Reconnaissance des diplômes étrangers. L’exercice en France de la médecine et des professions paramédicales est réglementé et les diplômes étrangers ne. Laurent Lebard. Chambéry Area, France Chef d’entreprise chez YIELDIN Information Technology and Services Education Ecole de Management de Lyon / EM. Luxembourg Avocat à la Cour at Etude Weber Stein Thiel & Associés Law Practice Education Université Paris Sud (Paris XI) / University Paris XI —

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Hence, the number of patients potentially concerned by a strategy of early discharge is very large and, in a similar manner, an increase in the economic savings in perspective could be envisioned since our study showed that there was no long-term mortality rise. Declining length of stay for patients hospitalized with AMI: Determinants of early discharge The early discharge patients possessed clinical particularities: In comparison to the late discharge group, the earlier discharged patients were younger in age 57[] vs.

La prise en charge de l’infarctus du myocarde est votre quotidien et votre expertise pour l’analyse biostatistqiue ce travail est remarquable. This study confirms that a strategy of early hospital discharge within two days of admission courx a STEMI does not raise the risk of mortality in selected patients.

There are no formal recommendations about the optimal duration of hospitalization due to a lack of data in the literature, often dating from before the time of the major radial approach in primary percutaneous coronary intervention PPCI and new anti-platelet therapy.

Limitations and strengths A limitation inherent to our study was its observational, retrospective and non- randomized design that may have induced potential bias between the groups.

The variables that were found to be significant in the univariate analyses were candidates for the multivariate analyses. Statistical analyses were performed using the software R 2.

Their exclusion criteria were numerous. Implications for timing of discharge and applications to medical decision-making. According to new recommendations given in 9the European Society of Cardiology ESC estimates that after a STEMI it is reasonable to consider an early hospital discharge after about 72 hours in selected patients at low risk and subject to a prior organization of a cardiac follow-up with rehabilitation.


Two of these pdem1 are in public University Hospitals, four are in public General Hospitals and four are in private clinics.

It is an honor to have you present for the day of my thesis defense. Early discharge after primary percutaneous coronary intervention for ST-elevation myocardial infarction. Je perfectionnerai mes connaissances pour assurer au mieux ma mission.

On the contrary, our analysis was conducted in “real-life” conditions. Timing, setting and incidence of cardiovascular complications in patients with acute myocardial infarction submitted to primary percutaneous coronary intervention. All patients received written information about the registry and its objectives and all of them provided consent.

Sortie precoce post-infarctus du myocarde

Comparison of mortality benefit of immediate thrombolytic therapy versus delayed primary angioplasty for acute myocardial infarction. J Am Coll Cardiol.

The primary clinical end-point was all-cause mortality at one-year follow-up. Moreover it would allow for a rapid cardiac rehabilitation associated with an educational program on cardiac follow-up. However, the cors efficiency of this strategy is rarely taken into account Heusch G, Gersh BJ.

European Graduates | Université Paris Sud (Paris XI)

Data regarding re-hospitalization after discharge were lacking. In our study population, patients transferred after CICU to another unit instead of returning home were younger in age 59[] vs. Comparisons between groups were performed with the Kruskal Wallis Non-Parametric test or the Pearson Chi-squared test as appropriate.

LOS has gradually shortened over time This network is a regional emergency cardiovascular network Eastern region of France that links ten large PPCI centers together which provide hour service. The secondary objective was to assess the determinants leading to an early discharge.

Early discharge after primary percutaneous coronary intervention. One must take into account each patient’s history, post-interventional monitoring as well as the usual procedures as practiced in each service. Association of changes in clinical characteristics and management with improvement in survival among patients with ST-elevation myocardial infarction.


Therefore, their results are less able to be extrapolated and to be used in the everyday practice in a CICU. A medically trained research coordinator from the RESCUe network systematically contacted each patient bistatistique 1, 6 and 12 month intervals to perform a follow-up for this study. A logistic regression was performed to find the determinants favorable for early discharge. What is the optimal length of stay in hospital for ST elevation myocardial infarction treated with primary percutaneous coronary intervention?

Biiostatistique of length of hospital stay in acute myocardial infarction to postdischarge mortality. Next day discharge after successful primary angioplasty for acute ST elevation myocardial infarction. Vous m’avez fait vivre les meilleurs moments de mon internat: The availability of such data would have very likely been considered as a determinant of early discharge that our trial was unable to demonstrate. The pathophysiology of acute myocardial infarction and strategies of protection beyond reperfusion: We excluded patients who had died during hospitalization, 19 patients with discharge data missing and patients with a final diagnostic that did not match with the third universal definition for myocardial infarction 11 corresponding to the definition of STEMI in this study.

This reperfusion strategy is recommended because it leads to better outcomes Feasibility and safety of an early discharge strategy after low-risk acute myocardial infarction treated with primary percutaneous coronary intervention: To assess the predictive value of LOS, survival was estimated by Kaplan—Meier survival curves log-rank pceem1 according to early or late discharge characteristics.

Catheterisme cardiaque – Cliniques universitaires Saint-Luc. Prasugrel versus clopidogrel in patients with acute coronary syndromes. All of the aforementioned parameters taken from “real-life” conditions corresponded to and validated the criteria described in the literature to aid in the numerically scoring of the post-STEMI risk