1
|
Decaix T, Kemache K, Gay P, Laprévote O, Ketz F, Pautas É. Correction to: Prevalence and factors associated with inappropriate dosing of apixaban and rivaroxaban in hospitalized older adults with atrial fibrillation: a cross‑sectional study. Drugs Aging 2024; 41:81. [PMID: 38127166 DOI: 10.1007/s40266-023-01088-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2023]
Affiliation(s)
- Théodore Decaix
- Acute Geriatrics Unit, Charles Foix Hospital, APHP Sorbonne University, Ivry-sur-Seine, France.
- CNRS, CitCoM, Paris-Cité University, 75006, Paris, France.
| | - Kenza Kemache
- Acute Geriatrics Unit, Charles Foix Hospital, APHP Sorbonne University, Ivry-sur-Seine, France
| | - Pierre Gay
- Acute Geriatrics Unit, Charles Foix Hospital, APHP Sorbonne University, Ivry-sur-Seine, France
| | - Olivier Laprévote
- CNRS, CitCoM, Paris-Cité University, 75006, Paris, France
- Department of biology, 15-20 National Hospital Center of Ophtalmology, Paris, France
| | - Flora Ketz
- Acute Geriatrics Unit, Charles Foix Hospital, APHP Sorbonne University, Ivry-sur-Seine, France
| | - Éric Pautas
- Acute Geriatrics Unit, Charles Foix Hospital, APHP Sorbonne University, Ivry-sur-Seine, France
- Therapeutic Innovations in Hemostasis, Inserm UMR-S 1140, Paris-Cité University, Paris, France
- Medical School, Sorbonne University, Paris, France
| |
Collapse
|
2
|
Decaix T, Kemache K, Gay P, Laprévote O, Ketz F, Pautas É. Prevalence and factors associated with inappropriate dosing of apixaban and rivaroxaban in hospitalized older adults with atrial fibrillation: a cross-sectional study. Drugs Aging 2024; 41:55-64. [PMID: 37957440 DOI: 10.1007/s40266-023-01081-x] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/25/2023] [Indexed: 11/15/2023]
Abstract
INTRODUCTION Atrial fibrillation (AF) is a common condition among older adults, requiring anticoagulation therapy to prevent thromboembolic events. Direct oral anticoagulants (DOACs) are now recommended as first-line therapy for this purpose. Apixaban and rivaroxaban are two direct-factor Xa inhibitors whose dosing is based on various factors (age, weight, creatinine, and creatinine clearance) that can affect the pharmacokinetics of the medication. This study aimed to evaluate factors associated with inappropriate dosing of apixaban or rivaroxaban based on the summary of product characteristics. METHODS A retrospective, single-center study included 777 hospitalizations of patients treated with apixaban or rivaroxaban for AF between 1 January 2018 and 31 December 2022. Primary endpoint assessed whether the dose of apixaban or rivaroxaban was within the summary of product characteristics used by European Medicine Agency (EMA). RESULTS Inappropriate dosing of apixaban or rivaroxaban is noted for approximately 30% of hospitalizations mostly underdosing. Factors associated with the risk of inappropriate dosing were the presence of cognitive impairment [adjusted odds ratio (OR*) 1.65, 95% confidence interval (CI) 1.19-2.29, p value (p) = 0.002], weight per kilogram increase (OR* 1.03, 95% CI 1.01-1.04, p < 0.0001), and history of bleeding under apixaban or rivaroxaban (OR* 1.94, 95% CI 1.24-3.03, p = 0.003). CONCLUSION This study highlighted the high prevalence of inappropriate apixaban or rivaroxaban doses in older adults, particularly underdosing, which increases the risk of thromboembolism.
Collapse
Affiliation(s)
- Théodore Decaix
- Acute Geriatrics Unit, Charles Foix Hospital, APHP Sorbonne University, Ivry-sur-Seine, France.
- CNRS, CitCoM, Paris-Cité University, 75006, Paris, France.
| | - Kenza Kemache
- Acute Geriatrics Unit, Charles Foix Hospital, APHP Sorbonne University, Ivry-sur-Seine, France
| | - Pierre Gay
- Acute Geriatrics Unit, Charles Foix Hospital, APHP Sorbonne University, Ivry-sur-Seine, France
| | - Olivier Laprévote
- CNRS, CitCoM, Paris-Cité University, 75006, Paris, France
- Department of biology, 15-20 National Hospital Center of Ophtalmology, Paris, France
| | - Flora Ketz
- Acute Geriatrics Unit, Charles Foix Hospital, APHP Sorbonne University, Ivry-sur-Seine, France
| | - Éric Pautas
- Acute Geriatrics Unit, Charles Foix Hospital, APHP Sorbonne University, Ivry-sur-Seine, France
- Therapeutic Innovations in Hemostasis, Inserm UMR-S 1140, Paris-Cité University, Paris, France
- Medical School, Sorbonne University, Paris, France
| |
Collapse
|
3
|
Foulon-Pinto G, Lafuente-Lafuente C, Jourdi G, Guen JL, Tall F, Puymirat E, Delrue M, Rivière L, Ketz F, Gouin-Thibault I, Mullier F, Gaussem P, Pautas E, Lecompte T, Curis E, Siguret V. Assessment of DOAC in GEriatrics (Adage Study): Rivaroxaban/Apixaban Concentrations and Thrombin Generation Profiles in NVAF Very Elderly Patients. Thromb Haemost 2023; 123:402-414. [PMID: 36395818 PMCID: PMC10060059 DOI: 10.1055/a-1981-1763] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND Although a growing number of very elderly patients with atrial fibrillation (AF), multiple conditions, and polypharmacy receive direct oral anticoagulants (DOACs), few studies specifically investigated both apixaban/rivaroxaban pharmacokinetics and pharmacodynamics in such patients. AIMS To investigate: (1) DOAC concentration-time profiles; (2) thrombin generation (TG); and (3) clinical outcomes 6 months after inclusion in very elderly AF in-patients receiving rivaroxaban or apixaban. METHODS Adage-NCT02464488 was an academic prospective exploratory multicenter study, enrolling AF in-patients aged ≥80 years, receiving DOAC for at least 4 days. Each patient had one to five blood samples at different time points over 20 days. DOAC concentrations were determined using chromogenic assays. TG was investigated using ST-Genesia (STG-ThromboScreen, STG-DrugScreen). RESULTS We included 215 patients (women 71.1%, mean age: 87 ± 4 years), 104 rivaroxaban and 111 apixaban, and 79.5% receiving reduced-dose regimen. We observed important inter-individual variabilities (coefficient of variation) whatever the regimen, at C max [49-46%] and C min [75-61%] in 15 mg rivaroxaban and 2.5 mg apixaban patients, respectively. The dose regimen was associated with C max and C min plasma concentrations in apixaban (p = 0.0058 and p = 0.0222, respectively), but not in rivaroxaban samples (multivariate analysis). Moreover, substantial variability of thrombin peak height (STG-ThromboScreen) was noticed at a given plasma concentration for both xabans, suggesting an impact of the underlying coagulation status on TG in elderly in-patients. After 6-month follow-up, major bleeding/thromboembolic event/death rates were 6.7%/1.0%/17.3% in rivaroxaban and 5.4%/3.6%/18.9% in apixaban patients, respectively. CONCLUSION Our study provides original data in very elderly patients receiving DOAC in a real-life setting, showing great inter-individual variability in plasma concentrations and TG parameters. Further research is needed to understand the potential clinical impact of these findings.
Collapse
Affiliation(s)
- Geoffrey Foulon-Pinto
- Université Paris Cité, INSERM UMR-S-1140, Innovations Thérapeutiques en Hémostase, Paris, France.,Service d'Hématologie Biologique, AP-HP. Université Paris Cité, Hôpital Lariboisière, Paris, France
| | - Carmelo Lafuente-Lafuente
- Service de gériatrie à orientation cardiologique et neurologique, AP-HP, Sorbonne Université, Hôpitaux universitaires Pitié-Salpêtrière-Charles Foix, Ivry-sur-Seine, France.,CEpiA Team (Clinical Epidemiology and Ageing), Université Paris Est Créteil, INSERM, IMRB, Créteil, France
| | - Georges Jourdi
- Université Paris Cité, INSERM UMR-S-1140, Innovations Thérapeutiques en Hémostase, Paris, France.,Research Center, Institut de Cardiologie de Montréal - Université de Montréal, Montréal, QC, Canada
| | - Julien Le Guen
- Service de Gériatrie, AP-HP. Université Paris Cité, Hôpital Européen Georges Pompidou, Paris, France
| | - Fatoumata Tall
- Service de Gériatrie, AP-HP. Université Paris Cité, Hôpital Rothschild, Paris, France
| | - Etienne Puymirat
- Service de Cardiologie, AP-HP. Université de Paris Cité, Hôpital Européen Georges Pompidou, Paris, France
| | - Maxime Delrue
- Service d'Hématologie Biologique, AP-HP. Université Paris Cité, Hôpital Lariboisière, Paris, France
| | - Léa Rivière
- Service de gériatrie aiguë polyvalente, Hôpital Charles-Foix, AP-HP Sorbonne Université, Ivry-sur-Seine, France, UFR Médecine Sorbonne Université, Paris, France
| | - Flora Ketz
- Service de gériatrie aiguë polyvalente, Hôpital Charles-Foix, AP-HP Sorbonne Université, Ivry-sur-Seine, France, UFR Médecine Sorbonne Université, Paris, France
| | - Isabelle Gouin-Thibault
- INSERM, CIC 1414 (Centre d'Investigation Clinique de Rennes), Université de Rennes, CHU de Rennes, Rennes, France.,Service d'Hématologie Biologique, CHU de Rennes, Rennes, France
| | - François Mullier
- Department of Laboratory Medicine, Namur Thrombosis and Hemostasis Center (NTHC), Université Catholique de Louvain, Yvoir, Belgium.,Hematology-Hemostasis Laboratory, CHU UCL Namur, Yvoir, Belgium
| | - Pascale Gaussem
- Université Paris Cité, INSERM UMR-S-1140, Innovations Thérapeutiques en Hémostase, Paris, France.,Service d'Hématologie Biologique, AP-HP. Université Paris Cité, Hôpital Européen Georges Pompidou, Paris, France
| | - Eric Pautas
- Université Paris Cité, INSERM UMR-S-1140, Innovations Thérapeutiques en Hémostase, Paris, France.,Service de gériatrie aiguë polyvalente, Hôpital Charles-Foix, AP-HP Sorbonne Université, Ivry-sur-Seine, France, UFR Médecine Sorbonne Université, Paris, France
| | - Thomas Lecompte
- Service d'Hématologie Biologique, CHU de Rennes, Rennes, France.,Université de Lorraine, Faculté de médecine de Nancy, Nancy, France
| | - Emmanuel Curis
- Université de Paris Cité, UR 7537 BioSTM (Biostatistics), Faculté de Pharmacie, Paris, France
| | - Virginie Siguret
- Université Paris Cité, INSERM UMR-S-1140, Innovations Thérapeutiques en Hémostase, Paris, France.,Service d'Hématologie Biologique, AP-HP. Université Paris Cité, Hôpital Lariboisière, Paris, France
| |
Collapse
|
4
|
Nguyen-Michel VH, Houot M, Delorme C, Sangaré A, Gales A, Frazzini V, Hanin A, Aissani D, Trân T, Oquendo B, Ketz F, Lafuente-Lafuente C, Oasi C, Kinugawa K, Ouvrard G, Ursu R, Degos B, Rohaut B, Demeret S, Lambrecq V, Navarro V, Fournier E, Corvol JC, Borden A. Older patients with COVID-19 and neuropsychiatric conditions: A study of risk factors for mortality. Brain Behav 2022; 12:e2787. [PMID: 36355411 PMCID: PMC9759137 DOI: 10.1002/brb3.2787] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 09/05/2022] [Accepted: 09/24/2022] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Little is known about risk factors for mortality in older patients with COVID-19 and neuropsychiatric conditions. METHODS We conducted a multicentric retrospective observational study at Assistance Publique-Hôpitaux de Paris. We selected inpatients aged 70 years or older, with COVID-19 and preexisting neuropsychiatric comorbidities and/or new neuropsychiatric manifestations. We examined demographics, comorbidities, functional status, and presentation including neuropsychiatric symptoms and disorders, as well as paraclinical data. Cox survival analysis was conducted to determine risk factors for mortality at 40 days after the first symptoms of COVID-19. RESULTS Out of 191 patients included (median age 80 [interquartile range 74-87]), 135 (71%) had neuropsychiatric comorbidities including cognitive impairment (39%), cerebrovascular disease (22%), Parkinsonism (6%), and brain tumors (6%). A total of 152 (79%) patients presented new-onset neuropsychiatric manifestations including sensory symptoms (6%), motor deficit (11%), behavioral (18%) and cognitive (23%) disturbances, gait impairment (11%), and impaired consciousness (18%). The mortality rate at 40 days was 19.4%. A history of brain tumor or Parkinsonism or the occurrence of impaired consciousness were neurological factors associated with a higher risk of mortality. A lower Activities of Daily Living score (hazard ratio [HR] 0.69, 95% confidence interval [CI] 0.58-0.82), a neutrophil-to-lymphocyte ratio ≥ 9.9 (HR 5.69, 95% CI 2.69-12.0), and thrombocytopenia (HR 5.70, 95% CI 2.75-11.8) independently increased the risk of mortality (all p < .001). CONCLUSION Understanding mortality risk factors in older inpatients with COVID-19 and neuropsychiatric conditions may be helpful to neurologists and geriatricians who manage these patients in clinical practice.
Collapse
Affiliation(s)
- Vi-Huong Nguyen-Michel
- Sorbonne Université, AP-HP, Pitié-Salpêtrière Charles-Foix Hospital Group, Clinical Neurophysiology Department, EEG-Epilepsy Unit, Functional Exploration Unit for the Older Patients, Paris, France.,Sorbonne Université, AP-HP, Pitié-Salpêtrière Hospital, Epileptology Unit, Paris, France
| | - Marion Houot
- Sorbonne Université, Paris Brain Institute - ICM, INSERM, CNRS, Paris, France.,Sorbonne Université, AP-HP, Pitié-Salpêtrière Hospital, Institut de la Mémoire et de la maladie d'Alzheimer, Paris, France.,Sorbonne Université, AP-HP, Pitié-Salpêtrière Hospital, Center of Excellence of Neurodegenerative Disease (CoEN), Paris, France
| | - Cécile Delorme
- Sorbonne Université, Paris Brain Institute - ICM, INSERM, CNRS, Paris, France.,Sorbonne Université, AP-HP, Pitié-Salpêtrière Hospital, Department of Neurology, Paris, France
| | - Aude Sangaré
- Sorbonne Université, AP-HP, Pitié-Salpêtrière Charles-Foix Hospital Group, Clinical Neurophysiology Department, EEG-Epilepsy Unit, Functional Exploration Unit for the Older Patients, Paris, France.,Sorbonne Université, Paris Brain Institute - ICM, INSERM, CNRS, Paris, France
| | - Ana Gales
- Sorbonne Université, AP-HP, Pitié Salpêtrière Hospital, Sleep Disorders Unit, Paris, France
| | - Valerio Frazzini
- Sorbonne Université, AP-HP, Pitié-Salpêtrière Charles-Foix Hospital Group, Clinical Neurophysiology Department, EEG-Epilepsy Unit, Functional Exploration Unit for the Older Patients, Paris, France.,Sorbonne Université, AP-HP, Pitié-Salpêtrière Hospital, Epileptology Unit, Paris, France.,Sorbonne Université, Paris Brain Institute - ICM, INSERM, CNRS, Paris, France
| | - Aurélie Hanin
- Sorbonne Université, AP-HP, Pitié-Salpêtrière Charles-Foix Hospital Group, Clinical Neurophysiology Department, EEG-Epilepsy Unit, Functional Exploration Unit for the Older Patients, Paris, France.,Sorbonne Université, AP-HP, Pitié-Salpêtrière Hospital, Epileptology Unit, Paris, France.,Sorbonne Université, Paris Brain Institute - ICM, INSERM, CNRS, Paris, France
| | - Djamal Aissani
- Sorbonne Université, AP-HP, Pitié-Salpêtrière Charles-Foix Hospital Group, Department of Radiology, Paris, France
| | - Thanh Trân
- Pierre Bérégovoy Hospital, Neurological Unit, Nevers, France
| | - Bruno Oquendo
- Sorbonne Université, AP-HP, Charles-Foix Hospital, Geriatric Department, Paris, France
| | - Flora Ketz
- Sorbonne Université, AP-HP, Charles-Foix Hospital, Geriatric Department, Paris, France
| | | | - Christel Oasi
- Sorbonne Université, AP-HP, Charles-Foix Hospital, Geriatric Department, Paris, France
| | - Kiyoka Kinugawa
- Sorbonne Université, AP-HP, Pitié-Salpêtrière Charles-Foix Hospital Group, Clinical Neurophysiology Department, EEG-Epilepsy Unit, Functional Exploration Unit for the Older Patients, Paris, France.,Sorbonne Université, CNRS, UMR 8256 Biological Adaption and Aging, Paris, France
| | - Gaëlle Ouvrard
- Sorbonne Université, AP-HP, Rothschild Hospital, Neurological Rehabilitation Unit, Paris, France
| | - Renata Ursu
- Université de Paris, AP-HP Nord, Saint-Louis Hospital, Neurological Unit, Paris, France
| | - Bertrand Degos
- Sorbonne Université Paris Nord, AP-HP, Avicenne Hospital, Department of Neurology, Bobigny, France
| | - Benjamin Rohaut
- Sorbonne Université, Paris Brain Institute - ICM, INSERM, CNRS, Paris, France.,Sorbonne Université, AP-HP, Pitié-Salpêtrière Hospital, Neurological Intensive Care Unit, Paris, France
| | - Sophie Demeret
- Sorbonne Université, AP-HP, Pitié-Salpêtrière Hospital, Neurological Intensive Care Unit, Paris, France
| | - Virginie Lambrecq
- Sorbonne Université, AP-HP, Pitié-Salpêtrière Charles-Foix Hospital Group, Clinical Neurophysiology Department, EEG-Epilepsy Unit, Functional Exploration Unit for the Older Patients, Paris, France.,Sorbonne Université, AP-HP, Pitié-Salpêtrière Hospital, Epileptology Unit, Paris, France.,Sorbonne Université, Paris Brain Institute - ICM, INSERM, CNRS, Paris, France
| | - Vincent Navarro
- Sorbonne Université, AP-HP, Pitié-Salpêtrière Charles-Foix Hospital Group, Clinical Neurophysiology Department, EEG-Epilepsy Unit, Functional Exploration Unit for the Older Patients, Paris, France.,Sorbonne Université, AP-HP, Pitié-Salpêtrière Hospital, Epileptology Unit, Paris, France.,Sorbonne Université, Paris Brain Institute - ICM, INSERM, CNRS, Paris, France
| | - Emmanuel Fournier
- Sorbonne Université, AP-HP, Pitié-Salpêtrière Charles-Foix Hospital Group, Clinical Neurophysiology Department, EEG-Epilepsy Unit, Functional Exploration Unit for the Older Patients, Paris, France.,Sorbonne Université, Paris Brain Institute - ICM, INSERM, CNRS, Paris, France
| | - Jean-Christophe Corvol
- Sorbonne Université, Paris Brain Institute - ICM, INSERM, CNRS, Paris, France.,Sorbonne Université, AP-HP, Pitié-Salpêtrière Hospital, Department of Neurology, Paris, France
| | - Alaina Borden
- Sorbonne Université, AP-HP, Pitié-Salpêtrière Charles-Foix Hospital Group, Clinical Neurophysiology Department, EEG-Epilepsy Unit, Functional Exploration Unit for the Older Patients, Paris, France
| |
Collapse
|
5
|
Ketz F, Buisson A, Levassort M, Pautas É. Bidirectional endoscopy in the assessment of iron deficiency in the elderly. Geriatr Psychol Neuropsychiatr Vieil 2021:pnv.2021.0935. [PMID: 34165434 DOI: 10.1684/pnv.2021.0935] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Iron deficiency is a common pathology in elderly patients. It is most often due to lesions in the digestive tract, which raises the issue of benefit/risk balance and yield from investigation. Current UK guidelines recommend that bidirectional endoscopy (oesophago-gastro-duodenoscopy and colonoscopy) is performed synchronously, with no upper age limit. In studies conducted in people over 75 years of age, the diagnostic yield varies between 63 and 68%, which is similar to that in younger people, with approximately 40% revealing upper lesions and 40% lower lesions. Approximately 10% of elderly patients show upper and lower digestive lesions at the same time. Complications as a result of oesophago-gastro-duodenoscopy are rare and mainly related to anaesthesia. The main complication of colonoscopy is perforation and there is a slightly higher risk of perforation in older patients. This risk is less significant for computed tomographic colonography. Contraindications of endoscopies are very rare. When endoscopy is negative, this raises the question of whether further investigations should be pursued.
Collapse
Affiliation(s)
- Flora Ketz
- Service de gériatrie aiguë polyvalente, Hôpital Charles-Foix, AP-HP Sorbonne Université, Ivry-sur-Seine, France, UFR Médecine Sorbonne Université, Paris, France
| | - Anne Buisson
- Service de gériatrie aiguë polyvalente, Hôpital Charles-Foix, AP-HP Sorbonne Université, Ivry-sur-Seine, France, UFR Médecine Sorbonne Université, Paris, France
| | - Marine Levassort
- Service de gériatrie aiguë polyvalente, Hôpital Charles-Foix, AP-HP Sorbonne Université, Ivry-sur-Seine, France
| | - Éric Pautas
- Service de gériatrie aiguë polyvalente, Hôpital Charles-Foix, AP-HP Sorbonne Université, Ivry-sur-Seine, France, UFR Médecine Sorbonne Université, Paris, France
| |
Collapse
|
6
|
Delorme C, Houot M, Rosso C, Carvalho S, Nedelec T, Maatoug R, Pitron V, Gassama S, Sambin S, Bombois S, Herlin B, Ouvrard G, Bruneteau G, Hesters A, Gales AZ, Millet B, Lamari F, Lehericy S, Navarro V, Rohaut B, Demeret S, Maisonobe T, Yger M, Degos B, Mariani LL, Bouche C, Dzierzynski N, Oquendo B, Ketz F, Nguyen AH, Kas A, Lubetzki C, Delattre JY, Corvol JC. The wide spectrum of COVID-19 neuropsychiatric complications within a multidisciplinary centre. Brain Commun 2021; 3:fcab135. [PMID: 34401746 PMCID: PMC8344449 DOI: 10.1093/braincomms/fcab135] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 04/29/2021] [Accepted: 05/05/2021] [Indexed: 12/24/2022] Open
Abstract
A variety of neuropsychiatric complications has been described in association
with COVID-19 infection. Large scale studies presenting a wider picture of these
complications and their relative frequency are lacking. The objective of our
study was to describe the spectrum of neurological and psychiatric complications
in patients with COVID-19 seen in a multidisciplinary hospital centre over 6
months. We conducted a retrospective, observational study of all patients
showing neurological or psychiatric symptoms in the context of COVID-19 seen in
the medical and university neuroscience department of Assistance Publique
Hopitaux de Paris—Sorbonne University. We collected demographic data,
comorbidities, symptoms and severity of COVID-19 infection, neurological and
psychiatric symptoms, neurological and psychiatric examination data and, when
available, results from CSF analysis, MRI, EEG and EMG. A total of 249 COVID-19
patients with a de novo neurological or psychiatric
manifestation were included in the database and 245 were included in the final
analyses. One-hundred fourteen patients (47%) were admitted to the
intensive care unit and 10 (4%) died. The most frequent neuropsychiatric
complications diagnosed were encephalopathy (43%), critical illness
polyneuropathy and myopathy (26%), isolated psychiatric disturbance
(18%) and cerebrovascular disorders (16%). No patients showed
CSF evidence of SARS-CoV-2. Encephalopathy was associated with older age and
higher risk of death. Critical illness neuromyopathy was associated with an
extended stay in the intensive care unit. The majority of these neuropsychiatric
complications could be imputed to critical illness, intensive care and systemic
inflammation, which contrasts with the paucity of more direct SARS-CoV-2-related
complications or post-infection disorders.
Collapse
Affiliation(s)
- Cécile Delorme
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France.,Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Marion Houot
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France.,Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Institut de la Mémoire et de la maladie d'Alzheimer, Paris 75013, France.,Centre of Excellence of Neurodegenerative Disease (CoEN), Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Charlotte Rosso
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France.,Urgences cérébro-Vasculaires, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France.,Paris Brain Institute-ICM Stroke Network, STAR Team, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Stéphanie Carvalho
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France
| | - Thomas Nedelec
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France.,INRIA, Aramis Project-Team, Paris 75013, France
| | - Redwan Maatoug
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France.,Service de Psychiatrie adulte, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Victor Pitron
- Service de Psychiatrie adulte, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France.,Institut Jean-Nicod, UMR 8129, ENS/EHESS/CNRS, IEC, PSL Research University, Paris 75005, France
| | - Salimata Gassama
- Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Sara Sambin
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France.,Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Stéphanie Bombois
- Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Institut de la Mémoire et de la maladie d'Alzheimer, Paris 75013, France
| | - Bastien Herlin
- Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Unité d'épileptologie, Paris 75013, France.,Département de Médecine Physique et de réadaptation, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié Salpêtrière Hospital, Paris 75013, France
| | - Gaëlle Ouvrard
- Service de Neuro-orthopédie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Rothschild Hospital, Paris 75012, France
| | - Gaëlle Bruneteau
- Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France.,Centre de Recherche en Myologie, UMRS974, Association Institut de Myologie, Sorbonne Université, Institut National de la Santé et de la Recherche Médicale, Paris 75013, France
| | - Adèle Hesters
- Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Ana Zenovia Gales
- Service des Pathologies du sommeil, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Bruno Millet
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France.,Service de Psychiatrie adulte, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Foudil Lamari
- Département de Biochimie Métabolique, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Stéphane Lehericy
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France.,Département de Neuroradiologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Vincent Navarro
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France.,Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France.,Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Unité d'épileptologie, Paris 75013, France.,Département de Neurophysiologie Clinique, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Benjamin Rohaut
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France.,Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Sophie Demeret
- Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Thierry Maisonobe
- Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France.,Département de Neurophysiologie Clinique, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Marion Yger
- Unité de Soins intentifs neurovasculaires, Assistance Publique Hôpitaux de Paris, Sorbonne Université Saint-Antoine Hospital, Paris 75012, France
| | - Bertrand Degos
- Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Avicenne Hospital, Bobigny 93000, France
| | - Louise-Laure Mariani
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France.,Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Christophe Bouche
- Service de Psychiatrie adulte, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Nathalie Dzierzynski
- Département de Psychiatrie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Tenon Hospital, Paris 75020, France
| | - Bruno Oquendo
- Service de Gériatrie à orientation neurologique, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Charles Foix Hospital, Paris 94200, France
| | - Flora Ketz
- Service de Gériatrie polyvalente, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Charles Foix Hospital, Paris 94200, France
| | - An-Hung Nguyen
- Service d'Addictologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière, Paris 75013, France
| | - Aurélie Kas
- Service de Médecine Nucléaire et LIB, INSERM U1146, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié- Salpêtrière Hospital, Paris 75013, France
| | - Catherine Lubetzki
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France.,Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | - Jean-Yves Delattre
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France
| | - Jean-Christophe Corvol
- CNRS UMR 7225, Sorbonne Université, Paris Brain Institute-ICM, Inserm U1127, Paris 75013, France.,Département de Neurologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Pitié-Salpêtrière Hospital, Paris 75013, France
| | | |
Collapse
|
7
|
Zerah L, Baudouin É, Pépin M, Mary M, Krypciak S, Bianco C, Roux S, Gross A, Toméo C, Lemarié N, Dureau A, Bastiani S, Ketz F, Boully C, de Villelongue C, Romdhani M, Desoutter MA, Duron E, David JP, Thomas C, Paillaud E, de Malglaive P, Bouvard E, Lacrampe M, Mercadier E, Monti A, Hanon O, Fossey-Diaz V, Bourdonnec L, Riou B, Vallet H, Boddaert J. Clinical Characteristics and Outcomes of 821 Older Patients With SARS-Cov-2 Infection Admitted to Acute Care Geriatric Wards. J Gerontol A Biol Sci Med Sci 2021; 76:e4-e12. [PMID: 32845301 PMCID: PMC7546043 DOI: 10.1093/gerona/glaa210] [Citation(s) in RCA: 48] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Indexed: 12/21/2022] Open
Abstract
Background There is limited information describing the characteristics and outcomes of hospitalized older patients with confirmed coronavirus disease 2019 (COVID-19). Method We conducted a multicentric retrospective cohort study in 13 acute COVID-19 geriatric wards, from March 13 to April 15, 2020, in Paris area. All consecutive patients aged 70 years and older, with confirmed COVID-19, were enrolled. Results Of the 821 patients included in the study, the mean (SD) age was 86 (7) years; 58% were female; 85% had ≥2 comorbidities; 29% lived in an institution; and the median [interquartile range] Activities of Daily Living scale (ADL) score was 4 [2–6]. The most common symptoms at COVID-19 onset were asthenia (63%), fever (55%), dyspnea (45%), dry cough (45%), and delirium (25%). The in-hospital mortality was 31% (95% confidence interval [CI] 27–33). On multivariate analysis, at COVID-19 onset, the probability of in-hospital mortality was increased with male gender (odds ratio [OR] 1.85; 95% CI 1.30–2.63), ADL score <4 (OR 1.84; 95% CI 1.25–2.70), asthenia (OR 1.59; 95% CI 1.08–2.32), quick Sequential Organ Failure Assessment score ≥2 (OR 2.63; 95% CI 1.64–4.22), and specific COVID-19 anomalies on chest computerized tomography (OR 2.60; 95% CI 1.07–6.46). Conclusions This study provides new information about older patients with COVID-19 who are hospitalized. A quick bedside evaluation at admission of sex, functional status, systolic arterial pressure, consciousness, respiratory rate, and asthenia can identify older patients at risk of unfavorable outcomes.
Collapse
Affiliation(s)
- Lorène Zerah
- Assistance Publique-Hôpitaux de Paris (APHP), Hôpital La Pitié-Salpêtrière, Department of Geriatric Medicine, France.,Sorbonne Université, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Paris, France
| | - Édouard Baudouin
- Assistance Publique-Hôpitaux de Paris (APHP), Hôpital La Pitié-Salpêtrière, Department of Geriatric Medicine, France
| | - Marion Pépin
- APHP, Hôpital Ambroise Paré, Department of Geriatric Medicine, Boulogne, Billancourt, France.,Université de Versailles Saint-Quentin en Yvelynes, Université Paris-Saclay, INSERM, CESP, Villejuif, France
| | - Morgane Mary
- APHP, Hôpital Paul Brousse, Department of Geriatric Medicine, Villejuif, France
| | - Sébastien Krypciak
- APHP, Hôpital Henri Mondor, Department of Geriatric Medicine, Créteil, France.,Université Paris Est Creteil, INSERM, IMRB, France
| | - Céline Bianco
- APHP, Hôpital Saint Antoine, Department of Geriatric Medicine, Paris, France.,Sorbonne Université, INSERM, UMRS 1135, Centre d'immunologie et de Maladies Infectieuses (CIMI), Paris, France
| | - Swasti Roux
- APHP, Hôpital Corentin Celton, Department of Geriatric Medicine, Issy les Moulineaux, France
| | - Ariane Gross
- APHP, Université de Paris, Hôpital Bichat, Department of Geriatric Medicine, France
| | - Charlotte Toméo
- Assistance Publique-Hôpitaux de Paris (APHP), Hôpital La Pitié-Salpêtrière, Department of Geriatric Medicine, France
| | - Nadège Lemarié
- APHP, Sorbonne Université, Hôpital Tenon, Department of Geriatric Medicine, Paris, France
| | - Antoine Dureau
- APHP, Sorbonne Université, Hôpital Rothschild, Department of Geriatric Medicine, Paris, France
| | - Sophie Bastiani
- APHP, Université Paris Sud, Hôpital Béclère, Department of Geriatric Medicine, Clamart, France
| | - Flora Ketz
- APHP, Sorbonne Université, Hôpital Charles Foix, Department of Geriatric Medicine, Ivry sur Seine, France
| | - Clémence Boully
- APHP, Hôpital Broca, Department of Geriatric Medicine, Paris, France.,Université de Paris, Sorbonne Paris-Cité, Team, France
| | - Cédric de Villelongue
- APHP, Université de Paris, Hôpital Bretonneau, Department of Geriatric Medicine and Palliative Care, France
| | - Mouna Romdhani
- APHP, Université de Paris, Hôpital Bretonneau, Department of Psychogeriatric Medicine, France
| | - Marie-Astrid Desoutter
- APHP, Hôpital Ambroise Paré, Department of Geriatric Medicine, Boulogne, Billancourt, France.,Université de Versailles Saint-Quentin en Yvelynes, Université Paris-Saclay, INSERM, CESP, Villejuif, France
| | - Emmanuelle Duron
- APHP, Hôpital Paul Brousse, Department of Geriatric Medicine, Villejuif, France.,Université Paris-Saclay, INSERM 1178, CESP, Équipe MOODS. Le Kremlin-Bicêtre, France
| | - Jean-Philippe David
- APHP, Hôpital Henri Mondor, Department of Geriatric Medicine, Créteil, France.,Université Paris Est Creteil, INSERM, IMRB, France
| | - Caroline Thomas
- APHP, Hôpital Saint Antoine, Department of Geriatric Medicine, Paris, France
| | - Elena Paillaud
- Université Paris Est Creteil, INSERM, IMRB, France.,APHP, Paris Cancer Institute CARPEM, Department of Geriatric Medicine, Hôpital Européen Georges Pompidou, France
| | - Pauline de Malglaive
- APHP, Université de Paris, Hôpital Bichat, Department of Geriatric Medicine, France
| | - Eric Bouvard
- APHP, Sorbonne Université, Hôpital Tenon, Department of Geriatric Medicine, Paris, France
| | - Mathilde Lacrampe
- APHP, Sorbonne Université, Hôpital Rothschild, Department of Geriatric Medicine, Paris, France
| | - Elise Mercadier
- APHP, Université Paris Sud, Hôpital Béclère, Department of Geriatric Medicine, Clamart, France
| | - Alexandra Monti
- APHP, Sorbonne Université, Hôpital Charles Foix, Department of Geriatric Medicine, Ivry sur Seine, France
| | - Olivier Hanon
- APHP, Hôpital Broca, Department of Geriatric Medicine, Paris, France.,Université de Paris, Sorbonne Paris-Cité, Team, France
| | - Virginie Fossey-Diaz
- APHP, Université de Paris, Hôpital Bretonneau, Department of Geriatric Medicine and Palliative Care, France
| | - Lauriane Bourdonnec
- APHP, Université de Paris, Hôpital Bretonneau, Department of Psychogeriatric Medicine, France
| | - Bruno Riou
- Sorbonne Université, UMRS INSERM 1166, Paris, France.,APHP, Hôpital La Pitié-Salpêtrière, Department of Emergency Medicine, Paris, France
| | - Hélène Vallet
- APHP, Hôpital Saint Antoine, Department of Geriatric Medicine, Paris, France.,Sorbonne Université, INSERM, UMRS 1135, Centre d'immunologie et de Maladies Infectieuses (CIMI), Paris, France
| | - Jacques Boddaert
- Assistance Publique-Hôpitaux de Paris (APHP), Hôpital La Pitié-Salpêtrière, Department of Geriatric Medicine, France.,Sorbonne Université, INSERM, UMRS 1135, Centre d'immunologie et de Maladies Infectieuses (CIMI), Paris, France
| |
Collapse
|
8
|
Ketz F, Buisson A, Velentza A, Pautas É. [Intravenous iron supplementation in the elderly patient]. Soins Gerontol 2020; 25:44-46. [PMID: 32444083 DOI: 10.1016/j.sger.2020.03.015] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Iron deficiency, absolute or functional, is a common pathology in elderly patients and the way of iron replacement therapy is a recurrent issue. It seems to be necessary to treat by intravenous iron instead of oral therapy because of defective iron absorption or side effects. Depending on the molecule chosen, the modes of administration, whether dilution, dose or rhythm, vary. The major risk of intravenous iron replacement is anaphylaxis, which is very rare, this is why it has to be an hospital administration.
Collapse
Affiliation(s)
- Flora Ketz
- Service de gériatrie aiguë polyvalente, Hôpital Charles-Foix, Groupe hospitalier AP-HP-Sorbonne Université, 7 avenue de la République, 94200 Ivry-sur-Seine, France; UFR médecine, Paris-Sorbonne université, 91-105 boulevard de l'Hôpital, 75013 Paris, France.
| | - Anne Buisson
- Service de gériatrie aiguë polyvalente, Hôpital Charles-Foix, Groupe hospitalier AP-HP-Sorbonne Université, 7 avenue de la République, 94200 Ivry-sur-Seine, France; UFR médecine, Paris-Sorbonne université, 91-105 boulevard de l'Hôpital, 75013 Paris, France
| | - Athanasia Velentza
- Service de gériatrie aiguë polyvalente, Hôpital Charles-Foix, Groupe hospitalier AP-HP-Sorbonne Université, 7 avenue de la République, 94200 Ivry-sur-Seine, France
| | - Éric Pautas
- Service de gériatrie aiguë polyvalente, Hôpital Charles-Foix, Groupe hospitalier AP-HP-Sorbonne Université, 7 avenue de la République, 94200 Ivry-sur-Seine, France; UFR médecine, Paris-Sorbonne université, 91-105 boulevard de l'Hôpital, 75013 Paris, France
| |
Collapse
|
9
|
Lecomte F, Lobbe M, Kohler S, Ketz F, Breining A, Pautas É. [Tardive dyskinesia following discontinuation of neuroleptic therapy in 87-year-old patient]. Soins Gerontol 2019; 24:41-42. [PMID: 31806178 DOI: 10.1016/j.sger.2019.09.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
In the absence of a therapeutic alternative, the use of neuroleptics in geriatrics should be limited to the bare minimum, given their potentially serious deleterious effects in frail elderly patients. Dyskinesia is one of their most common side effects. Case of an elderly patient in whom the dyskinesia was revealed following abrupt cessation of a neuroleptic taken in the long term with discussions of the etiological hypotheses of this rare situation, which nevertheless deserve to be known.
Collapse
Affiliation(s)
| | | | - Samuel Kohler
- Unité de psychiatrie de la personne âgée, hôpital Charles-Foix, groupe hospitalier, AP-HP, 7, avenue de la République, 94200 Ivry-sur-Seine, France; UFR Médecine, Paris Sorbonne Université, 91, boulevard de l'Hôpital, 75013 Paris, France
| | - Flora Ketz
- Service de gériatrie aiguë polyvalente; UFR Médecine, Paris Sorbonne Université, 91, boulevard de l'Hôpital, 75013 Paris, France
| | | | - Éric Pautas
- Service de gériatrie aiguë polyvalente; UFR Médecine, Paris Sorbonne Université, 91, boulevard de l'Hôpital, 75013 Paris, France.
| |
Collapse
|
10
|
Abstract
Giant cell arteritis (GCA) is associated with an increased risk of cardio- or cerebro-vascular death. The stroke rate in patients with GCA varies between 2.7 and 7.4%. The etiological diagnosis may be challenging between atherosclerotic stroke and stroke related to GCA. Case of an old woman who had ischemic stroke and concomitant diagnosis of GCA and brain imaging characteristics.
Collapse
Affiliation(s)
- Flora Ketz
- Gériatrie aiguë polyvalente, GH Pitié-Salpêtrière - Charles-Foix (AP-HP), site Charles-Foix, 7, avenue de la République, 94200 Ivry-sur-Seine, France; UFR de médecine, université Paris-6, université Paris-Sorbonne, 91-105, boulevard de l'Hôpital, 75013 Paris, France.
| | - Alexandra Monti
- Gériatrie aiguë polyvalente, GH Pitié-Salpêtrière - Charles-Foix (AP-HP), site Charles-Foix, 7, avenue de la République, 94200 Ivry-sur-Seine, France
| | - Athanasia Velentza
- Gériatrie aiguë polyvalente, GH Pitié-Salpêtrière - Charles-Foix (AP-HP), site Charles-Foix, 7, avenue de la République, 94200 Ivry-sur-Seine, France
| | - Alice Breining
- Gériatrie aiguë polyvalente, GH Pitié-Salpêtrière - Charles-Foix (AP-HP), site Charles-Foix, 7, avenue de la République, 94200 Ivry-sur-Seine, France
| | - Anne Léger
- Unité de soins intensifs neurovasculaires, GH Pitié-Salpêtrière - Charles-Foix (AP-HP), site Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France
| | - Éric Pautas
- Gériatrie aiguë polyvalente, GH Pitié-Salpêtrière - Charles-Foix (AP-HP), site Charles-Foix, 7, avenue de la République, 94200 Ivry-sur-Seine, France; UFR de médecine, université Paris-6, université Paris-Sorbonne, 91-105, boulevard de l'Hôpital, 75013 Paris, France
| |
Collapse
|
11
|
Buisson A, Hsibe M, Velentza A, Ketz F, Pautas E. [Not Available]. Soins Gerontol 2019; 24:43-44. [PMID: 31084809 DOI: 10.1016/j.sger.2019.03.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Anne Buisson
- Service de gériatrie aiguë polyvalente, AP-HP, GHU Pitié-Salpêtrière Charles-Foix, hôpital Charles-Foix, 94205 Ivry-sur-Seine Cedex, France; UFR Médecine Sorbonne Université, 91 boulevard de l'Hôpital, 75013 Paris, France.
| | - Mélanie Hsibe
- Service de gériatrie aiguë polyvalente, AP-HP, GHU Pitié-Salpêtrière Charles-Foix, hôpital Charles-Foix, 94205 Ivry-sur-Seine Cedex, France
| | - Athanasia Velentza
- Service de gériatrie aiguë polyvalente, AP-HP, GHU Pitié-Salpêtrière Charles-Foix, hôpital Charles-Foix, 94205 Ivry-sur-Seine Cedex, France
| | - Flora Ketz
- Service de gériatrie aiguë polyvalente, AP-HP, GHU Pitié-Salpêtrière Charles-Foix, hôpital Charles-Foix, 94205 Ivry-sur-Seine Cedex, France; UFR Médecine Sorbonne Université, 91 boulevard de l'Hôpital, 75013 Paris, France
| | - Eric Pautas
- Service de gériatrie aiguë polyvalente, AP-HP, GHU Pitié-Salpêtrière Charles-Foix, hôpital Charles-Foix, 94205 Ivry-sur-Seine Cedex, France; UFR Médecine Sorbonne Université, 91 boulevard de l'Hôpital, 75013 Paris, France
| |
Collapse
|
12
|
Charpin A, Ketz F, Boddaert J, Moisi L, Pautas E. Ventricular tachycardia: An electrocardiographic artifact induced by tremors. Geriatr Gerontol Int 2018; 18:1299-1300. [DOI: 10.1111/ggi.13445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 03/08/2018] [Accepted: 04/04/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Agathe Charpin
- Polyvalent Geriatric Center; Pitié-Salpétriere Hospital Group, Charles Foix Center; Ivry Sur Seine France
| | - Flora Ketz
- Polyvalent Geriatric Center; Pitié-Salpétriere Hospital Group, Charles Foix Center; Ivry Sur Seine France
- Sorbone University, UPMC; Paris France
| | - Jacques Boddaert
- Sorbone University, UPMC; Paris France
- Geriatric Center; Pitié-Salpétrière Hospital; Paris France
| | - Laura Moisi
- Geriatic Center; Saint-Antoine Hospital; Paris France
| | - Eric Pautas
- Polyvalent Geriatric Center; Pitié-Salpétriere Hospital Group, Charles Foix Center; Ivry Sur Seine France
- Sorbone University, UPMC; Paris France
| |
Collapse
|