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Deschanvres C, Levieux K, Launay E, Huby AC, Scherdel P, de Visme S, Hanf M, Gras-Le Guen C. Non-immunization associated with increased risk of sudden unexpected death in infancy: A national case-control study. Vaccine 2023; 41:391-396. [PMID: 36460531 DOI: 10.1016/j.vaccine.2022.10.087] [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: 03/20/2022] [Revised: 10/28/2022] [Accepted: 10/31/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVE In the context of vaccine scepticism, our study aimed to analyse the association between immunization status and the occurrence of sudden unexpected death in infancy (SUDI). STUDY DESIGN A multi-centre case-control study was conducted between May 2015 and June 2017 with data from the French national SUDI registry (OMIN) for 35 French regional SUDI centres. Cases were infants under age 1 year who died from SUDI and who were registered in OMIN. Controls, matched to cases by age and sex at a 2:1 ratio, were infants admitted to Nantes University Hospital. All immunization data for diphtheria (D), tetanus (T), acellular pertussis (aP), inactivated poliovirus (IPV), Haemophilus influenzae b (Hib), hepatitis B (HB) and 13-valent pneumococcal conjugate vaccine (PCV13) were collected by a physician. Cases and controls were considered immunized if at least one dose of vaccine was administered. RESULTS A total of 91 cases and 182 controls were included. The median age was 131 days (interquartile range 98-200.0) and the sex ratio (M/F) was about 1.1. For all vaccines combined (D-T-aP-IPV-Hib and PCV13), 22 % of SUDI cases versus 12 % of controls were non-immunized, which was significantly associated with SUDI after adjustment for potential adjustment factors (adjusted odds ratio 2.01 [95 % confidence interval 1.01-3.98, p = 0,047]). CONCLUSIONS Non-immunization for D-T-aP-IPV-Hib-HB and PCV13 was associated with increased risk of SUDI. This result can be used to inform the general public and health professionals about this risk of SUDI in case of vaccine hesitancy.
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Affiliation(s)
- Colin Deschanvres
- Infectious Diseases Department, Nantes University Hospital, Nantes, France.
| | - Karine Levieux
- Pediatric and Emergency Department, University Hospital of Nantes, Nantes, France
| | - Elise Launay
- Pediatric and Emergency Department, University Hospital of Nantes, Nantes, France; Clinical Investigation Centre (CIC004), Inserm CIC 1413, Nantes University Hospital, Nantes, France
| | - Anne-Cécile Huby
- Clinical Investigation Centre (CIC004), Inserm CIC 1413, Nantes University Hospital, Nantes, France
| | - Pauline Scherdel
- Clinical Investigation Centre (CIC004), Inserm CIC 1413, Nantes University Hospital, Nantes, France
| | - Sophie de Visme
- Clinical Investigation Centre (CIC004), Inserm CIC 1413, Nantes University Hospital, Nantes, France
| | - Matthieu Hanf
- Inserm UMR 1181 B2PHI, Versailles Saint Quentin University, Villejuif, France
| | - Christèle Gras-Le Guen
- Pediatric and Emergency Department, University Hospital of Nantes, Nantes, France; Clinical Investigation Centre (CIC004), Inserm CIC 1413, Nantes University Hospital, Nantes, France
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Le Berre C, Flamant M, Bouguen G, Siproudhis L, Dewitte M, Dib N, Cesbron-Metivier E, Goronflot T, Hanf M, Gourraud PA, Kerdreux E, Poinas A, Bourreille A, Trang-Poisson C. VALIDation of the IBD-Disk Instrument for Assessing Disability in Inflammatory Bowel Diseases in a French Cohort: The VALIDate Study. J Crohns Colitis 2020; 14:1512-1523. [PMID: 32417910 DOI: 10.1093/ecco-jcc/jjaa100] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [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] [Indexed: 02/08/2023]
Abstract
BACKGROUND AND AIMS Inflammatory bowel diseases [IBD] are disabling disorders. The IBD-Disability Index [IBD-DI] was developed for quantifying disability in IBD patients but is difficult to use. The IBD-Disk is a visual adaptation of the IBD-DI. It has not been validated yet. The main objectives were to validate the IBD-Disk and to assess the clinical factors associated with a change in the score and its variability over time. METHODS From May 2018 to July 2019, IBD patients from three university-affiliated hospitals responded twice to both IBD-Disk and IBD-DI at 3-12 month intervals. Validation included concurrent validity, reproducibility, and internal consistency. Mean IBD-Disk scores were compared according to clinical factors. Variability was assessed by comparing scores between baseline and follow-up visits. RESULTS A total of 447 patients [71% Crohn's disease, 28% ulcerative colitis] were included in the analysis at baseline and 265 at follow-up. There was a good correlation between IBD-Disk and IBD-DI [r = 0.75, p <0.001]. Reproducibility was excellent [intra-class correlation coefficient = 0.90], as well as internal consistency [Cronbach's α = 0.89]. The IBD-Disk was not influenced by IBD type but was associated with female gender and physician global assessment. Extra-intestinal manifestations, history of resection, elevated C-reactive protein and faecal calprotectin also tended to be associated with higher disability. The IBD-Disk score decreased in patients becoming inactive over time. CONCLUSIONS This study validated the IBD-Disk in a large cohort of IBD patients, demonstrating that it is a valid and reliable tool for quantifying disability for both CD and UC.
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Affiliation(s)
- Catherine Le Berre
- Institut des Maladies de l'Appareil Digestif, Nantes University Hospital, Nantes, France
| | - Mathurin Flamant
- Institut des Maladies de l'Appareil Digestif, Nantes University Hospital, Nantes, France.,Centre d'Investigation Clinique, Nantes University Hospital, Nantes, France
| | - Guillaume Bouguen
- Service des Maladies de l'Appareil Digestif, Rennes University Hospital, Rennes, France
| | - Laurent Siproudhis
- Service des Maladies de l'Appareil Digestif, Rennes University Hospital, Rennes, France
| | - Marie Dewitte
- Service des Maladies de l'Appareil Digestif, Rennes University Hospital, Rennes, France
| | - Nina Dib
- Service de Gastroentérologie, Angers University Hospital, Angers, France
| | | | - Thomas Goronflot
- Clinique des Données, Nantes University Hospital, Nantes, France
| | - Matthieu Hanf
- Clinique des Données, Nantes University Hospital, Nantes, France
| | | | - Elise Kerdreux
- Centre d'Investigation Clinique, Nantes University Hospital, Nantes, France
| | - Alexandra Poinas
- Direction de la Recherche Clinique, Nantes University Hospital, Nantes, France
| | - Arnaud Bourreille
- Institut des Maladies de l'Appareil Digestif, Nantes University Hospital, Nantes, France.,Centre d'Investigation Clinique, Nantes University Hospital, Nantes, France
| | - Caroline Trang-Poisson
- Institut des Maladies de l'Appareil Digestif, Nantes University Hospital, Nantes, France.,Centre d'Investigation Clinique, Nantes University Hospital, Nantes, France
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Le Berre C, Bourreille A, Flamant M, Bouguen G, Siproudhis L, Dewitte M, Dib N, Cesbron-Metivier E, Goronflot T, Hanf M, Gourraud PA, Kerdreux E, Poinas A, Trang-Poisson C. Protocol of a multicentric prospective cohort study for the VALIDation of the IBD-disk instrument for assessing disability in inflammatory bowel diseases: the VALIDate study. BMC Gastroenterol 2020; 20:110. [PMID: 32299390 PMCID: PMC7164208 DOI: 10.1186/s12876-020-01246-7] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2018] [Accepted: 03/27/2020] [Indexed: 12/22/2022] Open
Abstract
Background Inflammatory Bowel Diseases (IBD) affect psychological, family, social and professional dimensions of patients’ life, leading to disability which is essential to quantify as part of Patient-Reported Outcomes (PROs) newly included in the targets to reach in IBD patients. Up to now, the IBD-Disability Index (IBD-DI) was the only validated tool to assess disability, but it is not appropriate for use in clinical practice. The IBD Disk was developed, a shortened and self-administered tool, adapted from the IBD-DI, in order to give immediate representation of patient-reported disability. However, the IBD Disk has not been validated yet in clinical practice. The aims of the VALIDate study are to validate this tool in a large population of IBD patients and to compare it to the already validated IBD-DI. Methods The VALIDate study is an ongoing multicentric prospective cohort study launched in April 2018 in 3 French University Hospitals (Nantes, Rennes, Angers), with an objective to reach a sample of 400 patients over a period inclusion of 6 months. Each patient will fill in the two questionnaires IBD Disk and IBD-DI at baseline, then between 3 and 12 months later, during a follow-up visit. Clinical and socio-demographic data will also be collected. During these two consultations, gastroenterologists and patients will evaluate disease activity thanks to a semi-quantitative 4-grade scale, named respectively PGA (Physician Global Assessment) and PtGA (Patient Global Assessment). This cohort will allow to evaluate the validity of the IBD Disk with respect to the IBD-DI in order to generalize its use for clinical practice. Other psychometric criteria of the IBD Disk will also be analysed as its reliability or its discriminant capacity. Close attention will nonetheless be needed to minimize the number of lost to follow-up patients between baseline and follow-up. Discussion The VALIDate study is the study designed to validate the IBD Disk, a visual tool easily useable in daily practice to assess disability in IBD patients. The results of this trial should enable the diffusion of this tool. Trial registration The trial is registered in ClinicalTrials.Gov with registration number NCT03590639. First posted: July 18, 2018.
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Affiliation(s)
- C Le Berre
- Institut des Maladies de l'Appareil Digestif, Nantes University Hospital, Nantes, France.
| | - A Bourreille
- Institut des Maladies de l'Appareil Digestif, Nantes University Hospital, Nantes, France
| | - M Flamant
- Institut des Maladies de l'Appareil Digestif, Nantes University Hospital, Nantes, France
| | - G Bouguen
- Service des Maladies de l'Appareil Digestif, Rennes University Hospital, Rennes, France
| | - L Siproudhis
- Service des Maladies de l'Appareil Digestif, Rennes University Hospital, Rennes, France
| | - M Dewitte
- Service des Maladies de l'Appareil Digestif, Rennes University Hospital, Rennes, France
| | - N Dib
- Service de Gastroentérologie, Angers University Hospital, Angers, France
| | - E Cesbron-Metivier
- Service de Gastroentérologie, Angers University Hospital, Angers, France
| | - T Goronflot
- Clinique des Données, Nantes University Hospital, Nantes, France
| | - M Hanf
- Clinique des Données, Nantes University Hospital, Nantes, France
| | - P-A Gourraud
- Clinique des Données, Nantes University Hospital, Nantes, France
| | - E Kerdreux
- Centre d'Investigation Clinique, Nantes University Hospital, Nantes, France
| | - A Poinas
- Direction de la Recherche Clinique, Nantes University Hospital, Nantes, France
| | - C Trang-Poisson
- Institut des Maladies de l'Appareil Digestif, Nantes University Hospital, Nantes, France
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Müller JB, Hanf M, Flamant C, Olivier M, Rouger V, Gascoin G, Basset H, Rozé JC, Nusinovici S. Relative contributions of prenatal complications, perinatal characteristics, neonatal morbidities and socio-economic conditions of preterm infants on the occurrence of developmental disorders up to 7 years of age. Int J Epidemiol 2020; 48:71-82. [PMID: 30428050 DOI: 10.1093/ije/dyy240] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/11/2018] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND To investigate the relative contributions of prenatal complications, perinatal characteristics, neonatal morbidities and socio-economic conditions on the occurrence of motor, sensory, cognitive, language and psychological disorders in a large longitudinal preterm infant population during the first 7 years after birth. METHODS The study population comprised 4122 infants born at <35 weeks of gestation who were followed for an average of 74.0 months after birth. Developmental disorders, including motor, sensory, cognitive, language and psychological, were assessed at each follow-up visit from 18 months to 7 years of age. The investigated determinants included prenatal complications (prolonged rupture of membranes >24 hours, intrauterine growth restriction, preterm labour and maternal hypertension), perinatal characteristics (gender, multiple pregnancies, gestational age, birth weight, APGAR score and intubation or ventilation in the delivery room), neonatal complications (low weight gain during hospitalization, respiratory assistance, severe neurological anomalies, nosocomial infections) and socio-economic characteristics (socio-economic level, parental separation, urbanicity). Based on hazard ratios determined using a propensity score matching approach, population-attributable fractions (PAF) were calculated for each of the four types of determinants and for each developmental disorder. RESULTS The percentages of motor, sensory, cognitive, language and psychological disorders were 17.0, 13.4, 29.1, 25.9 and 26.1%, respectively. The PAF for the perinatal characteristics were the highest and they were similar for the different developmental disorders considered (around 60%). For the neonatal and socio-economic determinants, the PAF varied according to the disorder, with contributions of up to 17% for motor and 27% for language disorders, respectively. Finally, prenatal complications had the lowest contributions (between 6 and 13%). CONCLUSIONS This study illustrates the heterogeneity of risk factors on the risk of developmental disorder in preterm infants. These results suggest the importance of considering both medical and psycho-social follow-ups of preterm infants and their families.
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Affiliation(s)
- Jean-Baptiste Müller
- Department of Neonatal Medicine, Nantes University Hospital, Nantes, France.,Réseau 'Grandir Ensemble', Nantes University Hospital, Nantes, France
| | - Matthieu Hanf
- INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France.,INSERM UMR 1181 Biostatistics, Biomathematics, Pharmacoepidemiology and Infectious Diseases (B2PHI), Versailles Saint Quentin University, Villejuif, France
| | - Cyril Flamant
- Department of Neonatal Medicine, Nantes University Hospital, Nantes, France.,Réseau 'Grandir Ensemble', Nantes University Hospital, Nantes, France
| | - Marion Olivier
- Réseau 'Grandir Ensemble', Nantes University Hospital, Nantes, France
| | - Valérie Rouger
- Réseau 'Grandir Ensemble', Nantes University Hospital, Nantes, France
| | - Géraldine Gascoin
- Department of Neonatal Medicine, Angers University Hospital, Angers, France
| | - Hélène Basset
- Department of Neonatal Medicine, Le Mans Hospital, Le Mans, France
| | - Jean-Christophe Rozé
- Department of Neonatal Medicine, Nantes University Hospital, Nantes, France.,Réseau 'Grandir Ensemble', Nantes University Hospital, Nantes, France
| | - Simon Nusinovici
- INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France.,Ocular Epidemiology Research Group, Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore
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Sentilhes L, Madar H, Ducarme G, Hamel JF, Mattuizzi A, Hanf M. Outcomes of operative vaginal delivery managed by residents under supervision and attending obstetricians: a prospective cross-sectional study. Am J Obstet Gynecol 2019; 221:59.e1-59.e15. [PMID: 30807764 DOI: 10.1016/j.ajog.2019.02.044] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Revised: 02/14/2019] [Accepted: 02/19/2019] [Indexed: 01/28/2023]
Abstract
BACKGROUND To assess both severe maternal and neonatal mortality and morbidity after attempted operative vaginal deliveries by residents under supervision and by attending obstetricians. STUDY DESIGN Secondary analysis of a 5-year prospective study with cross-sectional analysis including 2192 women with live singleton term fetuses in vertex presentation who underwent an attempted operative vaginal delivery in a tertiary care university hospital. Obstetricians who attempted or performed an operative vaginal delivery were classified into 2 groups according to their level of experience: attending obstetricians (who had 5 years or more of experience) and obstetric residents (who had less than 5 years of experience) under the supervision of an attending obstetrician. We used multivariate logistic regression and propensity score methods to compare outcomes associated with attending obstetricians and obstetric residents. Severe maternal morbidity was defined as third- or fourth-degree perineal laceration, perineal hematoma, cervical laceration, extended uterine incision for cesareans, postpartum hemorrhage >1500 mL, surgical hemostatic procedures, uterine artery embolization, blood transfusion, infection, thromboembolic events, admission to the intensive care unit, or maternal death; severe neonatal morbidity was defined as a 5-minute Apgar score <7, umbilical artery pH <7.00, need for resuscitation or intubation, neonatal trauma, intraventricular hemorrhage greater than grade 2, neonatal intensive care unit admission for more than 24 hours, convulsions, sepsis, or neonatal death. RESULTS High prepregnancy body mass index, high dose of oxytocin, manual rotation, persistent occiput posterior or transverse positions, operating room delivery, midpelvic delivery, forceps, and spatulas were significantly more frequent in deliveries managed by attending obstetricians than residents whereas a second-stage pushing phase longer than 30 minutes was significantly more frequent in deliveries managed by residents. The rate of severe maternal morbidity was 7.8% (115/1475) for residents vs 9.9% (48/484) for attending obstetricians; for severe neonatal morbidity, the rates were 8.3% (123/1475) vs 15.1% (73/484), respectively. In the univariate, multivariable, and sensitivity analyses, attempted operative vaginal delivery managed by a resident was significantly and inversely associated with severe neonatal but not maternal morbidity. After propensity score matching, delivery managed by a resident was not significantly associated with severe maternal morbidity (adjusted odds ratio, 0.74; 95% confidence interval, 0.39-1.38) and was no longer associated with neonatal morbidity (adjusted odds ratio, 0.51; 95% confidence interval, 0.25-1.04). CONCLUSION Management of attempted operative vaginal deliveries by residents under the supervision of attending obstetricians, compared with by the attending obstetricians themselves, does not appear to be associated with either maternal or neonatal morbidity. These reassuring results support the continued use of residency programs for training in operative vaginal deliveries under the supervision of attending obstetricians.
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Simon L, Hanf M, Frondas-Chauty A, Darmaun D, Rouger V, Gascoin G, Flamant C, Nusinovici S, Rozé JC. Neonatal growth velocity of preterm infants: The weight Z-score change versus Patel exponential model. PLoS One 2019; 14:e0218746. [PMID: 31251763 PMCID: PMC6599123 DOI: 10.1371/journal.pone.0218746] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Accepted: 06/08/2019] [Indexed: 11/18/2022] Open
Abstract
Background Different methods are used to assess the growth of preterm infants during neonatal hospital stay. The primary objective was to compare two methods for assessing growth velocity: g/kg/d according to the Patel exponential model (EM) and change in weight z-score (ZS) according to Fenton curves. The secondary objective was to highlight factors influencing the level of agreement between the two methods. Methods Preterm infants born before 33 weeks were included. Growth velocity was computed by EM and ZS methods and linear regression was used to predict what growth velocity by EM method would be obtained using the ZS method. Differences between EM growth velocity and EM growth velocity predicted by ZS method were then used to assess the level of agreement between the two methods. A difference between -2 and +2 g/kg/day was considered as fair agreement, greater than ± 4 g/kg/day as poor agreement, and as disagreement otherwise. Results Among the 3954 children included, we observe a fair agreement in 2471 children (62.5%), a poor agreement in 1278 (32.3%) and a disagreement in 205 children (5.2%). Birth weight and gestational age explained 31% and 25%, respectively, of the variance in the difference between the two methods. Conclusions In more than a third of enrolled children, the two methods for measuring growth velocity disagreed substantially. As variation of weight Z-score takes into account infant gestational age and gender, it could be more suitable to analyze a population of preterm infants with a wide range of gestational age.
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Affiliation(s)
- Laure Simon
- Department of Neonatal Medicine, Nantes University Hospital, Nantes, France
- Epidemiologie Clinique, Centre d’Investigation Clinique (CIC004), Nantes University Hospital, Nantes, France
- * E-mail:
| | - Matthieu Hanf
- INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France
| | - Anne Frondas-Chauty
- Department of Neonatal Medicine, Nantes University Hospital, Nantes, France
- Epidemiologie Clinique, Centre d’Investigation Clinique (CIC004), Nantes University Hospital, Nantes, France
| | - Dominique Darmaun
- INRA, UMR 1280 Physiologie des Adaptations Nutritionnelles, Nantes University Hospital, Nantes, France
| | - Valérie Rouger
- Réseau "Grandir Ensemble", Nantes University Hospital, Nantes, France
| | - Géraldine Gascoin
- Department of Neonatal Medicine, Angers University Hospital, Angers, France
| | - Cyril Flamant
- Department of Neonatal Medicine, Nantes University Hospital, Nantes, France
- Epidemiologie Clinique, Centre d’Investigation Clinique (CIC004), Nantes University Hospital, Nantes, France
| | - Simon Nusinovici
- INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France
| | - Jean-Christophe Rozé
- Department of Neonatal Medicine, Nantes University Hospital, Nantes, France
- Epidemiologie Clinique, Centre d’Investigation Clinique (CIC004), Nantes University Hospital, Nantes, France
- INRA, UMR 1280 Physiologie des Adaptations Nutritionnelles, Nantes University Hospital, Nantes, France
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Scharbarg E, Wargny M, Leclère B, Plunian P, Velkovski-Rouyer M, De Visme S, Hanf M, Krempf M, Nobécourt E. The SURCOUF study: Design and baseline characteristics of a prospective population-based cohort on diabetes care in France. Ann Endocrinol (Paris) 2019; 80:136-137. [PMID: 30833017 DOI: 10.1016/j.ando.2018.11.005] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Revised: 09/11/2018] [Accepted: 11/05/2018] [Indexed: 06/09/2023]
Affiliation(s)
- Emeric Scharbarg
- Service d'endocrinologie, maladies métaboliques et nutrition, hôpital Laennec, CHU de Nantes, 44100 Nantes, France; Centre de recherche en nutrition humaine ouest, 44100 Nantes, France.
| | - Matthieu Wargny
- Service d'endocrinologie, maladies métaboliques et nutrition, hôpital Laennec, CHU de Nantes, 44100 Nantes, France
| | - Brice Leclère
- Service d'évaluation médicale et d'épidémiologie PHU 11, CHU Hôtel-Dieu, 44100 Nantes, France
| | - Patrick Plunian
- Centre de recherche en nutrition humaine ouest, 44100 Nantes, France
| | | | | | - Matthieu Hanf
- Inserm CIC 1413, CHU de Nantes, 44100 Nantes, France
| | - Michel Krempf
- Service d'endocrinologie, maladies métaboliques et nutrition, hôpital Laennec, CHU de Nantes, 44100 Nantes, France; Centre de recherche en nutrition humaine ouest, 44100 Nantes, France
| | - Estelle Nobécourt
- Service d'endocrinologie, maladies métaboliques et nutrition, hôpital Saint-Pierre, CHU de la Réunion, 97448 Saint-Pierre. France
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Madar H, Hanf M, Ducarme G, Mattuizzi A, Froeliger A, Nithart A, Gleyze M, Coatleven F, Hamel JF, Sentilhes L. Does level of training for operative vaginal delivery impact maternal and neonatal outcomes? Eur J Obstet Gynecol Reprod Biol 2019. [DOI: 10.1016/j.ejogrb.2018.08.478] [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: 11/16/2022]
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Hanf M, Nusinovici S, Rouger V, Olivier M, Berlie I, Flamant C, Gascoin G, Van Bogaert P, Rozé JC. Cohort Profile: Longitudinal study of preterm infants in the Pays de la Loire region of France (LIFT cohort). Int J Epidemiol 2019; 46:1396-1397h. [PMID: 29106567 DOI: 10.1093/ije/dyx110] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/30/2017] [Indexed: 11/14/2022] Open
Affiliation(s)
- Matthieu Hanf
- INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France.,INSERM UMR 1181 Biostatistics, Biomathematics, Pharmacoepidemiology and Infectious Diseases (B2PHI), Versailles Saint Quentin University, Villejuif, France
| | - Simon Nusinovici
- INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France
| | - Valérie Rouger
- 'Loire Infant Follow-up Team' (LIFT) Network, Nantes, Pays de Loire, France
| | - Marion Olivier
- 'Loire Infant Follow-up Team' (LIFT) Network, Nantes, Pays de Loire, France
| | - Isabelle Berlie
- Department of Paediatric Neurology, Angers University Hospital, Angers, France
| | - Cyril Flamant
- INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France.,Department of Paediatric Medicine, Nantes University Hospital, Nantes, France
| | - Géraldine Gascoin
- Department of Neonatal Medicine, Angers University Hospital, Angers, France
| | | | - Jean-Christophe Rozé
- INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France.,Department of Paediatric Medicine, Nantes University Hospital, Nantes, France
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10
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Allavena C, Hanf M, Rey D, Duvivier C, BaniSadr F, Poizot-Martin I, Jacomet C, Pugliese P, Delobel P, Katlama C, Joly V, Chidiac C, Dournon N, Merrien D, May T, Reynes J, Gagneux-Brunon A, Chirouze C, Huleux T, Cabié A, Raffi F. Antiretroviral exposure and comorbidities in an aging HIV-infected population: The challenge of geriatric patients. PLoS One 2018; 13:e0203895. [PMID: 30240419 PMCID: PMC6150468 DOI: 10.1371/journal.pone.0203895] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2018] [Accepted: 08/29/2018] [Indexed: 11/25/2022] Open
Abstract
As HIV-infected adults on successful antiretroviral therapy (ART) are expected to have close to normal lifespans, they will increasingly develop age-related comorbidities. The objective of this cross-sectional study was to compare in the French Dat’AIDS cohort, the HIV geriatric population, aged 75 years and over, to the elderly one, aged from 50 to 74 years. As of Dec 2015, 16,436 subjects (43.8% of the French Dat’AIDS cohort) were aged from 50 to 74 (elderly group) and 572 subjects (1.5%) were aged 75 and over (geriatric group). Durations of HIV infection and of ART were slightly but significantly different, median at 19 and 18 years, and 15 and 16 years in the elderly and geriatric group, respectively. The geriatric group was more frequently at CDC stage C and had a lower nadir CD4. This group had been more exposed to first generation protease inhibitors and thymidine analogues. Despite similar virologic suppression, type of ART at the last visit significantly differed between the 2 groups: triple ART in 74% versus 68.2%, ART ≥ 4 drugs in 4.7% versus 2.7%; dual therapy in 11.6% versus 16.4% in the elderly group and the geriatric group, respectively. In the geriatric group all co-morbidities were significantly more frequent, except dyslipidemia, 4.3% of the elderly group had ≥4 co-morbidities versus18.4% in the geriatric group. Despite more co-morbidities and more advanced HIV infection the geriatric population achieve similar high rate of virologic suppression than the elderly population. A multidisciplinary approach should be developed to face the incoming challenge of aging HIV population.
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Affiliation(s)
- Clotilde Allavena
- Infectious Diseases Department, University Hospital of Nantes, Nantes, France
- INSERM CIC1413, University Hospital of Nantes, Nantes, France
- * E-mail:
| | - Matthieu Hanf
- INSERM CIC1413, University Hospital of Nantes, Nantes, France
- INSERM UMR 1181 B2PHI, Versailles Saint Quentin University, institut Pasteur, Villejuif, France
| | - David Rey
- Centre for HIV Infection Care, Strasbourg, France
| | - Claudine Duvivier
- AP-HP-Necker Hospital, Infectious Diseases Department, Necker-Pasteur Infectiology Centre, Paris, France
- Medical Centre of Pasteur Institut, Necker-Pasteur Infectiology Centre, Paris, France
- EA7327, Paris Descartes University, Sorbonne Paris Cité, Paris, France
| | - Firouze BaniSadr
- Department of Internal Medicine, Infectious Diseases, and Clinical Immunology, Reims Teaching Hospitals, University of Reims, Reims, France
- Université de Reims Champagne-Ardenne, Faculté de médecine, EA-4684 / SFR CAP-SANTE, Reims, France
| | - Isabelle Poizot-Martin
- Immuno-Hematology Clinic, Aix-Marseille University, APHM Hôpital Sainte-Marguerite, Marseille, France
- Inserm U912 (SESSTIM), Marseille, France
| | - Christine Jacomet
- Infectious Diseases Department, University of Clermont-Ferrand, Clermont-Ferrand, France
| | - Pascal Pugliese
- Department of Infectious Diseases, Centre Hospitalier Universitaire de l'Archet, Nice, France
| | - Pierre Delobel
- INSERM, UMR1043, Toulouse and Université Toulouse III Paul Sabatier, Toulouse, France
- Department of Infectious Diseases, Toulouse University Hospital, Toulouse, France
| | - Christine Katlama
- Department of Infectious Diseases, Assistance publique-Hôpitaux de Paris, Pitié-Salpêtrière University Hospital, Paris, France
- Inserm Unité Mixte de Recherche en Santé 1136, Université Pierre et Marie Curie Paris 06, Sorbonne Universités, Paris, France
| | - Véronique Joly
- Infectious Diseases Department, Hôpital Bichat, AP-HP, Paris, France
- National Institute of Health and Medical Research (INSERM) IAME, UMR 1137, Paris Diderot University, Sorbonne Paris Cité, Paris, France
| | - Christian Chidiac
- Infectious and Tropical Diseases Department, Hospices Civils de Lyon, Claude Bernard Lyon 1 University, Lyon, France
| | - Nathalie Dournon
- Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne, Faculté de Médecine Hyacinthe Bastaraud, Université des Antilles, Pointe à Pitre, France
- Inserm CIC 1424, Centre Hospitalier Universitaire de Pointe-à-Pitre, Pointe-à-Pitre, France
| | - Dominique Merrien
- Departement of infectious diseases, CHD Vendee, La Roche sur yon, France
| | - Thierry May
- Department of infectious diseases, University Hospital Centre, Nancy, France
| | - Jacques Reynes
- Infectious Diseases Department, Montpellier University Hospital, Montpellier, France
- UMI233 INSERM U1175, Montpellier University Hospital, Montpellier, France
| | | | - Catherine Chirouze
- Infectious Diseases Department, University hospital of Besançon, Besançon, France
- UMR CNRS 6249, University of Bourgogne-Franche Comté, Besançon, France
| | - Thomas Huleux
- Infectious Diseases Department, University hospital of Tourcoing, Tourcoing, France
| | - André Cabié
- Inserm CIC 1424, Centre Hospitalier Universitaire de Pointe-à-Pitre, Pointe-à-Pitre, France
- Infectious Diseases Department, University Hospital of Martinique, Fort-de-France, France
- EA4537, Université des Antilles, Fort-de-France, France
| | - François Raffi
- Infectious Diseases Department, University Hospital of Nantes, Nantes, France
- INSERM CIC1413, University Hospital of Nantes, Nantes, France
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Nusinovici S, Olliac B, Flamant C, Müller JB, Olivier M, Rouger V, Gascoin G, Basset H, Bouvard C, Rozé JC, Hanf M. Impact of parental separation or divorce on school performance in preterm children: A population-based study. PLoS One 2018; 13:e0202080. [PMID: 30192749 PMCID: PMC6128464 DOI: 10.1371/journal.pone.0202080] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2017] [Accepted: 07/27/2018] [Indexed: 11/25/2022] Open
Abstract
The objective of this study was to quantify the possible decrease in school performance at five years of age in preterm children associated with parental separation or divorce, and to test whether this effect varies according to the child’s age at the time of the separation. This study included 3,308 infants delivered at < 35 weeks of gestation born between 2003 and 2011 who were enrolled in the population-based LIFT cohort and who had an optimal neurodevelopmental outcome at two years of age. These infants were evaluated by their teachers to assess their abilities and behavior when they had reached five years of age, using the Global School Adaptation (GSA) questionnaire. The mean GSA score was 50.8 points. Parental separations (assessed as parents either living together or living separately) were associated with a decrease in school performance at five years of age, although this was only the case for children who exhibited difficulties at school (3.7 points, p < 0.01). A decrease in school performance only occurred when parental separations took place between 3 and 5 years after the child’s birth. Parental separation was associated with a decrease in these children’s levels of motivation, autonomy, and manual dexterity. This study indicates that preterm infants of parents who had separated are particularly at risk of a lower scholar performance.
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Affiliation(s)
- Simon Nusinovici
- INSERM, CIC 1413, Nantes University Hospital, Nantes, France
- * E-mail:
| | - Bertrand Olliac
- Department of Child and Adolescent Psychiatry, Centre Hospitalier Esquirol, Limoges, France
- INSERM, UMR1094, Tropical Neuroepidemiology, Limoges, France
| | - Cyril Flamant
- INSERM, CIC 1413, Nantes University Hospital, Nantes, France
- Department of Neonatal Medicine, Nantes University Hospital, Nantes, France
| | | | - Marion Olivier
- Réseau “Grandir Ensemble”, Nantes University Hospital, Nantes, France
| | - Valérie Rouger
- Réseau “Grandir Ensemble”, Nantes University Hospital, Nantes, France
| | - Géraldine Gascoin
- Department of Neonatal Medicine, Angers University Hospital, Angers, France
| | - Hélène Basset
- Department of Neonatal Medicine, Le Mans Hospital, Le Mans, France
| | - Charlotte Bouvard
- SOS Prema (parents of French preterm children organization), Boulogne-Billancourt, France
| | - Jean-Christophe Rozé
- INSERM, CIC 1413, Nantes University Hospital, Nantes, France
- Department of Neonatal Medicine, Nantes University Hospital, Nantes, France
- Réseau “Grandir Ensemble”, Nantes University Hospital, Nantes, France
| | - Matthieu Hanf
- INSERM, CIC 1413, Nantes University Hospital, Nantes, France
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12
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Raffi F, Hanf M, Ferry T, Khatchatourian L, Joly V, Pugliese P, Katlama C, Robineau O, Chirouze C, Jacomet C, Delobel P, Poizot-Martin I, Ravaux I, Duvivier C, Gagneux-Brunon A, Rey D, Reynes J, May T, Bani-Sadr F, Hoen B, Morrier M, Cabie A, Allavena C. Impact of baseline plasma HIV-1 RNA and time to virological suppression on virological rebound according to first-line antiretroviral regimen. J Antimicrob Chemother 2018; 72:3425-3434. [PMID: 28961719 DOI: 10.1093/jac/dkx300] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2017] [Accepted: 07/26/2017] [Indexed: 01/20/2023] Open
Abstract
Objectives We investigated the risk of virological rebound in HIV-1-infected patients achieving virological suppression on first-line combined ART (cART) according to baseline HIV-1 RNA, time to virological suppression and type of regimen. Patients and methods Subjects were 10 836 adults who initiated first-line cART (two nucleoside or nucleotide reverse transcriptase inhibitors + efavirenz, a ritonavir-boosted protease inhibitor or an integrase inhibitor) from 1 January 2007 to 31 December 2014. Cox proportional hazards models with multiple adjustment and propensity score matching were used to investigate the effect of baseline HIV-1 RNA and time to virological suppression on the occurrence of virological rebound. Results During 411 436 patient-months of follow-up, risk of virological rebound was higher in patients with baseline HIV-1 RNA ≥100 000 copies/mL versus <100 000 copies/mL, in those achieving virological suppression in > 6 months versus <6 months, and lower with efavirenz or integrase inhibitors than with ritonavir-boosted protease inhibitors. Baseline HIV-1 RNA >100 000 copies/mL was associated with virological rebound for ritonavir-boosted protease inhibitors but not for efavirenz or integrase inhibitors. Time to virological suppression >6 months was strongly associated with virological rebound for all regimens. Conclusions In HIV-1-infected patients starting cART, risk of virological rebound was lower with efavirenz or integrase inhibitors than with ritonavir-boosted protease inhibitors. These data, from a very large observational cohort, in addition to the more rapid initial virological suppression obtained with integrase inhibitors, reinforce the positioning of this class as the preferred one for first-line therapy.
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Affiliation(s)
- François Raffi
- Infectious Diseases Department, University Hospital of Nantes, Nantes, France.,INSERM CIC 1413, Nantes University Hospital, Nantes, France
| | - Matthieu Hanf
- INSERM CIC 1413, Nantes University Hospital, Nantes, France.,INSERM UMR 1181 B2PHI, Versailles Saint Quentin University, Institut Pasteur, Villejuif, France
| | - Tristan Ferry
- Infectious and Tropical Diseases Department, Hospices Civils de Lyon, Claude Bernard Lyon 1 University, Lyon, France
| | - Lydie Khatchatourian
- Infectious Diseases Department, University Hospital of Nantes, Nantes, France.,INSERM CIC 1413, Nantes University Hospital, Nantes, France
| | - Véronique Joly
- Infectious Diseases Department, Hôpital Bichat, AP-HP, Paris, France.,National Institute of Health and Medical Research (INSERM) IAME, UMR 1137, Paris Diderot University, Sorbonne Paris Cité, Paris, France
| | - Pascal Pugliese
- Department of Infectious Diseases, Centre Hospitalier Universitaire de l'Archet, Nice, France
| | - Christine Katlama
- Department of Infectious Diseases, Assistance publique-Hôpitaux de Paris, Pitié-Salpêtrière University Hospital, Paris, France.,Institut Pierre-Louis d'Epidémiologie et de Santé Publique, Unité Mixte de Recherche en Santé 1136, Inserm, Paris and Université Pierre et Marie Curie Paris 06, Sorbonne Universités, Paris, France
| | - Olivier Robineau
- Infectious Diseases Department, Gustave Dron Hospital, Tourcoing, France
| | - Catherine Chirouze
- Infectious Diseases Department, University Hospital of Besançon, UMR CNRS 6249, University of Bourgogne-Franche Comté, Besançon, France
| | - Christine Jacomet
- Infectious Diseases Department, University of Clermont-Ferrand, Clermont-Ferrand, France
| | - Pierre Delobel
- INSERM, UMR1043, Toulouse and Université Toulouse III Paul Sabatier, Toulouse, France.,Service des Maladies Infectieuses et Tropicales, CHU de Toulouse, Toulouse, France
| | - Isabelle Poizot-Martin
- Aix-Marseille University, APHM Hôpital Sainte-Marguerite, Immuno-Hematology Clinic, Marseille, France.,Inserm U912 (SESSTIM), Marseille, France
| | - Isabelle Ravaux
- Department of Infectious Diseases, Aix-Marseille University, APHM, Hôpital de La Conception, Marseille, France
| | - Claudine Duvivier
- AP-HP-Necker Hospital, Infectious Diseases Department, Necker-Pasteur Infectiology Centre, Paris, France.,Medical Centre of Pasteur Institut, Necker-Pasteur Infectiology Centre, Paris, France.,EA7327, Paris Descartes University, Sorbonne Paris Cité, Paris, France
| | | | - David Rey
- Centre for HIV Infection Care, Strasbourg, France
| | - Jacques Reynes
- Infectious Diseases Department, UMI233 INSERM U1175, Montpellier University Hospital, Montpellier, France
| | - Thierry May
- Department of Infectious Diseases, University Hospital Centre, Nancy, France
| | - Firouzé Bani-Sadr
- Department of Internal Medicine, Infectious Diseases, and Clinical Immunology Reims Teaching Hospitals, University of Reims, Reims, France
| | - Bruno Hoen
- Faculté de Médecine Hyacinthe Bastaraud, Université des Antilles, Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne, Point-á-Pitre, France.,Inserm CIC 1424, Centre Hospitalier Universitaire de Pointe-à-Pitre, Pointe-à-Pitre, France
| | - Marine Morrier
- Departement of Infectious Diseases, CHD Vendee, La Roche sur yon, France
| | - André Cabie
- Infectious Diseases Department, University Hospital of Martinique, Fort-de-France, France
| | - Clotilde Allavena
- Infectious Diseases Department, University Hospital of Nantes, Nantes, France.,INSERM CIC 1413, Nantes University Hospital, Nantes, France
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13
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Deschanvres C, Gras le Guen C, Levieux K, de Visme S, Launay E, Hanf M, Omin G. Influence du statut vaccinal sur la survenue de la mort inattendue du nourrisson. Med Mal Infect 2018. [DOI: 10.1016/j.medmal.2018.04.075] [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: 11/29/2022]
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14
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Frondas-Chauty A, Simon L, Flamant C, Hanf M, Darmaun D, Rozé JC. Deficit of Fat Free Mass in Very Preterm Infants at Discharge is Associated with Neurological Impairment at Age 2 Years. J Pediatr 2018; 196:301-304. [PMID: 29336797 DOI: 10.1016/j.jpeds.2017.12.017] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [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: 06/21/2017] [Revised: 10/11/2017] [Accepted: 12/06/2017] [Indexed: 01/02/2023]
Abstract
Preterm infants have a deficit of fat-free mass accretion during hospitalization. This study suggests that z score of fat-free mass at discharge is associated with neurologic outcome (P = .003) at 2 years of age, independent of sex, gestational age, and birth weight z score. Interventions to promote quality of growth should be considered.
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Affiliation(s)
- Anne Frondas-Chauty
- Department of Neonatal Medicine, University Hospital of Nantes, Nantes, France; INRA UMR 1280, Physiologie des Adaptations Nutritionnelles, IMAD, CRNH Ouest, Nantes, France.
| | - Laure Simon
- Department of Neonatal Medicine, University Hospital of Nantes, Nantes, France; INRA UMR 1280, Physiologie des Adaptations Nutritionnelles, IMAD, CRNH Ouest, Nantes, France
| | - Cyril Flamant
- Department of Neonatal Medicine, University Hospital of Nantes, Nantes, France; INRA UMR 1280, Physiologie des Adaptations Nutritionnelles, IMAD, CRNH Ouest, Nantes, France; INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France
| | - Matthieu Hanf
- INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France; INSERM UMR 1181 Biostatistics, Biomathematics, Pharmacoepidemiology and Infectious Diseases (B2PHI), Versailles Saint Quentin University, Villejuif, France
| | - Dominique Darmaun
- INRA UMR 1280, Physiologie des Adaptations Nutritionnelles, IMAD, CRNH Ouest, Nantes, France; Nantes University, IMAD, Nantes, France
| | - Jean-Christophe Rozé
- Department of Neonatal Medicine, University Hospital of Nantes, Nantes, France; INRA UMR 1280, Physiologie des Adaptations Nutritionnelles, IMAD, CRNH Ouest, Nantes, France; INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France
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15
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Levieux K, Patural H, Harrewijn I, Briand Huchet E, de Visme S, Gallot G, Chalumeau M, Gras Le Guen C, Hanf M. The French prospective multisite registry on sudden unexpected infant death (OMIN): rationale and study protocol. BMJ Open 2018; 8:e020883. [PMID: 29666137 PMCID: PMC5905759 DOI: 10.1136/bmjopen-2017-020883] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
INTRODUCTION Even after 'back-to-sleep' campaigns, sudden unexpected infant death (SUID) continues to be the leading cause of death for infants 1 month to 1 year old in developed countries, with devastating social, psychological and legal implications for families. To sustainably tackle this problem and decrease the number of SUIDs, a French SUID registry was initiated in 2015 to (1) inform prevention with standardised data, (2) understand the mechanisms leading to SUID and the contribution of the already known or newly suggested risk factors and (3) gather a multidisciplinary group of experts to coordinate and develop innovative and urgent research in the SUID area. METHODS AND ANALYSIS This observational multisite prospective observatory includes all cases of sudden unexpected deaths in children younger than 2 years occurring in the French territory covered by the 35 participating French referral centres. From these cases, various data concerning sociodemographic conditions, death scene, personal and family medical history, parental behaviours, sleep environment, clinical examinations, biological and imagery investigations and autopsy are systematically collected. These data will be complemented as of 2018 with a biobank of diverse biological samples (blood, hair, urine, faeces and cerebrospinal fluid), with other administrative health-related data (health claim reimbursements and hospital admissions) and socioenvironmental data. Insights from exploratory descriptive statistics and thematic analysis will be combined for the design of targeted strategies to effectively reduce preventable infant deaths. ETHICS AND DISSEMINATION The French sudden unexpected infant death registry (Observatoire National des Morts Inattendues du Nourrisson registry;OMIN) was approved in 2015 by the French Data Protection Authority in clinical research (Commission Nationale de l'Informatique et des Libertés: number 915273) and by an independent ethics committee (Groupe Nantais d'Ethique dans le Domaine de la Santé: number 2015-01-27). Results will be discussed with associations of families affected by SUID, caregivers, funders of the registry, medical societies and researchers and will be submitted to international peer-reviewed journals and presented at international conferences.
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Affiliation(s)
- Karine Levieux
- Pediatric Emergency Care Unit, Nantes University Hospital, Nantes, France
- Inserm CIC 1413, Nantes University Hospital, Nantes, France
| | - Hugues Patural
- Pediatric Intensive Care Unit, Saint-Étienne University Hospital, Saint Etienne, France
| | - Inge Harrewijn
- Pediatric Intensive Care Unit, Montpellier University Hospital, Montpellier, France
| | | | | | - Géraldine Gallot
- Biological Resource Center (BRC), Nantes University Hospital, Nantes, France
| | - Martin Chalumeau
- Inserm, UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), Obstetrical, Perinatal and Pediatric Epidemiology Research Team (EPOPé), Paris Descartes University, Paris, France
- Department of General Pediatrics and Pediatric Infectious Diseases, Necker-Enfants Malades Hospital, Assistance Publique-Hôpitaux de Paris, Paris Descartes University, Paris, France
| | - Christèle Gras Le Guen
- Pediatric Emergency Care Unit, Nantes University Hospital, Nantes, France
- Inserm CIC 1413, Nantes University Hospital, Nantes, France
| | - Matthieu Hanf
- Inserm CIC 1413, Nantes University Hospital, Nantes, France
- Inserm UMR 1181 B2PHI, Versailles Saint Quentin University, Villejuif, France
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16
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Levieux K, Patural H, Harrewijn I, Briand Huchet E, Kugener B, Pidoux O, de Visme S, Adjaoud C, Gras Le Guen C, Hanf M. Sudden unexpected infant death: Time for integrative national registries. Arch Pediatr 2018; 25:75-76. [PMID: 29395889 DOI: 10.1016/j.arcped.2017.12.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2017] [Revised: 10/30/2017] [Accepted: 12/10/2017] [Indexed: 11/16/2022]
Affiliation(s)
- K Levieux
- Pediatric Intensive Care Unit, Nantes University Hospital, 9, Quai-Moncousu, 44093 Nantes cedex 1, France; Pediatric Intensive Care Unit, Saint-Étienne University Hospital, 42100 Saint-Étienne, France; Pediatric Intensive Care Unit, Montpellier University Hospital, 34090 Montpellier, France; Pediatric Intensive Care Unit, Antoine-Béclère University Hospital, AP-HP, 92140 Clamart, France; Department of Pediatric Medicine, HFME Lyon, 69677 Bron, France; Inserm CIC1413, Nantes University Hospital, 44093 Nantes, France.
| | - H Patural
- Pediatric Intensive Care Unit, Saint-Étienne University Hospital, 42100 Saint-Étienne, France
| | - I Harrewijn
- Pediatric Intensive Care Unit, Montpellier University Hospital, 34090 Montpellier, France
| | - E Briand Huchet
- Pediatric Intensive Care Unit, Antoine-Béclère University Hospital, AP-HP, 92140 Clamart, France
| | - B Kugener
- Department of Pediatric Medicine, HFME Lyon, 69677 Bron, France
| | - O Pidoux
- Pediatric Intensive Care Unit, Montpellier University Hospital, 34090 Montpellier, France
| | - S de Visme
- Inserm CIC1413, Nantes University Hospital, 44093 Nantes, France
| | - C Adjaoud
- Pediatric Intensive Care Unit, Nantes University Hospital, 9, Quai-Moncousu, 44093 Nantes cedex 1, France; Pediatric Intensive Care Unit, Saint-Étienne University Hospital, 42100 Saint-Étienne, France; Pediatric Intensive Care Unit, Montpellier University Hospital, 34090 Montpellier, France; Pediatric Intensive Care Unit, Antoine-Béclère University Hospital, AP-HP, 92140 Clamart, France; Department of Pediatric Medicine, HFME Lyon, 69677 Bron, France; Inserm CIC1413, Nantes University Hospital, 44093 Nantes, France
| | - C Gras Le Guen
- Pediatric Intensive Care Unit, Nantes University Hospital, 9, Quai-Moncousu, 44093 Nantes cedex 1, France; Pediatric Intensive Care Unit, Saint-Étienne University Hospital, 42100 Saint-Étienne, France; Pediatric Intensive Care Unit, Montpellier University Hospital, 34090 Montpellier, France; Pediatric Intensive Care Unit, Antoine-Béclère University Hospital, AP-HP, 92140 Clamart, France; Department of Pediatric Medicine, HFME Lyon, 69677 Bron, France; Inserm CIC1413, Nantes University Hospital, 44093 Nantes, France
| | - M Hanf
- Inserm CIC1413, Nantes University Hospital, 44093 Nantes, France; Inserm UMR 1181 Biostatistics, Biomathematics, Pharmacoepidemiology and Infectious Diseases (B2PHI), Versailles Saint-Quentin University, 78000 Villejuif, France
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Sentilhes L, Ducarme G, Madar H, Mattuizzi A, Froeliger A, Nithart A, Gleyze M, Coatleven F, Hamel JF, Hanf M. 573: Does level of training for operative vaginal delivery impact maternal and neonatal outcomes? Am J Obstet Gynecol 2018. [DOI: 10.1016/j.ajog.2017.11.100] [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: 11/30/2022]
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18
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Raffi F, Hanf M, Ferry T, Khatchatourian L, Joly V, Pugliese P, Katlama C, Robineau O, Chirouze C, Jacomet C, Delobel P, Poizot-Martin I, Ravaux I, Duvivier C, Gagneux-Brunon A, Rey D, Reynes J, May T, Bani-Sadr F, Hoen B, Morrier M, Cabie A, Allavena C. Impact of baseline plasma HIV-1 RNA and time to virological suppression on virological rebound according to first-line antiretroviral regimen. J Antimicrob Chemother 2017; 72:3502. [PMID: 29121210 DOI: 10.1093/jac/dkx383] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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19
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Nusinovici S, Olliac B, Flamant C, Müller JB, Olivier M, Rouger V, Gascoin G, Basset H, Bouvard C, Rozé JC, Hanf M. Impact of preterm birth on parental separation: a French population-based longitudinal study. BMJ Open 2017; 7:e017845. [PMID: 29150469 PMCID: PMC5701975 DOI: 10.1136/bmjopen-2017-017845] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE The objective of this study was to investigate both the effects of low gestational age and infant's neurodevelopmental outcome at 2 years of age on the risk of parental separation within 7 years of giving birth. DESIGN Prospective. SETTING 24 maternity clinics in the Pays-de-la-Loire region. PARTICIPANTS This study included 5732 infants delivered at <35 weeks of gestation born between 2005 and 2013 who were enrolled in the population-based Loire Infant Follow-up Team cohort and who had a neurodevelopmental evaluation at 2 years. This neurodevelopmental evaluation was based on a physical examination, a psychomotor evaluation and a parent-completed questionnaire. OUTCOME MEASURE Risk of parental separation (parents living together or parents living separately). RESULTS Ten percent (572/5732) of the parents reported having undergone separation during the follow-up period. A mediation analysis showed that low gestational age had no direct effect on the risk of parental separation. Moreover, a non-optimal neurodevelopment at 2 years was associated with an increased risk of parental separation corresponding to a HR=1.49(1.23 to 1.80). Finally, the increased risk of parental separation was aggravated by low socioeconomic conditions. CONCLUSIONS The effect of low gestational age on the risk of parental separation was mediated by the infant's neurodevelopment.
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Affiliation(s)
- Simon Nusinovici
- INSERM, Clinical Investigation Center, Nantes University Hospital, Nantes, France
| | - Bertrand Olliac
- Department of Child and Adolescent Psychiatry, Centre Hospitalier Esquirol, Limoges, Limousin, France
- Tropical Neuroepidemiology, National Institute of Health and Medical Research, Limoges, Limousin, France
| | - Cyril Flamant
- INSERM, Clinical Investigation Center, Nantes University Hospital, Nantes, France
- Department of Neonatalogy, Nantes University Hospital, Nantes, France
| | | | - Marion Olivier
- Réseau “Grandir Ensemble”, Nantes University Hospital, Nantes, France
| | - Valérie Rouger
- Réseau “Grandir Ensemble”, Nantes University Hospital, Nantes, France
| | - Géraldine Gascoin
- Department of Neonatal Medicine, Angers University Hospital, Angers, France
| | - Hélène Basset
- Department of Neonatal Medicine, Le Mans Hospital, Le Mans, France
| | - Charlotte Bouvard
- SOS Prema (Parents of French Preterm Children Organization), Rue du Chemin Vert, Boulogne-Billancourt, France
| | - Jean-Christophe Rozé
- INSERM, Clinical Investigation Center, Nantes University Hospital, Nantes, France
- Department of Neonatalogy, Nantes University Hospital, Nantes, France
- Réseau “Grandir Ensemble”, Nantes University Hospital, Nantes, France
| | - Matthieu Hanf
- INSERM, Clinical Investigation Center, Nantes University Hospital, Nantes, France
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Richard F, Ahmed W, Denholm N, Dawson A, Varol N, Essén B, Johnsdotter S, Bukuluki P, Ahmed W, Naeema AGH, eltayeb D, Shell-Duncan B, Njue C, Muteshi J, Lamy C, Neyrinck P, Richard F, Verduyckt P, Alexander S, Kimani S, Esho T, Kimani V, Kigondu C, Karanja J, Guyo J, Touré M, Guindo YG, Samaké D, Camara L, Traoré Y, Traoré AA, Samaké A, Johnson-Agbakwu CE, Jordal M, Jirovsky E, Wu S, Fitzgerald K, Mishori R, Reingold R, Ismail EA, Say L, Uebelhart M, Boulvain M, Dallenbäch P, Irion O, Petignat P, Abdulcadir J, Farina P, Leye E, Ortensi L, Pecorella C, Novak L, Abdulcadir J, Cuzin B, Delmas FB, Papingui A, Bader D, Wahlberg A, Johnsdotter S, Selling KE, Källestål C, Essén B, Ibraheim AHHI, Elawad NAM, Ahmed W, Gasseer A, Naeema H, Maison E, Hussein H, Albagir AM, Bukuluki P, Albirair MT, Salih SAS, Ahmed W, Gasseer A, Naeema H, Maison E, Hussein H, Albagir AM, Albirair MT, Bukuluki P, Dawson A, Varol N, Esho T, Kimani S, Kimani V, Muniu S, Kigondu C, Nyamongo I, Guyo J, Ndavi P, Reingold R, Mishori R, Fitzgerald K, Wu S, Hedley H, Kuenzi R, Malavé-Seda L, Clare C, Greenfield J, Augustus P, Ukatu N, Manu E, Altonen B, Caillet M, Richard F, Foldès P, Cuzin B, Delmas FB, Papingui A, Wylomanski S, Vital M, De Visme S, Dugast S, Hanf M, Winer N, Johnsdotter S, Essén B, Seifeldin A, Mishori R, Fitzgerald K, Reingold R, Wu S, Villani M, Johnsdotter S, Essén B, Seinfeld R, Earp B, Cappon S, L’Ecluse C, Clays E, Tency I, Leye E, Johansen RE, Ouédraogo CM, Madzou S, Simporé A, Combaud V, Ouattara A, Millogo F, Ouédraogo A, Kiemtore S, Zamane H, Sawadogo YA, Kaien P, Dramé B, Thieba B, Lankoandé J, Descamps P, Catania L, Mastrullo R, Caselli A, Cecere R, Abdulcadir O, Abdulcadir J, Vogt S, Efferson C, O’Neill S, Dubour D, Florquin S, Bos M, Zewolde S, Richard F, Varol N, Dawson A, Turkmani S, Hall JJ, Nanayakkara S, Jenkins G, Homer CS, McGeechan K, Vital M, de Visme S, Hanf M, Philippe HJ, Winer N, Wylomanski S, Johnson-Agbakwu C, Warren N, Macfarlane A, Dorkenoo W, Lien IL, Schultz JH. Female Genital Mutilation/Cutting: sharing data and experiences to accelerate eradication and improve care: part 2. Reprod Health 2017. [PMCID: PMC5607483 DOI: 10.1186/s12978-017-0362-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Quéreux G, Wylomanski S, Bouquin R, Saint-Jean M, Peuvrel L, Knol AC, Hanf M, Dréno B. Are checkpoint inhibitors a valuable option for metastatic or unresectable vulvar and vaginal melanomas? J Eur Acad Dermatol Venereol 2017; 32:e39-e40. [PMID: 28750150 DOI: 10.1111/jdv.14486] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- G Quéreux
- Department of Dermatology, CIC, INSERM U1232, Immuno-Dermatology Laboratory, Nantes University Hospital, Nantes, France
| | - S Wylomanski
- Department of Obstetrics and Gynecology, Nantes University Hospital, Nantes, France
| | - R Bouquin
- Department of Obstetrics and Gynecology, Nantes University Hospital, Nantes, France
| | - M Saint-Jean
- Department of Dermatology, CIC, INSERM U1232, Immuno-Dermatology Laboratory, Nantes University Hospital, Nantes, France
| | - L Peuvrel
- Department of Dermatology, CIC, INSERM U1232, Immuno-Dermatology Laboratory, Nantes University Hospital, Nantes, France
| | - A C Knol
- Department of Dermatology, CIC, INSERM U1232, Immuno-Dermatology Laboratory, Nantes University Hospital, Nantes, France
| | - M Hanf
- INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France
| | - B Dréno
- Department of Dermatology, CIC, INSERM U1232, Immuno-Dermatology Laboratory, Nantes University Hospital, Nantes, France
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Simon L, Nusinovici S, Flamant C, Cariou B, Rouger V, Gascoin G, Darmaun D, Rozé JC, Hanf M. Post-term growth and cognitive development at 5 years of age in preterm children: Evidence from a prospective population-based cohort. PLoS One 2017; 12:e0174645. [PMID: 28350831 PMCID: PMC5370142 DOI: 10.1371/journal.pone.0174645] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2016] [Accepted: 03/13/2017] [Indexed: 11/18/2022] Open
Abstract
While the effects of growth from birth to expected term on the subsequent development of preterm children has attracted plentiful attention, less is known about the effects of post-term growth. We aimed to delineate distinct patterns of post-term growth and to determine their association with the cognitive development of preterm children. Data from a prospective population-based cohort of 3,850 surviving infants born at less than 35 weeks of gestational age were used. Growth was assessed as the Body Mass Index (BMI) Z-scores at 3, 9, 18, 24, 36, 48, and 60 months. Cognitive development at five years of age was evaluated by the Global School Adaptation score (GSA). Latent class analysis was implemented to identify distinct growth patterns and logistic regressions based on propensity matching were used to evaluate the relationship between identified growth trajectories and cognitive development. Four patterns of post-term growth were identified: a normal group with a Z-score consistently around zero during childhood (n = 2,469; 64%); a group with an early rapid rise in the BMI Z-score, but only up to 2 years of age (n = 195; 5%); a group with a slow yet steady rise in the BMI Z-score during childhood (n = 510; 13%); and a group with a negative Z-score growth until 3 years of age (n = 676; 18%). The group with a slow yet steady rise in the BMI Z-score was significantly associated with low GSA scores. Our findings indicate heterogeneous post-term growth of preterm children, with potential for association with their cognitive development.
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Affiliation(s)
- Laure Simon
- Department of Paediatric Medicine, Nantes University Hospital, Nantes, France
| | - Simon Nusinovici
- INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France
| | - Cyril Flamant
- Department of Paediatric Medicine, Nantes University Hospital, Nantes, France
| | - Bertrand Cariou
- Department of Endocrinology, l’Institut du Thorax, Nantes University Hospital, Nantes, France
| | - Valérie Rouger
- Réseau “Grandir ensemble”, Nantes University Hospital, Nantes, France
| | - Géraldine Gascoin
- Department of Neonatal Medicine, Angers University Hospital, Angers, France
| | - Dominique Darmaun
- National Institute for Agricultural Research, UMR 1280 PHAN, Nantes University, Institut des Maladies de l’Appareil Digestif (IMAD), and CRNH-Ouest, Nantes, France
| | - Jean-Christophe Rozé
- Department of Paediatric Medicine, Nantes University Hospital, Nantes, France
- INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France
| | - Matthieu Hanf
- INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France
- INSERM UMR 1181 Biostatistics, Biomathematics, Pharmacoepidemiology and Infectious Diseases (B2PHI), Versailles Saint Quentin University, Villejuif, France
- * E-mail:
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Sicard M, Nusinovici S, Hanf M, Muller JB, Guellec I, Ancel PY, Gascoin G, Rozé JC, Flamant C. Fetal and Postnatal Head Circumference Growth: Synergetic Factors for Neurodevelopmental Outcome at 2 Years of Age for Preterm Infants. Neonatology 2017; 112:122-129. [PMID: 28482345 DOI: 10.1159/000464272] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [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: 06/12/2016] [Accepted: 02/20/2017] [Indexed: 11/19/2022]
Abstract
UNLABELLED Preterm infants present higher risk of non-optimal neurodevelopmental outcome. Fetal and postnatal growth, in particular head circumference (HC), is associated with neurodevelopmental outcome. OBJECTIVES We aimed to calculate the relationship between HC at birth, HC delta Z-score (between birth and hospital discharge), and non-optimal neurodevelopmental outcome at 2 years of corrected age in preterm infants. METHODS Surviving infants born ≤34 weeks of gestation were included in the analysis. The relationship between the risk of being non-optimal at 2 years and both HC at birth and HC growth was assessed. The 2 Z-scores were considered first independently and then simultaneously to investigate their effect on the risk of non-optimality using a generalized additive model. RESULTS A total of 4,046 infants with both HC measures at birth and hospital discharge were included. Infants with small HC at birth (Z-score <-2 SD), or presenting suboptimal HC growth (dZ-score <-2 SD), are at higher risk of non-optimal neurodevelopmental outcome at 2 years (respectively OR 1.7 [95% CI 1.4-2] and OR 1.4 [95% CI 1.2-1.8]). Interestingly, patients cumulating small HC Z-score at birth (-2 SD) and presenting catch-down growth (HC dZ-score [-2 SD]) have a significantly increased risk for neurocognitive impairment (OR >2) while adjusting for gestational age, twin status, sex, and socioeconomic information. CONCLUSIONS HC at birth and HC dZ-score between birth and hospital discharge are synergistically associated to neurodevelopmental outcome at 2 years of corrected age, in a population-based prospective cohort of preterm infants born ≤34 weeks of gestation.
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Affiliation(s)
- Mélanie Sicard
- Department of Neonatal Medicine, Nantes University Hospital, Nantes, France
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Hanf M, Chiron D, de Visme S, Touzeau C, Maisonneuve H, Jardel H, Pellat-Deceunynck C, Amiot M, le Gouill S. The REFRACT-LYMA cohort study: a French observational prospective cohort study of patients with mantle cell lymphoma. BMC Cancer 2016; 16:802. [PMID: 27737650 PMCID: PMC5064959 DOI: 10.1186/s12885-016-2844-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2015] [Accepted: 10/06/2016] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND Mantle Cell Lymphoma (MCL) is often associated with progression, temporary response to therapy and a high relapse rate over time resulting in a poor long-term prognosis. Because MCL is classified as an incurable disease, therapeutic resistance is of great interest. However, knowledge about the biological mechanisms underlying resistance associated with MCL therapies and about associated predictors remains poor. The REFRACT-LYMA Cohort, a multicenter prospective cohort of patients with MCL, is set up to address this limitation. We here describe the study background, design and methods used for this cohort. METHODS/DESIGN The REFRACT-LYMA Cohort Study aims at including all patients (>18 years old) who are diagnosed with MCL in any stage of the disease and treated in specialized oncology centers in three public hospitals in Northwestern France. Any such patient providing a signed informed consent is included. All subjects are followed up indefinitely, until refusal to participate in the study, emigration or death. The REFRACT-LYMA follow-up is continuous and collects data on socio-economic status, medical status, MCL therapies and associated events (resistance, side effects). Participants also complete standardized quality of life (QOL) questionnaires. In addition, participants are asked to donate blood samples that will support ex vivo analysis of expression and functional assays required to uncover predictive biomarkers and companion diagnostics. If diagnostic biopsies are performed during the course of the disease, extracted biological samples are kept in a dedicated biobank. DISCUSSION To our knowledge, the REFRACT-LYMA Cohort Study is the first prospective cohort of patients with MCL for whom "real-life" medical, epidemiological and QOL data is repeatedly collected together with biological samples during the course of the disease. The integrative cohort at mid-term will be unique at producing a large variety of data that can be used to conceive the most effective personalized therapy for MCL patients. Additionally, the REFRACT-LYMA Cohort puts the medical care of MCL patients in a health and pharmacoeconomic perspective.
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Affiliation(s)
- Matthieu Hanf
- INSERM CIC 1413, Centre Hospitalier Universitaire de Nantes, Nantes, France
| | - David Chiron
- INSERM, UMR892 - CNRS, UMR 6299, Université de Nantes, Nantes, France
| | - Sophie de Visme
- INSERM CIC 1413, Centre Hospitalier Universitaire de Nantes, Nantes, France
| | - Cyrille Touzeau
- INSERM, UMR892 - CNRS, UMR 6299, Université de Nantes, Nantes, France.,Service d'Hématologie Clinique, Unité d'Investigation Clinique, Centre Hospitalier Universitaire de Nantes, Nantes, France
| | - Hervé Maisonneuve
- Service de Médecine Onco-hématologie, Centre Hospitalier Départemental de La Roche sur Yon, La Roche sur Yon, France
| | - Henry Jardel
- Service de Médecine interne - Maladies hématologiques - Maladies infectieuses, Centre Hospitalier Bretagne Atlantique, Vannes, France
| | - Catherine Pellat-Deceunynck
- INSERM, UMR892 - CNRS, UMR 6299, Université de Nantes, Nantes, France.,Service d'Hématologie Clinique, Unité d'Investigation Clinique, Centre Hospitalier Universitaire de Nantes, Nantes, France
| | - Martine Amiot
- INSERM, UMR892 - CNRS, UMR 6299, Université de Nantes, Nantes, France.,Service d'Hématologie Clinique, Unité d'Investigation Clinique, Centre Hospitalier Universitaire de Nantes, Nantes, France
| | - Steven le Gouill
- INSERM CIC 1413, Centre Hospitalier Universitaire de Nantes, Nantes, France. .,INSERM, UMR892 - CNRS, UMR 6299, Université de Nantes, Nantes, France. .,Service d'Hématologie Clinique, Unité d'Investigation Clinique, Centre Hospitalier Universitaire de Nantes, Nantes, France. .,CHU de Nantes, Place Alexis Ricordeau, 44000, Nantes, France.
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Wylomanski S, Vital M, Hanf M, Winer N. Authors’ Response: Using the Female Sexual Function Index (FSFI) to evaluate sexual function in women with genital mutilation undergoing surgical reconstruction: a pilot prospective study. Eur J Obstet Gynecol Reprod Biol 2016; 204:123-4. [DOI: 10.1016/j.ejogrb.2016.07.484] [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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Launay E, Levieux K, Levy C, Dubos F, Martinot A, Vrignaud B, Lepage F, Cohen R, Grimprel E, Hanf M, Angoulvant F, Gras-Le Guen C. Compliance with the current recommendations for prescribing antibiotics for paediatric community-acquired pneumonia is improving: data from a prospective study in a French network. BMC Pediatr 2016; 16:126. [PMID: 27520057 PMCID: PMC4983061 DOI: 10.1186/s12887-016-0661-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2016] [Accepted: 08/02/2016] [Indexed: 11/10/2022] Open
Abstract
Background Lower respiratory tract infection is a common cause of consultation and antibiotic prescription in paediatric practice. The misuse of antibiotics is a major cause of the emergence of multidrug-resistant bacteria. The aim of this study was to evaluate the frequency, changes over time, and determinants of non-compliance with antibiotic prescription recommendations for children admitted in paediatric emergency department (PED) with community-acquired pneumonia (CAP). Methods We conducted a prospective two-period study using data from the French pneumonia network that included all children with CAP, aged one month to 15 years old, admitted to one of the ten participating paediatric emergency departments. In the first period, data from children included in all ten centres were analysed. In the second period, we analysed children in three centers for which we collected additional data. Two experts assessed compliance with the current French recommendations. Independent determinants of non-compliance were evaluated using a logistic regression model. The frequency of non-compliance was compared between the two periods for the same centres in univariate analysis, after adjustment for confounding factors. Results A total of 3034 children were included during the first period (from May 2009 to May 2011) and 293 in the second period (from January to July 2012). Median ages were 3.0 years [1.4–5] in the first period and 3.6 years in the second period. The main reasons for non-compliance were the improper use of broad-spectrum antibiotics or combinations of antibiotics. Factors that were independently associated with non-compliance with recommendations were younger age, presence of risk factors for pneumococcal infection, and hospitalization. We also observed significant differences in compliance between the treatment centres during the first period. The frequency of non-compliance significantly decreased from 48 to 18.8 % between 2009 and 2012. The association between period and non-compliance remained statistically significant after adjustment for confounding factors. Amoxicillin was prescribed as the sole therapy significantly more frequently in the second period (71 % vs. 54.2 %, p < 0.001). Conclusions We observed a significant increase in the compliance with recommendations, with a reduction in the prescription of broad-spectrum antibiotics, efforts to improve antibiotic prescriptions must continue. Electronic supplementary material The online version of this article (doi:10.1186/s12887-016-0661-3) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Elise Launay
- GPIP, Groupe de Pathologie Infectieuse Pédiatrique, Société Française de Pédiatrie, Paris, France. .,Paediatric Department, CHU Nantes, Hôpital Mère-Enfant, 7 quai Moncousu, 44093, Nantes cedex 1, France.
| | - Karine Levieux
- Paediatric Emergency Department, CHU Nantes, Hôpital Mère-Enfant, Nantes, France
| | - Corinne Levy
- GPIP, Groupe de Pathologie Infectieuse Pédiatrique, Société Française de Pédiatrie, Paris, France.,ACTIV, Association Clinique et Thérapeutique Infantile du Val de Marne, Saint-Maur des Fossés, France.,Centre Hospitalier Intercommunal de Créteil, Centre de Recherche Clinique, Créteil, France
| | - François Dubos
- GPIP, Groupe de Pathologie Infectieuse Pédiatrique, Société Française de Pédiatrie, Paris, France.,Paediatric Emergency Unit & Infectious Diseases, Lille-2 Nord-de-France University & CHRU Lille, Lille, France
| | - Alain Martinot
- GPIP, Groupe de Pathologie Infectieuse Pédiatrique, Société Française de Pédiatrie, Paris, France.,Paediatric Emergency Unit & Infectious Diseases, Lille-2 Nord-de-France University & CHRU Lille, Lille, France
| | - Bénédicte Vrignaud
- Paediatric Department, CHU Nantes, Hôpital Mère-Enfant, 7 quai Moncousu, 44093, Nantes cedex 1, France
| | - Flora Lepage
- Paediatric Department, CHU Nantes, Hôpital Mère-Enfant, 7 quai Moncousu, 44093, Nantes cedex 1, France
| | - Robert Cohen
- GPIP, Groupe de Pathologie Infectieuse Pédiatrique, Société Française de Pédiatrie, Paris, France.,ACTIV, Association Clinique et Thérapeutique Infantile du Val de Marne, Saint-Maur des Fossés, France.,Centre Hospitalier Intercommunal de Créteil, Centre de Recherche Clinique, Créteil, France
| | - Emmanuel Grimprel
- GPIP, Groupe de Pathologie Infectieuse Pédiatrique, Société Française de Pédiatrie, Paris, France.,Paediatric Department, AP-HP, Trousseau University Hospital, Paris, France
| | - Matthieu Hanf
- Centre d'Investigation Clinique, CHU Nantes, Nantes, France
| | - François Angoulvant
- GPIP, Groupe de Pathologie Infectieuse Pédiatrique, Société Française de Pédiatrie, Paris, France.,INSERM CIE5, Clinical Epidemiology Unit, Université Paris Diderot, Sorbonne Paris Cité, Paris, France.,Paediatric Emergency Department, AP-HP, Hôpital Robert Debré, Paris, France
| | - Christèle Gras-Le Guen
- GPIP, Groupe de Pathologie Infectieuse Pédiatrique, Société Française de Pédiatrie, Paris, France.,Paediatric Department, CHU Nantes, Hôpital Mère-Enfant, 7 quai Moncousu, 44093, Nantes cedex 1, France
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Huetz N, Triau S, Leboucher B, Sentilhes L, Hanf M, Nguyen S, Flamant C, Roze JC, Gascoin G. Association of severe placental inflammation with death prior to discharge and cerebral palsy in preterm infants. BJOG 2016; 123:1956-1963. [PMID: 27428037 DOI: 10.1111/1471-0528.14177] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/13/2016] [Indexed: 11/27/2022]
Abstract
OBJECTIVE The objective of our study was to identify placental patterns associated with death before discharge or cerebral palsy in a large cohort of preterm infants with a high follow-up rate at 2 years of corrected age. DESIGN Population-based monocentric study. SETTINGS Monocentric study in the maternity unit of the University Hospital of Angers, France between 24+0 and 33+6 weeks of gestation, between January 2008 and December 2011. POPULATION All singleton infants born alive with a placental examination were eligible. METHODS Clinical data (obstetric and neonatal) were collected prospectively through the LIFT cohort. Placental data were collected retrospectively from medical records. The main outcome measure was death before discharge or cerebral palsy. RESULTS We did not find any significant association between severe inflammatory lesions on the placenta and death [odds ratio (OR) 1.49; 95% CI 0.55-4.01; P = 0.43] or cerebral palsy (OR 1.41; 95% CI 0.43-4.62; P = 0.57). This lack of significant association persisted even after adjustment (aOR 0.9; 95% CI 0.20-2.30; P = 0.54; aOR 0.98; 95% CI 0.27-3.58; P = 0.97). CONCLUSION Our results do not provide evidence for a significant association between severe inflammatory placental lesions and either death before discharge or cerebral palsy at 2 years of corrected age in preterm infants born at <34 weeks of gestational age. Further studies remain necessary to confirm this result. TWEETABLE ABSTRACT We found no significant association between inflammatory placental lesions and death or cerebral palsy.
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Affiliation(s)
- N Huetz
- Department of Neonatal Medicine, Angers University Hospital, Angers, France
| | - S Triau
- Department of Pathology, Angers University Hospital, Angers, France
| | - B Leboucher
- Department of Neonatal Medicine, Angers University Hospital, Angers, France.,Loire Infant Follow-Up Team (LIFT) Network, Pays de Loire, France
| | - L Sentilhes
- Department of Obstetrics and Gynaecology, Angers University Hospital, Angers, France
| | - M Hanf
- Loire Infant Follow-Up Team (LIFT) Network, Pays de Loire, France
| | - S Nguyen
- Loire Infant Follow-Up Team (LIFT) Network, Pays de Loire, France.,Department of Paediatric Neurology, Angers University Hospital, Angers, France
| | - C Flamant
- Loire Infant Follow-Up Team (LIFT) Network, Pays de Loire, France.,Department of Neonatal Medicine, Nantes University Hospital, Nantes, France
| | - J C Roze
- Loire Infant Follow-Up Team (LIFT) Network, Pays de Loire, France.,Department of Neonatal Medicine, Nantes University Hospital, Nantes, France
| | - G Gascoin
- Department of Neonatal Medicine, Angers University Hospital, Angers, France. .,Loire Infant Follow-Up Team (LIFT) Network, Pays de Loire, France.
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Bruneau L, Billaud E, Raffi F, Hanf M. Factors associated with the level of CD4 cell counts at HIV diagnosis in a French cohort: a quantile regression approach. Int J STD AIDS 2016; 28:397-403. [PMID: 27178069 DOI: 10.1177/0956462416650980] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [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: 11/17/2022]
Abstract
The consensus definition of late presentation for human immunodeficiency virus patient based on a CD4 threshold of 350 cells/mm3 has limitations concerning risk factors identification since there is growing biomedical justification for earlier initiation of treatment. The objective was to overcome this problem by simultaneously determining factors associated with different levels of CD4 counts at the time of diagnosis. Between January 2000 and July 2014, 1179 patients with a first human immunodeficiency virus diagnosis and entering care in a French human immunodeficiency virus reference center were enrolled. Factors associated with each 5 percentile from 5th to 95th quantile of CD4 counts at diagnosis were simultaneously studied in a multivariable quantile regression model. At each of the quantiles, the factors identified as negatively associated with CD4 count at diagnosis were older age, male sex , foreign patients, hepatitis B virus or hepatitis C virus co-infection, employment status, non-MSM transmission, heterosexual transmission, suburban and rural's place of residence and earlier period of diagnosis. Association with CD4 count was not uniformly significant, most factors being significant for some quantiles. The only significant determinant for all quantiles was being born in a foreign country. These results are particularly helpful in the context of human immunodeficiency virus clinical care, management and prevention.
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Affiliation(s)
- Léa Bruneau
- 1 Regional Coordination Center for the Fight against HIV (COREVIH) of Pays de la Loire, Nantes, France.,2 Methodological Support and Biostatistics Unit, Saint Denis University Hospital, Saint Denis, Reunion Island, France
| | - Eric Billaud
- 1 Regional Coordination Center for the Fight against HIV (COREVIH) of Pays de la Loire, Nantes, France.,3 Infectious and Tropical Diseases Department, Nantes University Hospital, Nantes, France
| | - François Raffi
- 3 Infectious and Tropical Diseases Department, Nantes University Hospital, Nantes, France
| | - Matthieu Hanf
- 4 National Institute of Health and Medical Research (INSERM) CIC 1413, Nantes University Hospital, Nantes, France
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Périvier M, Rozé JC, Gascoin G, Hanf M, Branger B, Rouger V, Berlie I, Montcho Y, Péréon Y, Flamant C, Nguyen The Tich S. Neonatal EEG and neurodevelopmental outcome in preterm infants born before 32 weeks. Arch Dis Child Fetal Neonatal Ed 2016; 101:F253-9. [PMID: 26518311 DOI: 10.1136/archdischild-2015-308664] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [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: 03/24/2015] [Accepted: 10/11/2015] [Indexed: 11/03/2022]
Abstract
OBJECTIVE To assess the value of neonatal EEG for predicting non-optimal neurodevelopmental outcomes in very preterm infants, using a multimodal strategy of evaluation comprising brain imaging and clinical assessment. DESIGN AND SETTING Between 2003 and 2009, we performed an observational, population-based study. Out of 2040 eligible preterm infants born before 32 weeks, 1954 were enrolled in the French regional Loire Infant Follow-Up Team (LIFT) cohort. 1744 (89%) of these completed the follow-up. Neonatal EEGs were recorded prospectively as two EEGs during the first 2 weeks of life and then one every 2 weeks up to 33 weeks. MAIN OUTCOME MEASURES The neurodevelopmental outcome was assessed by physical examination, the Brunet-Lézine Test and/or the Age and Stages Questionnaire at 2 years of corrected age. RESULTS Of the 1744 infants assessed at 2 years, 422 had a non-optimal outcome. A total of 4804 EEGs were performed, and 1345 infants had at least one EEG. EEG abnormalities were predictive of non-optimal outcomes after controlling for confounding factors such as severe intracranial lesions detected by brain imaging. Transient moderate and severe abnormalities were independent predictors of non-optimal outcomes with an OR and 95% CI of 1.49 (1.08 to 2.04) and 2.38 (1.49 to 3.81), respectively. In the validation group, the predictive risk stratification tree identified severe abnormalities as a factor contributing to the prognosis of two subgroups: infants with severe cranial lesions and infants with a normal examination at discharge and without severe cranial lesions.
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Affiliation(s)
- Maximilien Périvier
- Department of Neonatal Medicine, University Hospital of Nantes, Nantes University, Nantes, France
| | - Jean-Christophe Rozé
- Department of Neonatal Medicine, University Hospital of Nantes, Nantes University, Nantes, France 'Loire Infant Follow-up Team' (LIFT) Network, Nantes, Pays de Loire, France Clinical Research Center, INSERM CIC004, University Hospital of Nantes, Nantes, France
| | - Géraldine Gascoin
- 'Loire Infant Follow-up Team' (LIFT) Network, Nantes, Pays de Loire, France Department of Neonatal Medicine, Angers University, University Hospital of Angers, Angers, France
| | - Matthieu Hanf
- Clinical Research Center, INSERM CIC004, University Hospital of Nantes, Nantes, France
| | - Bernard Branger
- 'Loire Infant Follow-up Team' (LIFT) Network, Nantes, Pays de Loire, France
| | - Valérie Rouger
- 'Loire Infant Follow-up Team' (LIFT) Network, Nantes, Pays de Loire, France Clinical Research Center, INSERM CIC004, University Hospital of Nantes, Nantes, France
| | - Isabelle Berlie
- 'Loire Infant Follow-up Team' (LIFT) Network, Nantes, Pays de Loire, France Department of Pediatric Neurology, Angers University, University Hospital of Angers, Angers, France
| | - Yannis Montcho
- 'Loire Infant Follow-up Team' (LIFT) Network, Nantes, Pays de Loire, France Department of Neonatal Medicine, Hospital of Le Mans, Le Mans, France
| | - Yann Péréon
- Laboratoire d'Explorations Fonctionnelles, Nantes University, Centre de Référence Maladies Neuromusculaires Nantes-Angers, University Hospital of Nantes, Nantes, France
| | - Cyril Flamant
- Department of Neonatal Medicine, University Hospital of Nantes, Nantes University, Nantes, France 'Loire Infant Follow-up Team' (LIFT) Network, Nantes, Pays de Loire, France Clinical Research Center, INSERM CIC004, University Hospital of Nantes, Nantes, France
| | - Sylvie Nguyen The Tich
- 'Loire Infant Follow-up Team' (LIFT) Network, Nantes, Pays de Loire, France Department of Pediatric Neurology, Angers University, University Hospital of Angers, Angers, France
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Wylomanski S, Bouquin R, Hanf M, Winer N, Dréno B, Rouzier R, Quéreux G. Sexual well-being in patients with vulvar disease: results from a preliminary prospective matched case-control study. Eur J Obstet Gynecol Reprod Biol 2015; 194:106-10. [PMID: 26342683 DOI: 10.1016/j.ejogrb.2015.08.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2015] [Revised: 07/16/2015] [Accepted: 08/06/2015] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Only a few studies have focused on the description of sexual well-being in patients with vulvar disease (VD). The aim of this study was to test the hypothesis that VD patients have an overall impaired sexual well-being that varies depending on the type of VD. STUDY DESIGN An observational, prospective, single center and 1:1 matched case-control study was conducted in Nantes University Hospital (France). All new patients attending the specific consultation for VD between June 2011 and January 2013 were included. A control group was randomly selected from women who had a scheduled consultation for gynecologic follow-up. A validated French version of the Female Sexual Function Index (FSFI) was used. This self-administered questionnaire was distributed to all case and control women. VD was classified into 4 groups: inflammatory, (pre)malignant, infectious, and other VD. Descriptive statistics and multivariate mixed analyses were performed. RESULTS Seventy-two VD patients and seventy-two control women completed the FSFI questionnaire. The median FSFI score was 21.1 in the VD patients versus 28.1 in the control patients. In the multivariate analysis, the FSFI score was significantly decreased by an average of 4.5 points (p=0.003) in the VD patients. On the FSFI subscores, VD had significant impacts on items related to "arousal", "pain", "lubrication", "satisfaction", and "desire". When comparing the VD groups, the total FSFI score seemed lower for (pre)malignant VD. CONCLUSION This preliminary study showed that VD patients had an impaired sexual well-being.
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Affiliation(s)
- Sophie Wylomanski
- Department of Gynecology and Obstetrics, Nantes University Hospital, Nantes, France.
| | - Réjane Bouquin
- Department of Gynecology and Obstetrics, Nantes University Hospital, Nantes, France
| | - Matthieu Hanf
- INSERM CIC 1413, Nantes University Hospital, Nantes, France
| | - Norbert Winer
- Department of Gynecology and Obstetrics, Nantes University Hospital, Nantes, France
| | - Brigitte Dréno
- Skin Cancer Unit INSERM 892, Nantes University Hospital, Nantes, France
| | - Roman Rouzier
- Department of Surgery, Institut Curie, Paris, France; EA 7285 "Risk and Safety in Clinical Medicine for Women and Perinatal Health", University of Versailles St-Quentin, Montigny-le-Bretonneux, France
| | - Gaëlle Quéreux
- Skin Cancer Unit INSERM 892, Nantes University Hospital, Nantes, France
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Gouin M, Flamant C, Gascoin G, Rouger V, Florin A, Guimard P, Rozé JC, Hanf M. The Association of Urbanicity with Cognitive Development at Five Years of Age in Preterm Children. PLoS One 2015; 10:e0131749. [PMID: 26161862 PMCID: PMC4498667 DOI: 10.1371/journal.pone.0131749] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2015] [Accepted: 06/05/2015] [Indexed: 11/18/2022] Open
Abstract
Objective To determine the association of urbanicity, defined as living in an urban area, with cognitive development at five years of age in preterm children who were free of any disabilities or neurodevelopmental delays. Design Prospective population-based cohort. Setting French regional Loire Infant Follow-up Team (LIFT) network. Participants Included in the study were 1738 surviving infants born between March 2003 and December 2008 before 35 weeks of gestational age. At two years of age, the children were free of any disabilities and neurodevelopmental delays and were living in the Pays de la Loire region from their birth to five years of age. Main Outcome Measures The cognitive development at five years of age was evaluated with the Global School Adaptation score (GSA). The urbanicity of the residence for each child was classified into three groups: urban, quasi-rural, and rural area. Results Quantile regression approaches were used to identify a significant association between urbanicity and the GSA score at five years of age (adjusting for child and family characteristics). We found that the negative impact of urbanicity on the GSA score was more important for the lower quantile of the GSA scores. Conclusions Urbanicity was significantly associated with cognitive neurodevelopment at five years of age in preterm children born before 35 weeks of gestation. Complementary results additionally suggest that this relation could be mediated at the residence level by a high socioeconomic deprivation level. If these results are confirmed, more personalized follow-ups could be developed for preterm children. Further studies are needed to finely identify the contextual characteristics of urbanicity that underlie this association.
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Affiliation(s)
- Marion Gouin
- Department of Neonatal Medicine, Nantes University Hospital, Nantes, France
| | - Cyril Flamant
- Department of Neonatal Medicine, Nantes University Hospital, Nantes, France
- National Institute of Health and Medical Research CIC 1413, Nantes University Hospital, Nantes, France
| | - Géraldine Gascoin
- Department of Neonatal Medicine, Angers University Hospital, Angers, France
| | - Valérie Rouger
- Réseau “Grandir ensemble”, Nantes University Hospital, Nantes, France
| | - Agnès Florin
- Faculty of psychology, University of Nantes, Research Center of Education, CREN EA 2661, Nantes, France
| | - Philippe Guimard
- Faculty of psychology, University of Nantes, Research Center of Education, CREN EA 2661, Nantes, France
| | - Jean-Christophe Rozé
- Department of Neonatal Medicine, Nantes University Hospital, Nantes, France
- National Institute of Health and Medical Research CIC 1413, Nantes University Hospital, Nantes, France
| | - Matthieu Hanf
- National Institute of Health and Medical Research CIC 1413, Nantes University Hospital, Nantes, France
- * E-mail:
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Levieux K, Patural H, Huchet EB, Harrewijn I, Pidoux O, Kugener B, Hanf M, Gras Leguen C, Ancremin. P-321 – Ouverture en 2015 de l'Observatoire national français sur la Mort inattendue du Nourrisson (OMIN). Arch Pediatr 2015. [DOI: 10.1016/s0929-693x(15)30501-7] [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: 11/30/2022]
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Levieux K, Patural H, Harrewijn I, Hanf M, Gras Leguen C. Prise en charge des morts inattendues du nourrisson par les centres de référence français : état des lieux des pratiques en 2013. Arch Pediatr 2015; 22:360-7. [DOI: 10.1016/j.arcped.2015.01.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2014] [Revised: 10/13/2014] [Accepted: 01/16/2015] [Indexed: 12/29/2022]
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Branger B, Rouger V, Berlie I, Beucher A, Flamant C, N'guyen The Tich S, Garcia J, Brossier JP, Montcho Y, Hanf M, Roze JC. [Monitoring network for vulnerable children in the Pays de la Loire ("Grandir ensemble" - Cohort LIFT): 10 years of activity 2003-2013]. Arch Pediatr 2014; 22:171-80. [PMID: 25547193 DOI: 10.1016/j.arcped.2014.10.027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2014] [Revised: 08/14/2014] [Accepted: 10/27/2014] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Vulnerable children are at-risk newborns including premature infants and some children with pathologies presented by fear anomalies and deficiencies, most particularly neurological. Monitoring is based on the detection of these abnormalities and their early management. The organization of this monitoring system is based on a network of doctors, mostly pediatricians, trained regularly. The objective of this review was to assess the resources, means, and results of 10 years of follow-up. METHODS The Pays de la Loire network includes 24 maternity wards and 13 neonatal departments. Annual admissions are around 5000 newborns to approximately 45,000 annual births. Upon discharge of newborns, born prematurely at 34 weeks of gestation (WG) or less, or term infants with neurological problems, parents are asked to have their child monitored by a referring doctor. During the consultation, a reference document is filled out by the doctor and sent to the project manager for data collection and specific compensation for private practitioners. Standardized questionnaires were used such as the ASQ (Ages and Stage Questionnaire) completed by parents, the developmental quotient (DQ) with the Lézine Brunet-Revised test (BLR), the intelligence quotient (IQ) with the Wechsler Preschool and Primary Scale of Intelligence (WIPPSI III) completed by psychologists employed in the network, and a questionnaire completed by the teacher at 5 years of age. RESULTS The network started on 1st March 2003, and 28th February 2013, after 10 years of inclusion, 10,800 children had been included. This population accounts for 2.4% of all annual births: 1.1% were included for prematurity less than 33 weeks and 0.25% were term-born infants. The characteristics of children are presented with gestational age, birth weight, and obstetric and neonatal pathologies. The percentage of these children followed was 80% at 2 years and 63% at 5 years. At 2 years, the results are presented according to gestational age with approximately 60% of children without disabilities at 25-26 WG, 73% at 27-28 WG, 77% at 29-30 WG, and 86% at 31-32 WG. Absorptions are diverse and vary according to the age of the child with physical therapy, psychomotor skill work, speech therapy, hearing and vision consultations, and psychology/psychiatry. Assessment tools were refined by specific analyses: the ASQ 24 months (completed by parents) was deemed valid and predictive with respect to IQ (abandoned in 2012), and the grid completed by the teacher was found to predict abnormalities in 5 years. CONCLUSION The Pays de la Loire monitoring network has met its initial objective, namely to detect disabilities early and provide practical help to parents in a population of vulnerable children. Benefits for professionals and other children not followed in the network were observed, with an increase in pediatricians' skills. The benefits of the evaluation results are more difficult to assess with the care than neonatal care in obstetrics. The sustainability of such a network seems assured for healthcare professionals, provided that funding is maintained by the health authorities.
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Affiliation(s)
- B Branger
- « Sécurité naissance-naître ensemble » des Pays de la Loire, 2, rue de la Loire, 1, allée Baco, 44200 Nantes, France.
| | - V Rouger
- « Grandir ensemble », CHU, 44093 Nantes, France
| | - I Berlie
- CAMSP, CHU, 49333 Angers, France
| | | | | | | | - J Garcia
- Maternité, centre hospitalier, 44600 Saint-Nazaire, France
| | - J-P Brossier
- Réseau « Sécurité naissance-naître ensemble » des Pays de la Loire, néonatologie, centre hospitalier, 85925 La Roche-sur-Yon, France
| | - Y Montcho
- Centre hospitalier, 72000 Le Mans, France
| | - M Hanf
- Centre d'investigation clinique - épidémiologie clinique, CHU de Nantes, Nantes, France
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Leclère B, Lasserre C, Bourigault C, Juvin ME, Chaillet MP, Mauduit N, Caillon J, Hanf M, Lepelletier D. Matching bacteriological and medico-administrative databases is efficient for a computer-enhanced surveillance of surgical site infections: retrospective analysis of 4,400 surgical procedures in a French university hospital. Infect Control Hosp Epidemiol 2014; 35:1330-5. [PMID: 25333426 DOI: 10.1086/678422] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
OBJECTIVE Our goal was to estimate the performance statistics of an electronic surveillance system for surgical site infections (SSIs), generally applicable in French hospitals. METHODS Three detection algorithms using 2 different data sources were tested retrospectively on 9 types of surgical procedures performed between January 2010 and December 2011 in the University Hospital of Nantes. The first algorithm was based on administrative codes, the second was based on bacteriological data, and the third used both data sources. For each algorithm, sensitivity, specificity, and positive and negative predictive values (PPV and NPV) were calculated. The reference method was the hospital's routine surveillance: a comprehensive review of the computerized medical charts of the patients who underwent one of the targeted procedures during the study period. SETTING A 3,000-bed teaching hospital in western France. POPULATION We analyzed 4,400 targeted surgical procedures. RESULTS Sensitivity results varied significantly between the three algorithms, from 25% (95% confidence interval, 17-33) when using only administrative codes to 87% (80%-93%) with the bacteriological data and 90% (85%-96%) with the combined algorithm. Fewer variations were observed for specificity (91%-98%), PPV (21%-25%), and NPV (98% to nearly 100%). Overall, performance statistics were higher for deep SSIs than for superficial infections. CONCLUSIONS A reliable computer-enhanced SSI surveillance can easily be implemented in French hospitals using common data sources. This should allow infection control professionals to spend more time on prevention and education duties. However, a multicenter study should be conducted to assess the generalizability of this method.
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Affiliation(s)
- Brice Leclère
- Department of Bacteriology and Infection Control, Nantes University Hospital, Nantes, France
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Adenis A, Nacher M, Hanf M, Vantilcke V, Boukhari R, Blachet D, Demar M, Aznar C, Carme B, Couppie P. HIV-associated histoplasmosis early mortality and incidence trends: from neglect to priority. PLoS Negl Trop Dis 2014; 8:e3100. [PMID: 25144374 PMCID: PMC4140672 DOI: 10.1371/journal.pntd.0003100] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2013] [Accepted: 07/07/2014] [Indexed: 12/18/2022] Open
Abstract
Background Histoplasmosis is an endemic fungal infection in French Guiana. It is the most common AIDS-defining illness and the leading cause of AIDS-related deaths. Diagnosis is difficult, but in the past 2 decades, it has improved in this French overseas territory which offers an interesting model of Amazonian pathogen ecology. The objectives of the present study were to describe the temporal trends of incidence and mortality indicators for HIV-associated histoplasmosis in French Guiana. Methods A retrospective study was conducted to describe early mortality rates observed in persons diagnosed with incident cases of HIV-associated Histoplasma capsulatum var. capsulatum histoplasmosis admitted in one of the three main hospitals in French Guiana between 1992 and 2011. Early mortality was defined by death occurring within 30 days after antifungal treatment initiation. Data were collected on standardized case report forms and analysed using standard statistical methods. Results There were 124 deaths (45.3%) and 46 early deaths (16.8%) among 274 patients. Three time periods of particular interest were identified: 1992–1997, 1998–2004 and 2005–2011. The two main temporal trends were: the proportion of early deaths among annual incident histoplasmosis cases significantly declined four fold (χ2, p<0.0001) and the number of annual incident histoplasmosis cases increased three fold between 1992–1997 and 1998–2004, and subsequently stabilized. Conclusion From an occasional exotic diagnosis, AIDS-related histoplasmosis became the top AIDS-defining event in French Guiana. This was accompanied by a spectacular decrease of early mortality related to histoplasmosis, consistent with North American reference center mortality rates. The present example testifies that rapid progress could be at reach if awareness increases and leads to clinical and laboratory capacity building in order to diagnose and treat this curable disease. Histoplasmosis is an endemic fungal infection in French Guiana. It is the most common AIDS-defining illness and the leading cause of AIDS-related deaths. Diagnosis is difficult, but in the past 2 decades, it has improved. The objectives of the present study were to describe the temporal trends of incidence and mortality indicators for HIV-associated histoplasmosis in French Guiana. A retrospective study was conducted to describe early mortality rates observed in persons diagnosed with incident cases of HIV-associated histoplasmosis admitted in one of the three main hospitals of French Guiana between 1992 and 2011. Early mortality was defined by death occurring within 30 days after antifungal treatment initiation. Data were collected on standardized case report forms and analysed using standard statistical methods. Among 274 patients there were 46 early deaths (16.8%). The two main temporal trends were: the proportion of early deaths significantly divided four fold and the number of annual incident histoplasmosis cases increased three fold. The present example testifies that rapid progress could be at reach if awareness increases and leads to clinical and laboratory capacity building in order to diagnose and treat this curable disease.
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Affiliation(s)
- Antoine Adenis
- Inserm CIC 1424, Centre d'Investigation Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, France
- Equipe EA3593, Epidémiologie des Parasitoses et des Mycoses Tropicales, Université des Antilles et de la Guyane, Cayenne, France
- * E-mail:
| | - Mathieu Nacher
- Inserm CIC 1424, Centre d'Investigation Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, France
- Equipe EA3593, Epidémiologie des Parasitoses et des Mycoses Tropicales, Université des Antilles et de la Guyane, Cayenne, France
| | - Matthieu Hanf
- Inserm CIC 1424, Centre d'Investigation Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, France
- Equipe EA3593, Epidémiologie des Parasitoses et des Mycoses Tropicales, Université des Antilles et de la Guyane, Cayenne, France
| | - Vincent Vantilcke
- Service de Médecine Interne, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni, France
| | - Rachida Boukhari
- Laboratoire de Biologie Médicale, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni, France
| | - Denis Blachet
- Equipe EA3593, Epidémiologie des Parasitoses et des Mycoses Tropicales, Université des Antilles et de la Guyane, Cayenne, France
- Laboratoire Hospitalo-Universitaire de Parasitologie-Mycologie, Centre Hospitalier de Cayenne, Cayenne, France
| | - Magalie Demar
- Equipe EA3593, Epidémiologie des Parasitoses et des Mycoses Tropicales, Université des Antilles et de la Guyane, Cayenne, France
- Laboratoire Hospitalo-Universitaire de Parasitologie-Mycologie, Centre Hospitalier de Cayenne, Cayenne, France
- Unité des Maladies Infectieuses et Tropicales, Centre Hospitalier de Cayenne, Cayenne, France
| | - Christine Aznar
- Equipe EA3593, Epidémiologie des Parasitoses et des Mycoses Tropicales, Université des Antilles et de la Guyane, Cayenne, France
- Laboratoire Hospitalo-Universitaire de Parasitologie-Mycologie, Centre Hospitalier de Cayenne, Cayenne, France
| | - Bernard Carme
- Inserm CIC 1424, Centre d'Investigation Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, France
- Equipe EA3593, Epidémiologie des Parasitoses et des Mycoses Tropicales, Université des Antilles et de la Guyane, Cayenne, France
- Laboratoire Hospitalo-Universitaire de Parasitologie-Mycologie, Centre Hospitalier de Cayenne, Cayenne, France
| | - Pierre Couppie
- Equipe EA3593, Epidémiologie des Parasitoses et des Mycoses Tropicales, Université des Antilles et de la Guyane, Cayenne, France
- Service de Dermatologie Vénérologie, Centre Hospitalier de Cayenne, Cayenne, France
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Wylomanski S, Bouquin R, Philippe HJ, Poulin Y, Hanf M, Dréno B, Rouzier R, Quéreux G. Psychometric properties of the French Female Sexual Function Index (FSFI). Qual Life Res 2014; 23:2079-87. [DOI: 10.1007/s11136-014-0652-5] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/17/2014] [Indexed: 01/23/2023]
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Adenis A, Nacher M, Hanf M, Basurko C, Dufour J, Huber F, Aznar C, Carme B, Couppie P. Tuberculosis and histoplasmosis among human immunodeficiency virus-infected patients: a comparative study. Am J Trop Med Hyg 2014; 90:216-23. [PMID: 24394475 DOI: 10.4269/ajtmh.13-0084] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
In disease-endemic areas, histoplasmosis is the main differential diagnosis for tuberculosis among human immunodeficiency virus (HIV)-infected patients. However, no study has compared the two diseases. Thus, the objective of this study was to compare tuberculosis and histoplasmosis in HIV-infected patients. A population of 205 HIV-infected patients (99 with tuberculosis and 106 with histoplasmosis) hospitalized in Cayenne, French Guiana during January 1, 1997-December 31, 2008 were selected retrospectively from the French Hospital Database on HIV. Multivariate analysis showed that tuberculosis was associated with cough (adjusted odds ratio [AOR] = 0.20, 95% confidence interval [CI] = 0.05-0.73) and a C-reactive protein level > 70 mg/L (AOR = 0.98, 95% CI = 0.97-0.99). Variables associated with disseminated histoplasmosis were a γ-glutamyl transferase level > 72 IU/L (AOR = 4.99, 95% CI = 1.31-18.99), origin from French Guiana (AOR = 5.20, 95% CI = 1.30-20.73), disseminated localization (AOR = 6.40, 95% CI = 1.44-28.45), a concomitant opportunistic infection (AOR = 6.71, 95% CI = 1.50-29.96), a neutrophil count < 2,750 cells/mm(3) (AOR = 10.54, 95% CI = 2.83-39.24), a CD4 cell count < 60 cells/mm(3) (AOR = 11.62, 95% CI = 2.30-58.63), and a platelet count < 150,000/mm(3) (AOR = 19.20, 95% CI = 3.35-110.14). Tuberculosis and histoplasmosis have similarities, but some factors show a greater association with one of these diseases. Thus, adapted therapeutic choices can be made by using simple clinical and paraclinical criteria.
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Affiliation(s)
- Antoine Adenis
- Centre d'Investigation Clinique Epidémiologie Clinique Antilles-Guyane, Service de Dermatologie Vénérologie, et Laboratoire Hospitalo-Universitaire de Parasitologie-Mycologie, Inserm CIE 802, Centre Hospitalier de Cayenne, Cayenne, French Guiana; Equipe EA3593, Epidémiologie des Parasitoses et des Mycoses Tropicales, Université des Antilles et de la Guyane, Cayenne, French Guiana
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Hanf M, Guégan JF, Ahmed I, Nacher M. Disentangling the complexity of infectious diseases: Time is ripe to improve the first-line statistical toolbox for epidemiologists. Infection, Genetics and Evolution 2014; 21:497-505. [DOI: 10.1016/j.meegid.2013.09.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/22/2013] [Revised: 09/02/2013] [Accepted: 09/04/2013] [Indexed: 11/17/2022]
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Hanf M, Friedman E, Basurko C, Roger A, Bruncher P, Dussart P, Flamand C, Carles G, Buekens P, Breart G, Carme B, Nacher M. Dengue epidemics and adverse obstetrical outcomes in French Guiana: a semi-ecological study. Trop Med Int Health 2013; 19:153-8. [PMID: 24341915 DOI: 10.1111/tmi.12240] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [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: 11/29/2022]
Abstract
OBJECTIVE To determine whether dengue epidemics are associated with an increase in adverse obstetrical outcomes. METHODS Semi-ecological study combining individual data on obstetrical events from the perinatal registry and aggregated exposure data from the epidemiologic surveillance of dengue in Cayenne, French Guiana between 2004 and 2007. RESULTS After adjustment for individual risk factors, analysis showed that an epidemic level of dengue transmission during the first trimester was associated with an increased risk of post-partum haemorrhage and preterm birth. The associated risks seemed to depend on the epidemic level. CONCLUSIONS Despite its limitations, this study suggests that dengue in the first trimester may be related to preterm birth and to post-partum bleeding, thus leading to specific hypotheses that should be tested in prospective studies.
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Affiliation(s)
- Matthieu Hanf
- Centre d'Investigation Clinique Epidemiologie Clinique Antilles Guyane, inserm CIE802, Centre Hospitalier de Cayenne, Cayenne, France
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Hanf M, Quantin C, Farrington P, Benzenine E, Hocine NM, Velten M, Tubert-Bitter P, Escolano S. Validation of the French national health insurance information system as a tool in vaccine safety assessment: Application to febrile convulsions after pediatric measles/mumps/rubella immunization. Vaccine 2013; 31:5856-62. [DOI: 10.1016/j.vaccine.2013.09.052] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2013] [Revised: 09/17/2013] [Accepted: 09/24/2013] [Indexed: 10/26/2022]
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Abstract
OBJECTIVE To assess at country level the association of mortality in under 5s with a large set of determinants. DESIGN Longitudinal study. SETTING 193 United Nations member countries, 2000-09. METHODS Yearly data between 2000 and 2009 based on 12 world development indicators were used in a multivariable general additive mixed model allowing for non-linear relations and lag effects. MAIN OUTCOME MEASURE National rate of deaths in under 5s per 1000 live births RESULTS The model retained the variables: gross domestic product per capita; percentage of the population having access to improved water sources, having access to improved sanitation facilities, and living in urban areas; adolescent fertility rate; public health expenditure per capita; prevalence of HIV; perceived level of corruption and of violence; and mean number of years in school for women of reproductive age. Most of these variables exhibited non-linear behaviours and lag effects. CONCLUSIONS By providing a unified framework for mortality in under 5s, encompassing both high and low income countries this study showed non-linear behaviours and lag effects of known or suspected determinants of mortality in this age group. Although some of the determinants presented a linear action on log mortality indicating that whatever the context, acting on them would be a pertinent strategy to effectively reduce mortality, others had a threshold based relation potentially mediated by lag effects. These findings could help designing efficient strategies to achieve maximum progress towards millennium development goal 4, which aims to reduce mortality in under 5s by two thirds between 1990 and 2015.
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Affiliation(s)
- Matthieu Hanf
- Biostatistics, CESP Centre for research in Epidemiology and Population Health, U1018, Inserm; Villejuif, France
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Epelboin L, Boullé C, Ouar-Epelboin S, Hanf M, Dussart P, Djossou F, Nacher M, Carme B. Discriminating malaria from dengue fever in endemic areas: clinical and biological criteria, prognostic score and utility of the C-reactive protein: a retrospective matched-pair study in French Guiana. PLoS Negl Trop Dis 2013; 7:e2420. [PMID: 24069477 PMCID: PMC3772026 DOI: 10.1371/journal.pntd.0002420] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2012] [Accepted: 07/31/2013] [Indexed: 11/18/2022] Open
Abstract
Background Dengue and malaria are two major public health concerns in tropical settings. Although the pathogeneses of these two arthropod-borne diseases differ, their clinical and biological presentations are unspecific. During dengue epidemics, several hundred patients with fever and diffuse pain are weekly admitted at the emergency room. It is difficult to discriminate them from patients presenting malaria attacks. Furthermore, it may be impossible to provide a parasitological microscopic examination for all patients. This study aimed to establish a diagnostic algorithm for communities where dengue fever and malaria occur at some frequency in adults. Methodology/Principal Findings A sub-study using the control groups of a case-control study in French Guiana – originally designed to compare dengue and malaria co-infected cases to single infected cases – was performed between 2004 and 2010. In brief, 208 patients with malaria matched to 208 patients with dengue fever were compared in the present study. A predictive score of malaria versus dengue was established using .632 bootstrap procedures. Multivariate analysis showed that male gender, age, tachycardia, anemia, thrombocytopenia, and CRP>5 mg/l were independently associated with malaria. The predictive score using those variables had an AUC of 0.86 (95%CI: 0.82–0.89), and the CRP was the preponderant predictive factor. The sensitivity and specificity of CRP>5 mg/L to discriminate malaria from dengue were of 0.995 (95%CI: 0.991–1) and 0.35 (95%CI 0.32–0.39), respectively. Conclusions/Significance The clinical and biological score performed relatively well for discriminating cases of dengue versus malaria. Moreover, using only the CRP level turned to be a useful biomarker to discriminate feverish patients at low risk of malaria in an area where both infections exist. It would avoid more than 33% of unnecessary parasitological examinations with a very low risk of missing a malaria attack. The authors present a retrospective matched-pair study on dengue and malaria performed in French Guiana. These two infections are major public health concerns in tropical regions, especially in South America and Southeast Asia, where they affect neglected populations which makes them interesting to be published in a journal aiming to publish about neglected tropical diseases. Although the pathogeneses of these two arthropod-borne differ, their clinical and biological presentations are unspecific. During dengue epidemics, hundreds of patients are admitted weekly with diffuse pains and fever at the emergency room. Among them, it is difficult to accurately distinguish malaria attacks, which are far less frequent than dengue fever cases. Moreover, it may be impossible to provide a parasitological microscopic examination for all patients. We believe the results of the present study, based on a sample of n = 416 individual are worthwhile as they support evidence that biological factors can help to discriminate between the two, in areas where they co-exist in endemic areas. A simple prognostic score based on clinical and biological criteria was built, interesting and easy-to-use for physicians in tropical areas.
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Affiliation(s)
- Loïc Epelboin
- CIC-EC Antilles Guyane CIE 802 Inserm, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana
- Research team EPaT EA 3593, University of French West Indies and French Guiana, Cayenne, French Guiana
- AP-HP, Hôpital Pitié-Salpêtrière, Service de maladies Infectieuses et Tropicales, Paris, France
- * E-mail:
| | - Charlotte Boullé
- UMI 233, Institut de Recherche pour le Développement (IRD)/Université Montpellier 1 (UM1), Montpellier
| | - Sihem Ouar-Epelboin
- CIC-EC Antilles Guyane CIE 802 Inserm, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana
| | - Matthieu Hanf
- CIC-EC Antilles Guyane CIE 802 Inserm, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana
- Research team EPaT EA 3593, University of French West Indies and French Guiana, Cayenne, French Guiana
| | - Philippe Dussart
- French National Reference Centre for Arboviruses, Institut Pasteur de Guyane, Cayenne, French Guiana
| | - Félix Djossou
- Infectious and Tropical Diseases Department, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana
| | - Mathieu Nacher
- CIC-EC Antilles Guyane CIE 802 Inserm, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana
- Research team EPaT EA 3593, University of French West Indies and French Guiana, Cayenne, French Guiana
| | - Bernard Carme
- CIC-EC Antilles Guyane CIE 802 Inserm, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana
- Research team EPaT EA 3593, University of French West Indies and French Guiana, Cayenne, French Guiana
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Roger A, Nacher M, Hanf M, Drogoul AS, Adenis A, Basurko C, Dufour J, Sainte Marie D, Blanchet D, Simon S, Carme B, Couppié P. Climate and leishmaniasis in French Guiana. Am J Trop Med Hyg 2013; 89:564-9. [PMID: 23939706 DOI: 10.4269/ajtmh.12-0771] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
To study the link between climatic variables and the incidence of leishmaniasis a study was conducted in Cayenne, French Guiana. Patients infected between January 1994 and December 2010. Meteorological data were studied in relation to the incidence of leishmaniasis using an ARIMA model. In the final model, the infections were negatively correlated with rainfall (with a 2-month lag) and with the number of days with rainfall > 50 mm (lags of 4 and 7 months). The variables that were positively correlated were temperature and the Multivariate El Niño Southern Oscillation Index with lags of 8 and 4 months, respectively. Significantly greater correlations were observed in March for rainfall and in November for the Multivariate El Niño/Southern Oscillation Index. Climate thus seems to be a non-negligible explanatory variable for the fluctuations of leishmaniasis. A decrease in rainfall is linked to increased cases 2 months later. This easily perceptible point could lead to an interesting prevention message.
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Affiliation(s)
- Amaury Roger
- Centre d'Investigation Clinique Epidémiologie Clinique Antilles Guyane CIC-EC CIE 802, Cayenne General Hospital, Cayenne, French Guiana.
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Hanf M, Adenis A, Couppié P, Carme B, Nacher M. The impact of corruption on multidrug-resistant tuberculosis: a quantitative assessment: Figure 1–. Eur Respir J 2012; 40:792-3. [DOI: 10.1183/09031936.00180911] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Epelboin L, Hanf M, Dussart P, Ouar-Epelboin S, Djossou F, Nacher M, Carme B. Is dengue and malaria co-infection more severe than single infections? A retrospective matched-pair study in French Guiana. Malar J 2012; 11:142. [PMID: 22549018 PMCID: PMC3403992 DOI: 10.1186/1475-2875-11-142] [Citation(s) in RCA: 60] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2012] [Accepted: 05/01/2012] [Indexed: 11/20/2022] Open
Abstract
Background Dengue and malaria are two major arthropod-borne infections in tropical areas, but dual infections were only described for the first time in 2005. Reports of these concomitant infections are scarce and there is no evidence of more severe clinical and biological pictures than single infections. Methods To compare co-infections to dengue alone and malaria alone, a retrospective matched-pair study was conducted between 2004 and 2010 among patients admitted in the emergency department of Cayenne hospital, French Guiana. Results 104 dengue and malaria co-infection cases were identified during the study period and 208 individuals were matched in two comparison groups: dengue alone and malaria alone. In bivariate analysis, co-infection clinical picture was more severe than separated infections, in particular using the severe malaria WHO criteria. In multivariate analysis, independent factors associated with co-infection versus dengue were: masculine gender, CRP level > 50 mg/L, thrombocytopaenia < 50 109/L, and low haematocrit <36% and independent factors significantly associated with co-infections versus malaria were red cells transfusion, low haematocrit < 36%, thrombocytopaenia < 50 109/L and low Plasmodium parasitic load < 0.001%. Conclusions In the present study, dengue and malaria co-infection clinical picture seems to be more severe than single infections in French Guiana, with a greater risk of deep thrombocytopaenia and anaemia.
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Affiliation(s)
- Loïc Epelboin
- CIC-EC Antilles Guyane CIE 802 Inserm, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana.
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Roger A, Hanf M, Dufour J, Basurko C, Lazar M, Sainte-Marie D, Simon S, Nacher M, Carme B, Couppié P. Climat et leishmaniose cutanée en Guyane. Étude à partir d’une série de 1302 patients vus entre 1994 et 2010. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.299] [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: 10/15/2022]
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Hanf M, Van-Melle A, Fraisse F, Roger A, Carme B, Nacher M. Corruption kills: estimating the global impact of corruption on children deaths. PLoS One 2011; 6:e26990. [PMID: 22073233 PMCID: PMC3206868 DOI: 10.1371/journal.pone.0026990] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2011] [Accepted: 10/07/2011] [Indexed: 11/28/2022] Open
Abstract
Background Information on the global risk factors of children mortality is crucial to guide global efforts to improve survival. Corruption has been previously shown to significantly impact on child mortality. However no recent quantification of its current impact is available. Methods The impact of corruption was assessed through crude Pearson's correlation, univariate and multivariate linear models coupling national under-five mortality rates in 2008 to the national “perceived level of corruption” (CPI) and a large set of adjustment variables measured during the same period. Findings The final multivariable model (adjusted R2 = 0.89) included the following significant variables: percentage of people with improved sanitation (p.value<0.001), logarithm of total health expenditure (p.value = 0.006), Corruption Perception Index (p.value<0.001), presence of an arid climate on the national territory (p = 0.006), and the dependency ratio (p.value<0.001). A decrease in CPI of one point (i.e. a more important perceived corruption) was associated with an increase in the log of national under-five mortality rate of 0.0644. According to this result, it could be roughly hypothesized that more than 140000 annual children deaths could be indirectly attributed to corruption. Interpretations Global response to children mortality must involve a necessary increase in funds available to develop water and sanitation access and purchase new methods for prevention, management, and treatment of major diseases drawing the global pattern of children deaths. However without paying regard to the anti-corruption mechanisms needed to ensure their proper use, it will also provide further opportunity for corruption. Policies and interventions supported by governments and donors must integrate initiatives that recognise how they are inter-related.
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Affiliation(s)
- Matthieu Hanf
- Centre d'Investigation Clinique Epidémiologie Clinique Antilles Guyane CIC-EC INSERM CIE 802, Cayenne General Hospital, Cayenne, French Guiana.
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Stefani A, Hanf M, Nacher M, Girod R, Carme B. Environmental, entomological, socioeconomic and behavioural risk factors for malaria attacks in Amerindian children of Camopi, French Guiana. Malar J 2011; 10:246. [PMID: 21861885 PMCID: PMC3196925 DOI: 10.1186/1475-2875-10-246] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2011] [Accepted: 08/23/2011] [Indexed: 11/10/2022] Open
Abstract
Background Malaria is a major health issue in French Guiana. Amerindian communities remain the most affected. A previous study in Camopi highlighted the predominant role of environmental factors in the occurrence of malaria. However, all parameters involved in the transmission were not clearly identified. A new survey was conducted in order to clarify the risk factors for the presence of malaria cases in Camopi. Methods An open cohort of children under seven years of age was set up on the basis of biologically confirmed malaria cases for the period 2001-2009. Epidemiological and observational environmental data were collected using two structured questionnaires. Data were analysed with a multiple failures multivariate Cox model. The influence of climate and the river level on malaria incidence was evaluated by time-series analysis. Relationships between Anopheles darlingi human biting rates and malaria incidence rates were estimated using Spearman's rank correlation. Results The global annual incidence over the nine-year period was 238 per 1,000 for Plasmodium falciparum, 514 per 1,000 for Plasmodium visa and 21 per 1,000 for mixed infections. The multivariate survival analysis associated higher malaria incidence with living on the Camopi riverside vs. the Oyapock riverside, far from the centre of the Camopi hamlet, in a home with numerous occupants and going to sleep late. On the contrary, living in a house cleared of all vegetation within 50 m and at high distance of the forest were associated with a lower risk. Meteorological and hydrological characteristics appeared to be correlated with malaria incidence with different lags. Anopheles darlingi human biting rate was also positively correlated to incident malaria in children one month later. Conclusions Malaria incidence in children remains high in young children despite the appearance of immunity in children around three years of age. The closeness environment but also the meteorological parameters play an important role in malaria transmission among children under seven years of age in Camopi.
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Affiliation(s)
- Aurélia Stefani
- EPaT Team (EA3593), UFR de Médecine - Université des Antilles et de la Guyane, Cayenne, French Guiana
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