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Georges JL, Gaulupeau V, Chanut A, Merceron A, Delaroche-Vernet S, Harboun M, Chayeb S, Sadeg O, Aribi EH, Galindo G, Sekour K, Bornand A, Romain D. [Management of congestive heart failure in the elderly after hospitalization for acute decompensation Interest of a dedicated territorial geriatric network ; the GERICCO-78 study]. Ann Cardiol Angeiol (Paris) 2022; 71:259-266. [PMID: 36041961 DOI: 10.1016/j.ancard.2022.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Accepted: 08/05/2022] [Indexed: 06/15/2023]
Abstract
AIMS Heart failure (HF) is the leading cause of hospitalisation in the elderly in France. Early rehospitalisations are common, often through an emergency department. The aim of this study was to assess the impact of a primary care-hospital coordination network, with interventions by coordination nurses (IDEC), on the rehospitalisations after a first hospitalisation for acute decompensation in frail elderly HF patients. METHODS From 01/10/2019 to 01/10/2021, 237 patients aged > 75 years with frailty criteria, hospitalised in 8 departments of 5 private or public hospitals in the Yvelines Sud health territory were followed by an IDEC (hospital visit, telephone contacts, home visit(s)) within 3 months of their return home. This prospective observational study analysed the rate of consultations to the emergency room, rehospitalisations (total and for acute HF), and the number of events avoided at 90 days after discharge. RESULTS The mean age of the patients was 87 years, 54% were women, 68% had a left ventricular ejection fraction > 40%, and 70% had atrial fibrillation. Non-cardiac comorbidities were very frequent. At 3-month follow-up, mortality was 9.3% (22/237), only 27 patients (11.3%) consulted the emergency room for acute HF, and the rehospitalisation rate for HF was 19.8%, without difference according to left ventricular ejection fraction. A consultation to the emergency room or a rehospitalisation for heart failure could be avoided for 10% of patients. CONCLUSION This study suggests that a primary care-hospital coordination network with dedicated coordination nurses is useful for the management of very elderly frail patients following hospitalisation for heart failure, limiting visits to the emergency room and rehospitalisations.
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Affiliation(s)
- Jean-Louis Georges
- Service de Cardiologie, Centre Hospitalier de Versailles, Hôpital André Mignot, 177 rue de Versailles, 78157, Le Chesnay-Rocquencourt, France.
| | - Violaine Gaulupeau
- Service de Cardiologie, Centre Hospitalier de Versailles, Hôpital André Mignot, 177 rue de Versailles, 78157, Le Chesnay-Rocquencourt, France
| | - Anais Chanut
- Infirmière Coordinatrice, Cellule de coordination ville-hôpital, et réseau REPY, Centre Hospitalier de Versailles, Le Chesnay-Rocquencourt, France
| | - Annick Merceron
- Infirmière Coordinatrice, Cellule de coordination ville-hôpital, et réseau REPY, Centre Hospitalier de Plaisir, Plaisir, France
| | - Sophie Delaroche-Vernet
- Infirmière Coordinatrice, Cellule de coordination ville-hôpital, et réseau REPY, Centre Hospitalier de Versailles, Le Chesnay-Rocquencourt, France
| | - Marc Harboun
- Service de gériatrie aiguë et soins de suite gériatrique, Hôpital Privé de la Porte Verte, Versailles, France
| | - Samir Chayeb
- Service de Cardiologie, Centre Hospitalier de Rambouillet, Rambouillet, France
| | - Ouali Sadeg
- Service de gériatrie aiguë , Centre Hospitalier de Plaisir, Plaisir, France
| | - El Heddi Aribi
- Service de soins de suite gériatriques, Centre Hospitalier de Plaisir, Plaisir, France
| | - Géraldine Galindo
- Service de gériatrie aiguë, Centre Hospitalier de Rambouillet, Rambouillet, France
| | - Kaci Sekour
- Service de médecine et soins de suite gériatriques, Centre Hospitalier de la Mauldre, Jouars Pontchartrain, France
| | - Anne Bornand
- Service de gériatrie aiguë, Pôle de gériatrie, Centre Hospitalier de Versailles, Hôpital André Mignot, Le Chesnay-Rocquencourt, France
| | - Delphine Romain
- Service de soins de suite gériatriques, Pôle de gériatrie, Centre Hospitalier de Versailles, Hôpital Richaud, Versailles, France
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Astaras C, De Vito C, Bornand A, Sciarra A, Khanfir K, Letovanec I, Dietrich P, Tsantoulis P, Kössler T. P-146 The first comprehensive genomic characterization of rectal squamous cell carcinoma. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.04.236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Asselineau D, Benlhassan K, Arosio B, Mari D, Ferri E, Casati M, Gussago C, Tedone E, Annoni G, Mazzola P, Piette F, Belmin J, Pariel S, Bornand A, Beaudeux JL, Doulazmi M, Mariani J, Bray DH. Interleukin-10 Production in Response to Amyloid-β Differs between Slow and Fast Decliners in Patients with Alzheimer's Disease. J Alzheimers Dis 2016; 46:837-42. [PMID: 26402623 DOI: 10.3233/jad-142832] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We investigated IL-10 and IL-6 production in amyloid-β (Aβ) stimulated peripheral blood mononuclear cells (PBMCs) in twenty Alzheimer's disease (AD) patients with slow progression, eleven with fast progression, and twenty age-matched controls. Promoter polymorphisms in IL-10 (position -592, -819, -1082), IL-6 (-174), transforming growth factor-β1 (TGF-β1) (-10, -25), interferon-γ (IFN-γ) (-874), and tumor necrosis factor-α (TNF-α) (-308) genes were analyzed. IL-10 production after Aβ stimulation was high in PBMCs from slow decliners and almost completely abrogated in fast decliners. Association between AA IFN-γ low-producing genotype and fast progression was demonstrated. Investigations in a larger sample will clarify these findings.
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Affiliation(s)
- Delphine Asselineau
- ImmunoClin Ltd, London, UK.,UPMC University Paris 06, UMR 8256 Biological Adaptation and Ageing (B2A) Team Brain Development, Repair and Aging (BDRA), Paris, France.,CNRS, UMR 8256 Biological Adaptation and Ageing (B2A) Team Brain Development, Repair and Aging (BDRA), Paris, France
| | | | - Beatrice Arosio
- Geriatric Unit, Department of Medical Sciences and Community Health, University of Milan, Milan, Italy.,Geriatric Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy
| | - Daniela Mari
- Geriatric Unit, Department of Medical Sciences and Community Health, University of Milan, Milan, Italy.,Geriatric Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy
| | - Evelyn Ferri
- Geriatric Unit, Department of Medical Sciences and Community Health, University of Milan, Milan, Italy
| | - Martina Casati
- Geriatric Unit, Department of Medical Sciences and Community Health, University of Milan, Milan, Italy
| | - Cristina Gussago
- Geriatric Unit, Department of Medical Sciences and Community Health, University of Milan, Milan, Italy
| | - Enzo Tedone
- Geriatric Unit, Department of Medical Sciences and Community Health, University of Milan, Milan, Italy
| | - Giorgio Annoni
- Geriatric Clinic, Department of Health Science, Milan Center for Neuroscience, University Study of Milano-Bicocca, Milan, Italy
| | - Paolo Mazzola
- Geriatric Clinic, Department of Health Science, Milan Center for Neuroscience, University Study of Milano-Bicocca, Milan, Italy
| | - Francois Piette
- AP-HP, DHU FAST GH Pitie-Salpêtrière-Charles Foix, Paris, France
| | - Joel Belmin
- AP-HP, DHU FAST GH Pitie-Salpêtrière-Charles Foix, Paris, France
| | - Sylvie Pariel
- AP-HP, DHU FAST GH Pitie-Salpêtrière-Charles Foix, Paris, France
| | - Anne Bornand
- AP-HP, DHU FAST GH Pitie-Salpêtrière-Charles Foix, Paris, France
| | - Jean-Louis Beaudeux
- UMR-S 1139 "Pathophysiology and pharmacotoxicology of human placenta", Faculty of Pharmacy, Paris Descartes, Paris, France.,Department of Medical Biochemistry, Necker Hospital, AP-HP, Paris, France
| | - Mohamed Doulazmi
- UPMC University Paris 06, UMR 8256 Biological Adaptation and Ageing (B2A) Team Brain Development, Repair and Aging (BDRA), Paris, France.,CNRS, UMR 8256 Biological Adaptation and Ageing (B2A) Team Brain Development, Repair and Aging (BDRA), Paris, France.,AP-HP, DHU FAST GH Pitie-Salpêtrière-Charles Foix, Paris, France
| | - Jean Mariani
- UPMC University Paris 06, UMR 8256 Biological Adaptation and Ageing (B2A) Team Brain Development, Repair and Aging (BDRA), Paris, France.,CNRS, UMR 8256 Biological Adaptation and Ageing (B2A) Team Brain Development, Repair and Aging (BDRA), Paris, France.,AP-HP, DHU FAST GH Pitie-Salpêtrière-Charles Foix, Paris, France
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Tedone E, Arosio B, Colombo F, Ferri E, Asselineau D, Piette F, Gussago C, Belmin J, Pariel S, Benlhassan K, Casati M, Bornand A, Rossi PD, Mazzola P, Annoni G, Doulazmi M, Mariani J, Porretti L, Bray DH, Mari D. Leukocyte Telomere Length in Alzheimer’s Disease Patients with a Different Rate of Progression. J Alzheimers Dis 2015; 46:761-9. [DOI: 10.3233/jad-142808] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- Enzo Tedone
- Geriatric Unit, Department of Medical Sciences and Community Health, University of Milan, Milan, Italy
| | - Beatrice Arosio
- Geriatric Unit, Department of Medical Sciences and Community Health, University of Milan, Milan, Italy
- Geriatric Unit, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy
| | - Federico Colombo
- Flow Cytometry Service, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy
| | - Evelyn Ferri
- Geriatric Unit, Department of Medical Sciences and Community Health, University of Milan, Milan, Italy
| | - Delphine Asselineau
- ImmunoClin Ltd, London, UK
- UPMC University Paris 06, UMR 8526 Biological Adaptation and Ageing (B2A) Team Brain Development, Repair and Aging (BDRA), Paris, France
- CNRS, UMR 8526 Biological Adaptation and Ageing (B2A) Team Brain Development, Repair and Aging (BDRA), Paris, France
| | - Francois Piette
- AP-HP, DHU FAST GH Pitie-Salpêtrière-Charles Foix, Paris, France
| | - Cristina Gussago
- Geriatric Unit, Department of Medical Sciences and Community Health, University of Milan, Milan, Italy
| | - Joel Belmin
- AP-HP, DHU FAST GH Pitie-Salpêtrière-Charles Foix, Paris, France
| | - Sylvie Pariel
- AP-HP, DHU FAST GH Pitie-Salpêtrière-Charles Foix, Paris, France
| | | | - Martina Casati
- Geriatric Unit, Department of Medical Sciences and Community Health, University of Milan, Milan, Italy
| | - Anne Bornand
- AP-HP, DHU FAST GH Pitie-Salpêtrière-Charles Foix, Paris, France
| | - Paolo Dionigi Rossi
- Geriatric Unit, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy
| | - Paolo Mazzola
- Geriatric Clinic, Department of Health Science, Milan Center for Neuroscience, University Study of Milano-Bicocca, Milan, Italy
| | - Giorgio Annoni
- Geriatric Clinic, Department of Health Science, Milan Center for Neuroscience, University Study of Milano-Bicocca, Milan, Italy
| | - Mohamed Doulazmi
- UPMC University Paris 06, UMR 8526 Biological Adaptation and Ageing (B2A) Team Brain Development, Repair and Aging (BDRA), Paris, France
- CNRS, UMR 8526 Biological Adaptation and Ageing (B2A) Team Brain Development, Repair and Aging (BDRA), Paris, France
- AP-HP, DHU FAST GH Pitie-Salpêtrière-Charles Foix, Paris, France
| | - Jean Mariani
- UPMC University Paris 06, UMR 8526 Biological Adaptation and Ageing (B2A) Team Brain Development, Repair and Aging (BDRA), Paris, France
- CNRS, UMR 8526 Biological Adaptation and Ageing (B2A) Team Brain Development, Repair and Aging (BDRA), Paris, France
- AP-HP, DHU FAST GH Pitie-Salpêtrière-Charles Foix, Paris, France
| | - Laura Porretti
- Flow Cytometry Service, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy
| | | | - Daniela Mari
- Geriatric Unit, Department of Medical Sciences and Community Health, University of Milan, Milan, Italy
- Geriatric Unit, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy
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Goehrs L, Baudry E, Bornand A. [Spondylodiscitis due to Mycobacterium tuberculosis and Streptococcus agalactiae]. Med Mal Infect 2014; 44:486-7. [PMID: 25277405 DOI: 10.1016/j.medmal.2014.09.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2014] [Revised: 07/07/2014] [Accepted: 09/01/2014] [Indexed: 11/29/2022]
Affiliation(s)
- L Goehrs
- Unité de court séjour gériatrique, université Paris-Île-de-France-Ouest, hôpital André-Mignot, Le-Chesnay, France.
| | - E Baudry
- Service de médecine interne-gériatrie aiguë, groupe hospitalier Pitié Salpêtrière-Charles Foix, université Pierre-et-Marie-Curie, hôpital Charles Foix, Ivry-sur-Seine, France
| | - A Bornand
- Service de médecine interne-gériatrie aiguë, groupe hospitalier Pitié Salpêtrière-Charles Foix, université Pierre-et-Marie-Curie, hôpital Charles Foix, Ivry-sur-Seine, France
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Rousselot P, Cony-Makhoul P, Nicolini F, Mahon FX, Berthou C, Réa D, Reiffers J, Bornand A, Saint-Jean O, Guilhot J, Guilhot F. Long-term safety and efficacy of imatinib mesylate (Gleevec®) in elderly patients with chronic phase chronic myelogenous leukemia: results of the AFR04 study. Am J Hematol 2013; 88:1-4. [PMID: 22987312 DOI: 10.1002/ajh.23330] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2012] [Accepted: 08/17/2012] [Indexed: 12/15/2022]
Abstract
Data from registries suggest that the median age of chronic myelogenous leukemia (CML) patients is 10-15 years older than that of clinical trials. We conducted a prospective phase II study to evaluate imatinib mesylate (IM, 400 mg daily) in newly diagnosed chronic phase CML (CP-CML) patients. Patients aged 70 years and over diagnosed with CP-CML within 12 months were eligible. Thirty patients were enrolled from April 2002 to October 2004. Median age was 74.8 years (range, 70-90). Male/female ratio was 1.72. At inclusion, comorbidities were reported in all but one patient, Cumulative Illness Rating Scale for Geriatrics comorbidity mean index was 1.47, and 66% of patients had cardiovascular disease. The median daily IM dose was 392 mg (range, 256-445). IM was interrupted in patients with severe comorbidities. Treatment discontinuation was observed in 36.6% of patients. Cumulative incidence of complete cytogenetic response was 71.4 and 78.5% at 12 and 24 months, respectively. A high level of sustained responses was observed in patients with mild or moderate comorbidities. Seven-year estimated overall survival was 80.8% (95% CI: 59.0-91.7). Two-thirds of the patients were still on long-term therapy at cut-off, and no patients had died from progression. This trial was registered at http://www.clinicaltrials.gov as # NCT00219765.
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Affiliation(s)
- Philippe Rousselot
- Department of Hematology and Oncology, Hôpital Mignot, Université Versailles Saint-Quentin-en-Yvelines, Le Chesnay, France.
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Piette F, Bornand A, Cotto E. [Management of pneumonia in the elderly]. Rev Prat 2011; 61:1085-1089. [PMID: 22135973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Pneumonias in elderly are frequent and severe. They require an accurate assessment following clinical, biological and radiological steps. Each of them can contribute to give answers to the following questions: does this patient need emergency hospitalisation? Is the infection really bacterial and pulmonary? Should antibiotics be started? Which others treatments should be associated for the infection itself and for comorbid conditions? Concerning prevention, every effort must be done to decrease the incidence of these infections, especially vaccination. Pulmonary infections in nursing home need specific attention: cumulation of bad prognosis factors, risk of epidemic propagation, and vaccination of all people caring patients when required.
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Affiliation(s)
- François Piette
- Hôpital Charles-Foix, Service de médecine interne, 94200 Ivry-sur-Seine.
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Sené T, Anard-Michelot H, Bornand A. [Staphylococcus aureus musculocutaneous abscess, thrombophlebitis and spondylodiscitis]. Rev Prat 2009; 59:317. [PMID: 19408869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Affiliation(s)
- Thomas Sené
- Service de médecine interne et gériatrie, hôpital Charles-Foix, 94200 Ivry-sur-Seine, France.
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Sené T, Gatey M, Chaïbi P, Bornand A, Piette F. Hypogammaglobulinémie du sujet âgé en gériatrie aiguë : étude rétrospective de prévalence sur 5ans. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.10.134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Lebourgeois F, Bornand A, Moulias S. Indications des statines chez les patients âgés de plusde 70 ans. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80606-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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André E, Klapczynski F, Siguret V, Bornand A, Gaussem P. [Lymphoproliferative syndrome in a 87-year-old patient: leukemic phase of mantle cell lymphoma or chronic lymphoid leukemia]. Ann Biol Clin (Paris) 1997; 55:235-7. [PMID: 9238426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
MESH Headings
- Aged
- Aged, 80 and over
- Biomarkers, Tumor/analysis
- Diagnosis, Differential
- Humans
- Leukemia, Lymphocytic, Chronic, B-Cell/diagnosis
- Leukemia, Lymphocytic, Chronic, B-Cell/metabolism
- Leukemia, Lymphocytic, Chronic, B-Cell/pathology
- Lymphoma, Non-Hodgkin/diagnosis
- Lymphoma, Non-Hodgkin/metabolism
- Lymphoma, Non-Hodgkin/pathology
- Lymphoproliferative Disorders/diagnosis
- Lymphoproliferative Disorders/metabolism
- Lymphoproliferative Disorders/pathology
- Male
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Affiliation(s)
- E André
- Laboratoire d'hématologie, Groupe hospitalier Charles-Foix-Jean-Rostand, Ivry-sur-Seine
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