Laurence, Bouvier, Damien, Sapin, Vincent, Blanchon, Loic, Eisenmann, Nathanael, Lautrette, Alexandre, Souweine, Bertrand, and Pereira, Bruno
- Subjects
RESPIRATORY distress syndrome ,INTENSIVE care units ,LUNG injury treatment ,VASOPRESSIN ,MECHANICAL ventilators - Abstract
Background and objective: Elevated driving pressure (ΔP) may be associated with increased risk of acute respiratory distress syndrome (ARDS) in patients admitted via the emergency department and with post‐operative pulmonary complications in surgical patients. This study investigated the association of higher ΔP with the onset of ARDS in a high‐risk, intensive care unit (ICU) population. Methods: This is a secondary analysis of a prospective multicentre observational study. Data for this ancillary study were obtained from intubated adult patients with at least one ARDS risk factor upon ICU admission enrolled in a previous multicentre observational study. Patients were followed up for the development of ARDS within 7 days (primary outcome). Univariate and multivariate analyses tested the association between ΔP (measured at ICU admission (baseline) or 24 h later (day 1)) and the development of ARDS. Results: A total of 221 patients were included in this study, among whom 34 (15%) developed ARDS within 7 days. These patients had higher baseline ΔP than those who did not (mean ± SD: 12.5 ± 3.1 vs 9.8 ± 3.4 cm H2O, respectively, P = 0.0001). The association between baseline ΔP and the risk of developing ARDS was robust to adjustment for baseline tidal volume, positive‐end expiratory pressure, illness severity, serum lactate and sepsis, pneumonia, severe trauma and shock as primary ARDS risk factors (odds ratio: 1.20; 95% CI: 1.03–1.41; P = 0.02). The same results were found with day 1 ΔP. Conclusion: Among at‐risk ICU patients, higher ΔP may identify those who are more likely to develop ARDS. The driving pressure at admission to the intensive care unit in intubated patients under controlled ventilation identifies patients with clinical risk factor(s), who develop acute respiratory distress syndrome within 7 days. See relatedEditorial [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
34. Comparaison de 2 types d’épreuve de sevrage de la ventilation mécanique : analyse de paramètres échographiques pulmonaires et cardiaques (étude CARWEAN)
- Author
-
Godet, Thomas, primary, Perbet, Sébastien, additional, Soummer, Alexis, additional, Roszyk, Laurence, additional, Rouby, Jean-Jacques, additional, and Constantin, Jean-Michel, additional
- Published
- 2015
- Full Text
- View/download PDF
35. Soluble Forms and Ligands of the Receptor for Advanced Glycation End-Products in Patients with Acute Respiratory Distress Syndrome: An Observational Prospective Study
- Author
-
Jabaudon, Matthieu, primary, Blondonnet, Raiko, additional, Roszyk, Laurence, additional, Pereira, Bruno, additional, Guérin, Renaud, additional, Perbet, Sébastien, additional, Cayot, Sophie, additional, Bouvier, Damien, additional, Blanchon, Loic, additional, Sapin, Vincent, additional, and Constantin, Jean-Michel, additional
- Published
- 2015
- Full Text
- View/download PDF
36. Plasma Levels of sRAGE, Loss of Aeration and Weaning Failure in ICU Patients: A Prospective Observational Multicenter Study
- Author
-
Jabaudon, Matthieu, primary, Perbet, Sébastien, additional, Pereira, Bruno, additional, Soummer, Alexis, additional, Roszyk, Laurence, additional, Guérin, Renaud, additional, Futier, Emmanuel, additional, Lu, Qin, additional, Bazin, Jean-Etienne, additional, Sapin, Vincent, additional, Rouby, Jean-Jacques, additional, and Constantin, Jean-Michel, additional
- Published
- 2013
- Full Text
- View/download PDF
37. Plasma Levels Of SRAGE Do Not Predict Postextubation Distress After A Successful Weaning Trial
- Author
-
Jabaudon, Matthieu, primary, Perbet, Sebastien, additional, Soummer, Alexis, additional, Roszyk, Laurence, additional, Guerin, Renaud, additional, Futier, Emmanuel, additional, Lu, Qin, additional, Bazin, Jean Etienne, additional, Sapin, Vincent, additional, Rouby, Jean Jacques, additional, and Constantin, Jean Michel, additional
- Published
- 2012
- Full Text
- View/download PDF
38. Soluble form of the receptor for advanced glycation end products is a marker of acute lung injury but not of severe sepsis in critically ill patients*
- Author
-
Jabaudon, Matthieu, primary, Futier, Emmanuel, additional, Roszyk, Laurence, additional, Chalus, Elodie, additional, Guerin, Renaud, additional, Petit, Antoine, additional, Mrozek, Segolene, additional, Perbet, Sebastien, additional, Cayot-Constantin, Sophie, additional, Chartier, Christian, additional, Sapin, Vincent, additional, Bazin, Jean-Etienne, additional, and Constantin, Jean-Michel, additional
- Published
- 2011
- Full Text
- View/download PDF
39. Proposal of a score combining red blood cell indices for early differentiation of beta‐thalassemia minor from iron deficiency anemia
- Author
-
Janel, Alexandre, primary, Roszyk, Laurence, additional, Rapatel, Chantal, additional, Mareynat, Gabrielle, additional, Berger, Marc G, additional, and Serre‐Sapin, Anne‐Françoise, additional
- Published
- 2011
- Full Text
- View/download PDF
40. Receptor For Advanced Glycation End-products Is A Marker Of Acute Lung Injury In Critically-ill Patients, Regardless Of Associated Sepsis
- Author
-
JABAUDON, Matthieu, primary, CONSTANTIN, Jean-Michel, additional, ROSZYK, Laurence, additional, CHALUS, Elodie, additional, GUERIN, Renaud, additional, FUTIER, Emmanuel, additional, PETIT, Antoine, additional, MROZEK, Segolene, additional, PERBET, Sebastien, additional, CAYOT-CONSTANTIN, Sophie, additional, CHARTIER, Christian, additional, SAPIN, Vincent, additional, and BAZIN, Jean-Etienne, additional
- Published
- 2010
- Full Text
- View/download PDF
41. Unusual Presentation of Severe Intrahepatic Cholestasis of Pregnancy Leading to Fetal Death
- Author
-
Favre, Nathalie, primary, Abergel, Armand, additional, Blanc, Pierre, additional, Sapin, Vincent, additional, Roszyk, Laurence, additional, and Gallot, Denis, additional
- Published
- 2009
- Full Text
- View/download PDF
42. Pressure support ventilation attenuates ventilator-induced protein modifications in the diaphragm
- Author
-
Futier, Emmanuel, primary, Constantin, Jean-Michel, additional, Combaret, Lydie, additional, Mosoni, Laurent, additional, Roszyk, Laurence, additional, Sapin, Vincent, additional, Attaix, Didier, additional, Jung, Boris, additional, Jaber, Samir, additional, and Bazin, Jean-etienne, additional
- Published
- 2008
- Full Text
- View/download PDF
43. Response to Recruitment Maneuver Influences Net Alveolar Fluid Clearance in Acute Respiratory Distress Syndrome
- Author
-
Constantin, Jean-Michel, primary, Cayot-Constantin, Sophie, additional, Roszyk, Laurence, additional, Futier, Emmanuel, additional, Sapin, Vincent, additional, Dastugue, Bernard, additional, Bazin, Jean-Etienne, additional, and Rouby, Jean-Jacques, additional
- Published
- 2007
- Full Text
- View/download PDF
44. Changes in Plasma Soluble Receptor for Advanced Glycation End-Products Are Associated with Survival in Patients with Acute Respiratory Distress Syndrome.
- Author
-
Jabaudon, Matthieu, Pereira, Bruno, Laroche, Erwan, Roszyk, Laurence, Blondonnet, Raiko, Audard, Jules, Godet, Thomas, Futier, Emmanuel, Bazin, Jean-Etienne, Sapin, Vincent, Bastarache, Julie A., Ware, Lorraine B., Constantin, Jean-Michel, and Chiumello, Davide
- Subjects
ADULT respiratory distress syndrome ,ADVANCED glycation end-products ,PROGNOSIS - Abstract
The plasma soluble receptor for advanced glycation end-products (sRAGE) is a marker of lung epithelial injury with prognostic value when measured at baseline in acute respiratory distress syndrome (ARDS). However, whether changes in plasma sRAGE could inform prognosis in ARDS remains unknown. In this secondary analysis of the Lung Imaging for Ventilator Setting in ARDS (LIVE) multicenter randomized controlled trial, which evaluated a personalized ventilation strategy tailored to lung morphology, plasma sRAGE was measured upon study entry (baseline) and on days one, two, three, four and six. The association between changes in plasma sRAGE over time and 90-day survival was evaluated. Higher baseline plasma sRAGE (HR per-one log increment, 1.53; 95% CI, 1.16–2.03; p = 0.003) and an increase in sRAGE over time (HR for each one-log increment in plasma sRAGE per time unit, 1.01; 95% CI, 1.01–1.02; p < 10
−3 ) were both associated with increased 90-day mortality. Each 100-unit increase in the plasma sRAGE level per unit of time increased the risk of death at day 90 by 1% in joint modeling. Plasma sRAGE increased over time when a strategy of maximal alveolar recruitment was applied in patients with focal ARDS. Current findings suggest that the rate of change in plasma sRAGE over time is associated with 90-day survival and could be helpful as a surrogate outcome in ARDS. [ABSTRACT FROM AUTHOR]- Published
- 2021
- Full Text
- View/download PDF
45. Driving pressure and acute respiratory distress syndrome in critically ill patients
- Author
-
Blondonnet, Raiko, Joubert, Elodie, Godet, Thomas, Berthelin, Pauline, Pranal, Thibaut, Roszyk, Laurence, Chabanne, Russell, Eisenmann, Nathanael, Lautrette, Alexandre, Belville, Corinne, Blanchon, Loïc, Sapin, Vincent, Jabaudon, Matthieu, Retinoids, Development and Developmental Diseases (R2D2), Université d'Auvergne - Clermont-Ferrand I (UdA), Génétique, Reproduction et Développement (GReD), Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Institut National de la Santé et de la Recherche Médicale (INSERM), CHU Clermont-Ferrand, Department of Perioperative Medicine, CHU Clermont-Ferrand, Centre Jean Perrin [Clermont-Ferrand] (UNICANCER/CJP), UNICANCER, Génétique, Reproduction et Développement (GReD ), and Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])
- Subjects
MESH: Correlation of Data ,MESH: Middle Aged ,MESH: Humans ,MESH: Adult ,acute respiratory distress syndrome ,driving pressure ,mechanical ventilation ,intensive care unit ,[SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract ,MESH: Male ,risk prediction ,MESH: Positive-Pressure Respiration ,MESH: Critical Care ,MESH: Risk Factors ,MESH: Critical Illness ,MESH: Respiratory Distress Syndrome, Adult ,MESH: Intensive Care Units ,MESH: Respiration, Artificial ,MESH: Risk Adjustment ,MESH: Female - Abstract
International audience; Elevated driving pressure (ΔP) may be associated with increased risk of acute respiratory distress syndrome (ARDS) in patients admitted via the emergency department and with post-operative pulmonary complications in surgical patients. This study investigated the association of higher ΔP with the onset of ARDS in a high-risk, intensive care unit (ICU) population.
- Published
- 1970
46. Circulating adrenomedullin estimates survival and reversibility of organ failure in sepsis: the prospective observational multinational Adrenomedullin and Outcome in Sepsis and Septic Shock-1 (AdrenOSS-1) study
- Author
-
Mebazaa, Alexandre, Geven, Christopher, Hollinger, Alexa, Wittebole, Xavier, Chousterman, Benjamin Glen, Blet, Alice, Gayat, Etienne, Hartmann, Oliver, Scigalla, Paul, Struck, Joachim, Bergmann, Andreas, Antonelli, Massimo, Beishuizen, Albertus, Constantin, Jean-Michel, Damoisel, Charles, Deye, Nicolas, Di Somma, Salvatore, Dugernier, Thierry, François, Bruno, Gaudry, Stephane, Huberlant, Vincent, Lascarrou, Jean-Baptiste, Marx, Gernot, Mercier, Emmanuelle, Oueslati, Haikel, Pickkers, Peter, Sonneville, Romain, Legrand, Matthieu, Laterre, Pierre-François, AdrenOSS-1 Study Investigators, Laterre, Pierre François, Berghe, Caroline, Dujardin, Marie-France, Renard, Suzanne, Collienne, Christine, Zapatero, Diego Castanares, Vinetti, Marco, De Schryver, Nicolas, Thirifays, Anne, Mairesse, Jacques, Petre, Hélène, Buelens, Isabelle, Henin, Pierre, Trine, Hugues, Laurent, Yves, Sébastien, Loix, Geukens, Paul, Kehl, Laurent, Vignon, Philippe, Pichon, Nicolas, Begot, Emmanuelle, Fedou, Anne-Laure, Chapellas, Catherine, Galy, Antoine, Rodier, Nicolas, Baudrillart, Ludmilla, Nouaille, Michelle, Laleu, Séverine, Mancia, Claire, Daix, Thomas, Bourzeix, Paul, Herafa, Isabelle, Duchambon, Anne-Aurore, Lascarrou, Jean Baptiste, Fiancette, Maud, Colin, Gwenhael, Henry-Lagarrigue, Matthieu, Lacherade, Jean-Claude, Lebert, Christine, Martin-Levèvre, Laurent, Vinatier, Isabelle, Yehia, Aihem, Bachoumas, Konstantinos, Joret, Aurélie, Reignier, Jean, Rousseau, Cécille, Maquigneau, Natacha, Alcourt, Yolaine, Zinzonni, Vanessa Erragne, Deschamps, Angélique, Robert, Angelina, Simeon-Vieules, Véronique, Aubrey, Aurélie, Mabilat, Christine, Garot, Denis, Ehrmann, Stephan, Legras, Annick, Manikikian, Jouan, Youenn, Dequin, Pierre François, Guillon, Antoine, Bodet-Contentin, Laetitia, Rouve, Emmannuelle, Salmon, Charlotte, Brick, Lysiane, Massat, Stéphanie, Desachy, Arnaud, Fally, Marie Anne, Robin, Laurence, Cracco, Christophe, Lafon, Charles, Calvat, Sylvie, Rouleau, Stéphane, Schnell, David, Lasocki, Sigismond, Fesard, Philippe, Leblanc, Damien, Bouhours, Guillaume, Chassier, Claire, Conte, Mathieu, Gaillard, Thomas, Denou, Floriane, Kerymel, Mathieu, Guyon, Marion, Loiez, Anthéa, Lebreton, Stéphanie, Meziani, Ferhat, Allam, Hayat, Chenaf, Samir, Rahmani, Hassène, Heenen, Sarah, Kummerlen, Christine, Delabranche, Xavier, Boivin, Alexandra, Clere-Jehl, Raphaël, Rabouël, Yannick, Pottecher, Julien, Bayer, Sophie, Metzger, Catherine, Hecketsweiler, Stéphane, Ludes, Pierre Olivier, Besancenot, Hortense, Dhif, Nadia, Freys, Guy, Lessinger, Jean-Marc, Launoy, Anne, Ruimy, Aude, Meyer, Alain, Szozot, M., Fournier, Marie-Céline, Abroug, Sarra, Louadah, Badr, Feliot, Elodie, Voicu, Sebastian, Malissin, I., Megarbane, Bruno, Manivet, Philippe, Victori, Gardianot, Kelly, Da Silva, La Foucher, Béatrice, Pierre, Valérie, Kerdjana, Lamia, Beeken, Thomas, Goury, Antoine, Garcon, Pierre, Gaugain, Samuel, Huot, Benjamin, Barthelemy, Romain, Soyer, Benjamin, Jacob, Laurent, Bonnet, Francine, Legall, Chloé, Cupaciu, Alexandru, Letrou, Sophie, Bouadma, Lila, Mourvillier, Bruno, Deiler, Véronique, Magalhaes, Eric, Neuville, Mathilde, Timsit, Jean-François, Radjou, Aguila, Gaudry, Stéphane, Dubief, Emeline, Messika, Jonathan, La Combe, Béatrice, Roux, Damien, Berquier, Guillaume, Laissi, Mohamed, Ricard, Jean-Damien, Perbet, Sebastien, Delmas, Julie, Pascal, Julien, Cayot, Sophie, Guerin, Renaud, Jabaudon, Matthieu, Roszyk, Laurence, Rolhion, Christine, Bourdier, Justine, Lematte, Mathilde, Gouhier, Charlène, Verlhac, Camille, Godet, Thomas, Radji, Sophiano, Caumon, Elodie, Thibault, Sandrine, Marx, Nikolaus, Schuerholz, Tobias, Pezechk, Jessica, Feld, Florian, Brülls, Christian, Beeker, Thorben, Simon, Tim-Philipp, Deisz, Robert, Schindler, Achim, Meier, Bianca, Janisch, Thorsten, Hohn, Andreas, Schedler, Dirk, Wetsch, Wolfgang, Schröder, Daniel, Meier-Hellmann, Andreas, Lucht, Alexander, Henker, Robert, Römmer, Magdalena, Meinig, Torsten, Zacharowski, Kai D., Meybohm, Patrick, Lindau, Simone, Mutlak, Haitham, Kluge, Stefan, Ringeis, Grit, Füllekrug, Birgit, Singer, Brigitte, Nierhaus, Axel, Bangert, Katrin, De Heer, Geraldine, Frings, Daniel, Fuhrmann, Valentin, Müller, Jakob, Schreiber, Jörg, Sensen, Barbara, Siedler, Stephanie, Siewecke, Annekatrin, Söffker, Gerold, Wichmann, Dominic, Kerinn, Mélanie, Jaschinski, Ulrich, Kreuser, Ilse, Zanquila, Marlene, Kortgen, Andreas, Bloos, Frank, Gonnert, Falk, Thomas-Rüddel, Daniel, Haucke, Anja, Kolanos, Steffi, Kohlberg, Karina Knuhr, Bloos, Petra, Schwope, Katrin, Rossella, Marino, Russo, Veronica, Simona, Santarelli, Bartoli, Christopher, Navarin, Sylvia, Bongiovanni, Cristina, Orru, Michela, Quatrocchi, Daniela, Zoccoli, Giada, Varchetta, Antonella, De Pascale, Gennaro, Vallecoccia, Maria Sole, Cutuli, Salvatore Lucio, Digravio, Valentina, Quattrochi, Daniela, D'Arrigo, Sonia, Leone, Filippo Elvino, Beishuizen, Bert, Rinket, Martin, Border, Natalie, Bos-Burgmeijer, Mariska, Braad, Astrid, Papendorp, S., Cornet, Alexander, Vermeijden, J., Trof, Ronald J., Van De A, Marieke, Van Wezel, Helen, Heunks, Leo, Luijten-Arts, Chantal, Hoedemaekers, Astrid, Van Der Hoeven, Hans, Roovers, Noortje, and Hemelaar, Pleun
- Subjects
3. Good health - Abstract
Critical care 22(1), 354 (2018). doi:10.1186/s13054-018-2243-2
47. Driving pressure and acute respiratory distress syndrome in critically ill patients.
- Author
-
Blondonnet R, Joubert E, Godet T, Berthelin P, Pranal T, Roszyk L, Chabanne R, Eisenmann N, Lautrette A, Belville C, Cayot S, Gillart T, Souweine B, Bouvier D, Blanchon L, Sapin V, Pereira B, Constantin JM, and Jabaudon M
- Subjects
- Adult, Correlation of Data, Critical Care methods, Female, Humans, Intensive Care Units statistics & numerical data, Male, Middle Aged, Risk Adjustment, Risk Factors, Critical Illness therapy, Positive-Pressure Respiration adverse effects, Positive-Pressure Respiration methods, Respiration, Artificial adverse effects, Respiration, Artificial methods, Respiratory Distress Syndrome etiology
- Abstract
Background and Objective: Elevated driving pressure (ΔP) may be associated with increased risk of acute respiratory distress syndrome (ARDS) in patients admitted via the emergency department and with post-operative pulmonary complications in surgical patients. This study investigated the association of higher ΔP with the onset of ARDS in a high-risk, intensive care unit (ICU) population., Methods: This is a secondary analysis of a prospective multicentre observational study. Data for this ancillary study were obtained from intubated adult patients with at least one ARDS risk factor upon ICU admission enrolled in a previous multicentre observational study. Patients were followed up for the development of ARDS within 7 days (primary outcome). Univariate and multivariate analyses tested the association between ΔP (measured at ICU admission (baseline) or 24 h later (day 1)) and the development of ARDS., Results: A total of 221 patients were included in this study, among whom 34 (15%) developed ARDS within 7 days. These patients had higher baseline ΔP than those who did not (mean ± SD: 12.5 ± 3.1 vs 9.8 ± 3.4 cm H
2 O, respectively, P = 0.0001). The association between baseline ΔP and the risk of developing ARDS was robust to adjustment for baseline tidal volume, positive-end expiratory pressure, illness severity, serum lactate and sepsis, pneumonia, severe trauma and shock as primary ARDS risk factors (odds ratio: 1.20; 95% CI: 1.03-1.41; P = 0.02). The same results were found with day 1 ΔP., Conclusion: Among at-risk ICU patients, higher ΔP may identify those who are more likely to develop ARDS., (© 2018 Asian Pacific Society of Respirology.)- Published
- 2019
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.