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Papers by Pierre-Clément THIEBAUD

Research paper thumbnail of Syndrome de Fitz-Hugh-Curtis

Annales françaises de médecine d'urgence, 2021

Research paper thumbnail of Une pneumopathie d’inhalation… de dentier

Annales françaises de médecine d'urgence, 2021

Research paper thumbnail of Le signe du triangle dense

Annales françaises de médecine d'urgence, Apr 22, 2017

Research paper thumbnail of External validation of Glasgow-Blatchford, modified Glasgow-Blatchford and CANUKA scores to identify low-risk patients with upper gastrointestinal bleeding in emergency departments: a retrospective cohort study

Emergency Medicine Journal

BackgroundUpper gastrointestinal bleeding (UGIB) is a medical emergency with an approximate morta... more BackgroundUpper gastrointestinal bleeding (UGIB) is a medical emergency with an approximate mortality of 10%, which results in a high hospitalisation rate. The Glasgow-Blatchford score (GBS) is recommended to identify low-risk patients who can be discharged from the emergency department (ED). A modified GBS (mGBS) and CANUKA score have recently been proposed but have not been well studied. The aim of this study was to assess whether the use of GBS, mGBS or CANUKA score could identify patients at low risk of death or need for intervention.MethodsA single-centre retrospective study was performed including patients with suspected UGIB visiting the ED of Saint-Antoine hospital (Paris, France) from January 2016 to December 2018. Demographic and medical data needed to calculate GBS and CANUKA were collected, as well as outcomes data. Need for intervention was defined as the need for blood transfusion, endoscopic haemostasis or rebleeding within 7 days. In-hospital mortality was also colle...

Research paper thumbnail of European guidelines on the management of upper gastrointestinal bleeding: where are emergency physicians?

European Journal of Emergency Medicine, 2021

Research paper thumbnail of Acute icteric hepatitis as the first isolated symptom of COVID-19

BMJ Case Reports, 2021

Patients with COVID-19 may be asymptomatic or present with extrarespiratory symptoms, such as liv... more Patients with COVID-19 may be asymptomatic or present with extrarespiratory symptoms, such as liver injury. It has been reported that 22.5%–46.2% of patients have moderate elevation of liver enzymes. To our knowledge, acute hepatitis has never been described as an isolated symptom of COVID-19 in a previously healthy patient. We report the case of a 53-year-old patient with COVID-19 whose first clinical presentation was acute icteric hepatitis, several days before the development of others symptoms. During the pandemic, we suggest that patients with acute hepatitis be considered as COVID-19 suspects, tested and isolated.

Research paper thumbnail of An educational intervention to reduce unjustified peripheral intravenous infusions in the emergency department

Internal and Emergency Medicine, 2021

Research paper thumbnail of Outpatient Management of Patients With COVID-19

Chest, 2021

HAL is a multidisciplinary open access archive for the deposit and dissemination of scientific re... more HAL is a multidisciplinary open access archive for the deposit and dissemination of scientific research documents, whether they are published or not. The documents may come from teaching and research institutions in France or abroad, or from public or private research centers. L'archive ouverte pluridisciplinaire HAL, est destinée au dépôt et à la diffusion de documents scientifiques de niveau recherche, publiés ou non, émanant des établissements d'enseignement et de recherche français ou étrangers, des laboratoires publics ou privés.

Research paper thumbnail of Emergency department outcome of elderly patients assisted by professional home services, the EPIGER study

BMC Geriatrics, 2020

Background For the elderly population living at home, the implementation of professional services... more Background For the elderly population living at home, the implementation of professional services tends to mitigate the effect of loss of autonomy and increases their quality of life. While helping in avoiding social isolation, home services could also be associated to different healthcare pathways. For elderly patients, Emergency Departments (EDs) are the main entrance to hospital where previous loss of autonomy is associated to worst hospital outcomes. Part of elderly patients visiting EDs are still admitted to hospital for having difficulties coping at home without presenting any acute medical issue. There is a lack of data concerning elderly patients visiting EDs assisted by home services. Our aim was to compare among elderly patients visiting ED those assisted by professional home services to those who do not in terms of emergency resources’ use and patients’ outcome. Methods A multicenter, prospective cohort study was performed in 124 French EDs during a 24-h period on March 2...

Research paper thumbnail of Syndrome de Fitz-Hugh-Curtis

Annales françaises de médecine d’urgence, 2021

Research paper thumbnail of Effect of music on pain and anxiety during wound closure in the emergency department

Academic Emergency Medicine, 2021

Research paper thumbnail of Left atrial compression by a large hiatal hernia: A rare cause of cardiac dysfunction

The American Journal of Emergency Medicine, 2021

Symptomatic hiatal hernia (HH) is most often revealed by gastroesophageal reflux disease, but the... more Symptomatic hiatal hernia (HH) is most often revealed by gastroesophageal reflux disease, but there are atypical presentations some of which are life-threatening. We report the case of a 57-year-old woman brought to the emergency department with isolated shortness of breath for 24 h. Initial explorations revealed unexplained hyperlactatemia (6.4 mmol/L) without clinical or biological evidence of hypovolemia, distributive, obstructive or cardiogenic shock. Two hours after admission, we observed a decreased of blood pressure and an increase of lactate level to 7.9 mmol/L. A bedside echocardiography revealed an extra-cardiac left atrial compression and thoracoabdominal computed tomography showed a large sliding HH compressing the left atrium. After an upper gastrointestinal endoscopy permitting the aspiration of gastric contents, a repair surgery was performed without complications and patient was discharge three days later. Emergency physicians should be aware that HH can be a rare cause of cardiac symptoms by heart compression and certainly use echocardiography for unexplained hemodynamic failure.

Research paper thumbnail of Alcohol consumption among French physicians: A cross-sectional study

Drug and Alcohol Dependence, 2021

Prevalence of hazardous alcohol consumption among French physicians is 12.6%.  Drugs use and fix... more Prevalence of hazardous alcohol consumption among French physicians is 12.6%.  Drugs use and fixed term contract are associated with hazardous alcohol consumption.  Risky alcohol consumption seems similar between physicians and general population.

Research paper thumbnail of Suspected lower gastrointestinal bleeding in emergency departments, from bleeding symptoms to diagnosis

The American Journal of Emergency Medicine, 2019

Research paper thumbnail of General practitioner consultation after a visit to the emergency department: an observational study

Family practice, Jan 21, 2018

Some studies have demonstrated an association between poor continuity of care, high likelihood of... more Some studies have demonstrated an association between poor continuity of care, high likelihood of 'inappropriate' use of emergency departments (EDs) and avoidable hospitalization. However, we lack data concerning primary care use after an ED visit. Identify the determinants of a visit to the general practitioner (GP) after an ED visit. Observational study (single-centre cohort). One emergency department in Paris, France. All adult patients who presented at the ED and were discharged. We collected data by the use of a standardized questionnaire, patients' medical records and a telephonic follow-up. Descriptive analyses were performed to compare individuals with and without a GP. Then, for those with a GP, multivariate logistic regression was used to identify the determinants of the GP consultation. We included 243 patients (mean age 45 years [±19]); 211 (87%) reported having a GP. Among those who reported having a GP, 52% had consulted their GP after the ED visit. Not hav...

Research paper thumbnail of Pneumomédiastin secondaire à une consommation de cocaïne

Annales françaises de médecine d'urgence, 2017

Research paper thumbnail of Choosing the right score and threshold to identify low-risk patients with an upper gastrointestinal bleeding is critical

European Journal of Emergency Medicine

Research paper thumbnail of Syndrome de Fitz-Hugh-Curtis

Annales françaises de médecine d'urgence, 2021

Research paper thumbnail of Une pneumopathie d’inhalation… de dentier

Annales françaises de médecine d'urgence, 2021

Research paper thumbnail of Le signe du triangle dense

Annales françaises de médecine d'urgence, Apr 22, 2017

Research paper thumbnail of External validation of Glasgow-Blatchford, modified Glasgow-Blatchford and CANUKA scores to identify low-risk patients with upper gastrointestinal bleeding in emergency departments: a retrospective cohort study

Emergency Medicine Journal

BackgroundUpper gastrointestinal bleeding (UGIB) is a medical emergency with an approximate morta... more BackgroundUpper gastrointestinal bleeding (UGIB) is a medical emergency with an approximate mortality of 10%, which results in a high hospitalisation rate. The Glasgow-Blatchford score (GBS) is recommended to identify low-risk patients who can be discharged from the emergency department (ED). A modified GBS (mGBS) and CANUKA score have recently been proposed but have not been well studied. The aim of this study was to assess whether the use of GBS, mGBS or CANUKA score could identify patients at low risk of death or need for intervention.MethodsA single-centre retrospective study was performed including patients with suspected UGIB visiting the ED of Saint-Antoine hospital (Paris, France) from January 2016 to December 2018. Demographic and medical data needed to calculate GBS and CANUKA were collected, as well as outcomes data. Need for intervention was defined as the need for blood transfusion, endoscopic haemostasis or rebleeding within 7 days. In-hospital mortality was also colle...

Research paper thumbnail of European guidelines on the management of upper gastrointestinal bleeding: where are emergency physicians?

European Journal of Emergency Medicine, 2021

Research paper thumbnail of Acute icteric hepatitis as the first isolated symptom of COVID-19

BMJ Case Reports, 2021

Patients with COVID-19 may be asymptomatic or present with extrarespiratory symptoms, such as liv... more Patients with COVID-19 may be asymptomatic or present with extrarespiratory symptoms, such as liver injury. It has been reported that 22.5%–46.2% of patients have moderate elevation of liver enzymes. To our knowledge, acute hepatitis has never been described as an isolated symptom of COVID-19 in a previously healthy patient. We report the case of a 53-year-old patient with COVID-19 whose first clinical presentation was acute icteric hepatitis, several days before the development of others symptoms. During the pandemic, we suggest that patients with acute hepatitis be considered as COVID-19 suspects, tested and isolated.

Research paper thumbnail of An educational intervention to reduce unjustified peripheral intravenous infusions in the emergency department

Internal and Emergency Medicine, 2021

Research paper thumbnail of Outpatient Management of Patients With COVID-19

Chest, 2021

HAL is a multidisciplinary open access archive for the deposit and dissemination of scientific re... more HAL is a multidisciplinary open access archive for the deposit and dissemination of scientific research documents, whether they are published or not. The documents may come from teaching and research institutions in France or abroad, or from public or private research centers. L'archive ouverte pluridisciplinaire HAL, est destinée au dépôt et à la diffusion de documents scientifiques de niveau recherche, publiés ou non, émanant des établissements d'enseignement et de recherche français ou étrangers, des laboratoires publics ou privés.

Research paper thumbnail of Emergency department outcome of elderly patients assisted by professional home services, the EPIGER study

BMC Geriatrics, 2020

Background For the elderly population living at home, the implementation of professional services... more Background For the elderly population living at home, the implementation of professional services tends to mitigate the effect of loss of autonomy and increases their quality of life. While helping in avoiding social isolation, home services could also be associated to different healthcare pathways. For elderly patients, Emergency Departments (EDs) are the main entrance to hospital where previous loss of autonomy is associated to worst hospital outcomes. Part of elderly patients visiting EDs are still admitted to hospital for having difficulties coping at home without presenting any acute medical issue. There is a lack of data concerning elderly patients visiting EDs assisted by home services. Our aim was to compare among elderly patients visiting ED those assisted by professional home services to those who do not in terms of emergency resources’ use and patients’ outcome. Methods A multicenter, prospective cohort study was performed in 124 French EDs during a 24-h period on March 2...

Research paper thumbnail of Syndrome de Fitz-Hugh-Curtis

Annales françaises de médecine d’urgence, 2021

Research paper thumbnail of Effect of music on pain and anxiety during wound closure in the emergency department

Academic Emergency Medicine, 2021

Research paper thumbnail of Left atrial compression by a large hiatal hernia: A rare cause of cardiac dysfunction

The American Journal of Emergency Medicine, 2021

Symptomatic hiatal hernia (HH) is most often revealed by gastroesophageal reflux disease, but the... more Symptomatic hiatal hernia (HH) is most often revealed by gastroesophageal reflux disease, but there are atypical presentations some of which are life-threatening. We report the case of a 57-year-old woman brought to the emergency department with isolated shortness of breath for 24 h. Initial explorations revealed unexplained hyperlactatemia (6.4 mmol/L) without clinical or biological evidence of hypovolemia, distributive, obstructive or cardiogenic shock. Two hours after admission, we observed a decreased of blood pressure and an increase of lactate level to 7.9 mmol/L. A bedside echocardiography revealed an extra-cardiac left atrial compression and thoracoabdominal computed tomography showed a large sliding HH compressing the left atrium. After an upper gastrointestinal endoscopy permitting the aspiration of gastric contents, a repair surgery was performed without complications and patient was discharge three days later. Emergency physicians should be aware that HH can be a rare cause of cardiac symptoms by heart compression and certainly use echocardiography for unexplained hemodynamic failure.

Research paper thumbnail of Alcohol consumption among French physicians: A cross-sectional study

Drug and Alcohol Dependence, 2021

Prevalence of hazardous alcohol consumption among French physicians is 12.6%.  Drugs use and fix... more Prevalence of hazardous alcohol consumption among French physicians is 12.6%.  Drugs use and fixed term contract are associated with hazardous alcohol consumption.  Risky alcohol consumption seems similar between physicians and general population.

Research paper thumbnail of Suspected lower gastrointestinal bleeding in emergency departments, from bleeding symptoms to diagnosis

The American Journal of Emergency Medicine, 2019

Research paper thumbnail of General practitioner consultation after a visit to the emergency department: an observational study

Family practice, Jan 21, 2018

Some studies have demonstrated an association between poor continuity of care, high likelihood of... more Some studies have demonstrated an association between poor continuity of care, high likelihood of 'inappropriate' use of emergency departments (EDs) and avoidable hospitalization. However, we lack data concerning primary care use after an ED visit. Identify the determinants of a visit to the general practitioner (GP) after an ED visit. Observational study (single-centre cohort). One emergency department in Paris, France. All adult patients who presented at the ED and were discharged. We collected data by the use of a standardized questionnaire, patients' medical records and a telephonic follow-up. Descriptive analyses were performed to compare individuals with and without a GP. Then, for those with a GP, multivariate logistic regression was used to identify the determinants of the GP consultation. We included 243 patients (mean age 45 years [±19]); 211 (87%) reported having a GP. Among those who reported having a GP, 52% had consulted their GP after the ED visit. Not hav...

Research paper thumbnail of Pneumomédiastin secondaire à une consommation de cocaïne

Annales françaises de médecine d'urgence, 2017

Research paper thumbnail of Choosing the right score and threshold to identify low-risk patients with an upper gastrointestinal bleeding is critical

European Journal of Emergency Medicine