📇 Rhumatologue · FORT DE FRANCE CEDEX · (972) · Hospitalier
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2 raisons identifiées
Plateau technique de référence
Centre hospitalier universitaire (CHU) — équipements et expertise pointus pour les cas complexes
Délais de RDV courts dans la région
106.4 rhumatos / 100 000 hab. — département bien doté
✨ Génération du profil synthétique IA en cours…
Articles déposés en accès libre sur l'archive ouverte des universités françaises (HAL) — gage d'activité de recherche en France.
Données ANS publiques (Licence Ouverte 2.0) · Enrichissements MonRhumato 100 % opt-in · Toute personne référencée peut demander la suppression ou la rectification.
Source : HAL — archive ouverte CCSD/CNRS (couvre articles, chapitres EMC, communications congrès, thèses).
CHU DE MARTINIQUE SITE P.ZOBDA QUITMAN
QUA LA MEYNARD CS 90632, 97261 FORT DE FRANCE CEDEX
Secteur de conventionnement non disponible (médecin hospitalier ou non présent dans l'Annuaire santé CNAM des libéraux conventionnés).
Lien Doctolib = recherche Google site:doctolib.fr (le 1er résultat est presque toujours le profil correct s'il existe).
Resuscitation plus · 2025
Epilepsia open · 2026
Abstract Objective Status epilepticus (SE) is an acute complication that can either occur in the course of epilepsy, or reflect an acute neurological or systemic disorder. SE incidence and associated mortality vary across regions and studied populations. There are no published data for the French overseas territories, including Martinique island where the population faces significant comorbidities and socioeconomic fragility. Methods This was a monocentric, retrospective, observational study conducted at the University Hospital of Martinique. All patients, managed by a mobile intensive care unit (MICU) for SE between January 1 and December 31, 2019, were included. Results Out of 94 patients managed for SE by the MICU, 93 were finally included. The observed annual incidence of prehospital SE was 25.2 per 100 000 inhabitants. The median age was 65 [IQR: 50–74] years, and 69% were male. Most SE cases occurred at home (69%), 72% had a history of epilepsy, and 33% had previously experienced SE. Generalized tonic–clonic SE was the most common presentation, observed in 75 patients (81%). Causes or contributing factors were residual stroke (32%), poor treatment adherence (25%), and toxic exposures (16%). The delivered treatment by the MICU team was in accordance with national guidelines in 77% of cases, with second‐line anti‐seizure medications used in 46 patients (50%). Brain imaging was performed in 71% of cases, and 17% of patients underwent laboratory testing in accordance with guidelines. The median hospitalization duration was 3 [IQR: 2–8.25] days, and 13 patients (14%) died during hospitalization. Significance SE incidence is four times higher in Martinique than in mainland France, associated with a high hospital mortality. Adherence to guidelines for the emergency management of patients is not optimal, particularly regarding biological assessments and brain imaging scans. Further studies are needed to better assess SE management. Plain Language Summary This study looked at people in Martinique who had status epilepticus (SE), a serious condition where seizures last too long or happen repeatedly without recovery. In 2019, 93 patients were treated by the mobile intensive care unit. SE occurred more often in Martinique than in mainland France, especially among older men. Most patients had epilepsy, and the main causes were previous stroke or missed medication. Emergency treatment usually followed national guidelines, but brain scans and lab tests were sometimes missing. SE caused many hospital deaths, showing the need to improve care and prevention.
Source PubMed · Recherche par auteur (homonymes possibles, vérifier l'affiliation).
Epilepsia open · 2026 · Journal Article
Negrello F, Fremery A, Florentin J, Merle S, et al.
Resuscitation plus · 2025 · Journal Article
Negrello F, Florentin J, Jouffroy R, Aquilina V, et al.