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Villermin É, Cojean N, Obregon S, Petillard E, Péret V. Erratum à l’article « Des soins palliatifs... à la démarche palliative en pédiatrie: état des lieux 10 ans après », [La revue de l’infirmière 2023;294(72):47–9]. Rev Infirm 2023; 72:11. [PMID: 37952985 DOI: 10.1016/j.revinf.2023.10.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2023]
Affiliation(s)
- Élise Villermin
- Équipe Lorraine d'Accompagnement, de Soins de support et de Soins Palliatifs Pédiatriques, CHRU Nancy, rue du Morvan, 54500 Vandoeuvre-lès-Nancy, France.
| | - Nadine Cojean
- ERSP Alsace, Hôpitaux universitaires de Strasbourg, avenue Molière, 67000 Strasbourg, France
| | - Stéphane Obregon
- SERSP Pays de la Loire, CHR Angers, site Larrey, 4 rue Larrey, 49100 Angers, France
| | - Estelle Petillard
- ERSP Rhône-Alpes, Centre Léon-Bérard, 1 place du Professeur Joseph-Renaut, 69373 Lyon cedex 08, France
| | - Virginie Péret
- ERSP Picardie, CHU Amiens-Picardie, 1 rond-point du Professeur Christian-Cabrol, 80054 Amiens cedex 1, France
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Villermin É, Cojean N, Obregon S, Petillard E, Péret V. [From palliative care... to the palliative approach in paediatrics: 10 years on]. Rev Infirm 2023; 72:47-49. [PMID: 37838374 DOI: 10.1016/j.revinf.2023.08.014] [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] [Subscribe] [Scholar Register] [Indexed: 10/16/2023]
Abstract
There are 24 regional pediatric palliative care resource teams (ERSP) in metropolitan and overseas France. An initial review of the ERSPs was carried out in 2015. The ERSP commission of the Société française de soins palliatifs pédiatriques (French Society for Pediatric Palliative Care) wanted to review the situation again, ten years after the creation of these teams. This article presents the main findings.
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Affiliation(s)
- Élise Villermin
- Équipe Lorraine d'Accompagnement, de Soins de support et de Soins Palliatifs Pédiatriques, CHRU Nancy, rue du Morvan, 54500 Vandœuvre-lès-Nancy, France.
| | - Nadine Cojean
- ERSP Alsace, Hôpitaux Universitaires de Strasbourg, avenue Molière, 67000 Strasbourg, France
| | - Stéphane Obregon
- SERSP Pays de la Loire, CHR Angers, site Larrey, 4 Rue Larrey, 49100 Angers, France
| | - Estelle Petillard
- ERSP Rhône-Alpes, Centre Léon-Bérard, 1, place du Professeur Joseph-Renaut, 69373 Lyon cedex 08, France
| | - Virginie Péret
- ERSP Picardie, CHU Amiens - Picardie, 1, Rond-Point du Professeur Christian-Cabrol, 80054 Amiens Cedex 1, France
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Botto F, Obregon S, Di Leva A, Fischer Sohn G, Bang J, Koretzky M, Kotliar C. Prevalence and burden of carotid and femoral atherosclerosis in subjects older than 30 years-old without known cardiovascular disease determined by bidimensional vascular ultrasound. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
2019 ESC guidelines on dyslipidemia (DLP) and diabetes (DM) recommend (class IIa) measurement of arterial (carotid and/or femoral) plaque burden with vascular ultrasound (VUS) as a risk modifier in individuals at low or moderate risk with DLP and in asymptomatic patients with DM. However, there are no standard thresholds to categorize atherosclerosis burden (AB) measured by 2D-VUS, a simple, safe and spread technology.
Purpose
To explore carotid (c) and femoral (f) plaques prevalence and AB according to age, sex and cardiovascular risk factors (CVRF) in subjects older than 30 years-old without known atherosclerotic cardiovascular disease (ASCVD)
Methods
Among 9,987 consecutive individuals self-referred or referred by physicians for a cardiovascular workup, we present a cross-sectional analysis of 5,775 first visits of those between 30 and 80 years-old without known ASCVD. We registered prospectively information about CVRF, lifestyle and anthropometrics and determined the prevalence of atherosclerotic plaques evaluating bilateral carotid and femoral arteries with 2D-VUS, applying the Mannheim Consensus definition. Further, we estimated c-AB as the sum of all carotid plaque areas (in mm2), and f-AB according to the presence of unilateral, bilateral or no femoral plaques. Median c-AB and 25–75th percentiles by age and sex were determined. We finally examined the association of AB with number of CVRF adjusted by age.
Results
61% were men, mean age was 51.3 (SD 10.6) years. CVRF were hypertension 53.3%, dyslipidemia 50.3%, sedentarism 56.9%, obesity 28.2%, smoking 16.6% and diabetes 7.3%. Near 10% had no CVRF, 23.1% had 1, 29.8% had 2 and 37.4% had ≥3 CVRF. 42% were medicated on antihypertensives and 17.8% on lipid-lowering drugs. Globally, plaque prevalence was 51% in carotid arteries, 39.3% in femoral arteries, 62.4% in carotid or femoral arteries, and 37.6% in neither. There was an age-related increasing pattern in both sex, stepper in men compared to women before 50 years-old (see graph). Median cAB showed also increasing values with aging, starting at 40 years-old and being higher in men than women with nearly 8 to 10 years ahead of time. Likewise it was observed regarding the presence of uni and bilateral femoral plaques. Finally, there was an increasing prevalence of plaques by number of CVRF, higher in men than women, either in the whole population and in those younger than 50 years-old. However, plaques prevalence was elevated in subjects with 0 (44.9% in men and 35.2% in women) or 1 CVRF (59.2% in men and 44.4% in women), leveraged by age.
Conclusions
We observed a high prevalence of carotid or femoral atherosclerosis, higher in men than women, and a high AB in both sex, starting before the fourth decade of life and increasing with age. In spite of a significant association to classic CVRF, a significant number of subjects with paucity of CVRF were diagnosed with atherosclerosis
Prevalence of carotid or femoral plaques
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- F Botto
- Austral University Hospital, Hypertension and Vascular Aging Center, Buenos Aires, Argentina
| | - S Obregon
- Austral University Hospital, Hypertension and Vascular Aging Center, Buenos Aires, Argentina
| | - A Di Leva
- Austral University Hospital, Hypertension and Vascular Aging Center, Buenos Aires, Argentina
| | - G Fischer Sohn
- Austral University Hospital, Hypertension and Vascular Aging Center, Buenos Aires, Argentina
| | - J.H Bang
- Austral University Hospital, Hypertension and Vascular Aging Center, Buenos Aires, Argentina
| | - M Koretzky
- Austral University Hospital, Hypertension and Vascular Aging Center, Buenos Aires, Argentina
| | - C Kotliar
- Austral University Hospital, Hypertension and Vascular Aging Center, Buenos Aires, Argentina
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Kempny P, Gonzalez S, Castellaro C, Forcada P, Svane JC, Obregon S, Kotliar C. PP.17.31. J Hypertens 2015. [DOI: 10.1097/01.hjh.0000468254.31321.0e] [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: 11/25/2022]
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Forcada P, Olano D, Obregon S, Gonzalez S, Castellaro C, Chiabaut J, Inserra F, Kotliar C. P1.23 CENTRAL AORTIC PRESSURE AND ARTERIAL STIFFNESS PATTERNS ACCORDING TO DRUGS AND GENDER IN HYPERTENSIVE PATIENTS. Artery Res 2012. [DOI: 10.1016/j.artres.2012.09.060] [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: 11/28/2022] Open
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Forcada P, Olano D, Obregon S, Gonzalez S, Chiabaut J, Castellaro C, Inserra F, Kotliar C. P1.22 NON-INVASIVE HAEMODYNAMIC CHARACTERIZATION BY MEANS OF IMPEDANCE CARDIOGRAPHY IN PRIMARY PREVENTION. Artery Res 2012. [DOI: 10.1016/j.artres.2012.09.059] [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: 10/27/2022] Open
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Forcada P, Olano D, Obregon S, Gonzalez S, Chiabaut J, Castelllaro C, Inserra F, Kotliar C. P4.32 HAEMODYNAMIC PATTERN OF OBESE PATIENTS ON PRIMARY CARDIOVASCULAR PREVENTION. Artery Res 2012. [DOI: 10.1016/j.artres.2012.09.179] [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: 10/27/2022] Open
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Forcada P, Gonzalez S, Obregon S, Chiabaut J, Olano D, Cavanagh E, Inserra F, Kotliar C. AGE RELATED SHIFT OF THE REFLECTION POINT FROM PERIPHERAL TO CENTRAL ARTERIES IN HYPERTENSIVES: A MYTH OR A FACT? J Hypertens 2011. [DOI: 10.1097/00004872-201106001-01459] [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: 11/25/2022]
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Forcada P, Olano D, Gonzalez S, Obregon S, Castelaro C, Kotliar C. P11.19 DIFFERENT BEHAVIOUR OF ARTERIAL STIFFNESS ACCORDING SEX AND AGE IN A POPULATION OF PATIENTS IN PRIMARY PREVENTION. Artery Res 2011. [DOI: 10.1016/j.artres.2011.10.175] [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: 11/25/2022] Open
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Kotliar C, Cavanagh E, Forcada P, Obregon S, Castellaro C, Gonzalez S, Hita A, Chuluyan E. IMMUNOLOGICAL ACTIVATION IN EARLY PHASES OF ATHEROSCLEROTIC RENOVASCULAR DISEASE: - A NEW THERAPEUTIC TARGET?: 1C.03. J Hypertens 2010. [DOI: 10.1097/01.hjh.0000378252.91716.69] [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: 11/25/2022]
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Svane JC, Forcada P, Gonzalez S, Obregon S, Bello CC, Inserra F, Cavanagh E, Kotliar C. P2.07 DOES ROSUVASTATIN MEDIATES A BETTER CONTROL OF CENTRAL BLOOD PRESSURE IN TREATED HYPERTENSIVES PATIENTS? Artery Res 2010. [DOI: 10.1016/j.artres.2010.10.040] [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: 11/25/2022] Open
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Forcada P, Olano D, Gonzalez S, Obregon S, Svane JC, Castelaro C, Cavanagh E, Inserra F, Kotliar C. P14.03 IS THERE A SHIFT OF THE REFLECTION POINT FROM PERIPHERAL TO CENTRAL ARTERIES WITH AGE IN HYPERTENSIVE PATIENTS? Artery Res 2010. [DOI: 10.1016/j.artres.2010.10.144] [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] Open
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Forcada P, Gonzalez S, Olano D, Obregon S, Castelaro C, Kotliar C. P1.08 COMPARING PROXIMAL AND DISTAL OCCLUSION FOR TESTING ENDOTHELIAL FUNCTION USING FOREARM ISCHEMIA – HYPERAEMIA. Artery Res 2009. [DOI: 10.1016/j.artres.2009.10.011] [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: 11/17/2022] Open
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Forcada P, Gonzalez S, Olano D, Cavanagh E, Obregon S, Castelaro C, Kotliar C. P9.01 NON - INVASIVE EVALUATION OF ATHEROSCLEROTIC PLAQUE COMPOSITION: COMPARISON BETWEEN THE REFERENCE ANALYZER AND A NEW GRAY SCALE MEDIAN COLOR-MAPPING SOFTWARE. Artery Res 2009. [DOI: 10.1016/j.artres.2009.10.121] [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: 10/20/2022] Open
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Gonzalez S, Forcada P, Olano D, Cavanagh E, Obregon S, Castelaro C, Kotliar C. P8.02 IMPACT OF TRIGLYCERIDES AND INSULIN LEVELS ON WHOLE AND SURFACE CAROTID PLAQUE COMPOSITION IN PATIENTS WITH METABOLIC SYNDROME. Artery Res 2009. [DOI: 10.1016/j.artres.2009.10.108] [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] Open
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Forcada P, Kotliar C, Obregon S, Millet G, Guerrieri J, Montana O, Schulte C, Turri D. P2.51 PRECLINICAL ATHEROSCLEROTIC DISEASE AND METABOLIC SYNDROME: A PREDIABETES STAGE? Artery Res 2008. [DOI: 10.1016/j.artres.2008.08.417] [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: 11/15/2022] Open
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Forcada P, Kotliar C, Montana O, Schulte C, Obregon S, Millet G, Guerrieri J, Turri D. P1.42 PRECLINICAL ATHEROSCLEROTIC DISEASE: IS IT A MARKER OF RISK OF CARDIOVASCULAR EVENTS? Artery Res 2008. [DOI: 10.1016/j.artres.2008.08.349] [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] Open
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