📇 Rhumatologue · ROUEN CEDEX · (76) · Hospitalier

M PHILIPPE CHASSAGNE

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4 raisons identifiées

Auteur de référence en rhumatologie
46 articles scientifiques publiés — un praticien à la pointe de la recherche
Conseils vidéo gratuits
4 vidéos pédagogiques pour préparer ou prolonger la consultation
Expérience confirmée
32 ans d'exercice en rhumatologie — recul clinique solide
Délais de RDV courts dans la région
119.2 rhumatos / 100 000 hab. — département bien doté

Rhumatologue

📍 ROUEN CEDEX (76)HospitalierRPPS 10001902153

Expérience confirmée

32ans d'exercice (thèse 1994)

📊 Reconnaissance scientifique : 21/100📝 259 articles publiés🇫🇷 Publications académiques françaises (8)

✨ Génération du profil synthétique IA en cours…

Thèses universitaires

Données ANS publiques (Licence Ouverte 2.0) · Enrichissements MonRhumato 100 % opt-in · Toute personne référencée peut demander la suppression ou la rectification.

Top publications · les plus citées

Clinical symptoms, signs and tests for identification of impending and current water-loss dehydration in older people

The Cochrane database of systematic reviews · 2015

📚 164 citations🎯 RCR 8.89Top 3% NIH🔓 Open Access📄 PDF gratuit ↗

Frailty, osteoporosis and hip fracture: causes, consequences and therapeutic perspectives

The journal of nutrition, health & aging · 2008

📚 102 citations🎯 RCR 3.64Top 12% NIH🔓 Open Access

Underuse of oral anticoagulation for individuals with atrial fibrillation in a nursing home setting in France: comparisons of resident characteristics and physician attitude

Journal of the American Geriatrics Society · 2015

📚 79 citations🎯 RCR 3.22Top 15% NIH

Lire l'abstract Crossref ↓

Objectives To describe the characteristics of nursing home residents diagnosed with atrial fibrillation ( AF ) and eligible for oral anticoagulants who did not receive these drugs and to detail the conditions that physicians who decide not to prescribe anticoagulants take into account. Design Cross‐sectional. Setting Nursing home. Participants Nursing home residents with a history of AF (N = 1,085). Measurements Data were collected on clinical characteristics, geriatric syndromes, and antithrombotic regimen. Multivariate logistic regression was used to identify factors associated with nonprescription of anticoagulants. A standardized questionnaire was submitted to physicians in charge of patients with AF , to detail conditions associated with their medical decision not to prescribe anticoagulants. Results History of AF was present in 1,085 nursing home residents (10.1%), mean age 87, with a mean CHA 2 DS 2‐ VAS c score of 5.1 ± 1.4. Of these residents with AF , 544 (50.1%) did not receive anticoagulants. Recurrent falls (odds ratio ( OR ) = 4.9, 95% confidence interval ( CI ) = 2.4–9.9, P < .001), past history of bleeding ( OR = 3.62, 95% CI = 1.54–8.51, P = .003), paroxysmal AF ( OR = 3.5, 95% CI = 1.83–6.66, P < .001), and advanced age ( OR = 1.1, 95% CI = 1.01–1.17, P = .02) were significantly associated with not prescribing anticoagulants. Recurrent falls (47%), cognitive impairment (22.6%), and advanced age (16.4%) were the main reasons for not prescribing anticoagulants. Conclusion The prevalence of AF in a cohort of very old nursing home residents was 10%. Anticoagulation was prescribed in fewer than 50% of eligible cases despite high individual risk of stroke. Geriatric syndromes, especially falls and cognitive disorders, were the main reported contraindications for prescribing anticoagulants. Physicians caring for those residents wrongly thought that paroxysmal AF caused fewer thromboembolic events than permanent AF , which explains lower rates of anticoagulant prescription in individuals with paroxysmal AF .

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M PHILIPPE CHASSAGNE

Pourquoi vous devez consulter ce praticien

Thèses universitaires

Activité de recherche & publications

Publications académiques en France

Lieu de consultation

Tarifs & secteur de conventionnement

Prendre rendez-vous & contact

Vidéos & interventions (4)

Interview du Pr Philippe CHASSAGNE - Rendez-vous de la santé GPMA

Quoi de neuf en gériatrie ? Pr Philippe Chassagne

Rendez-vous de la santé GPMA à Rouen - Comment bien vieillir ? Pr Philippe CHASSAGNE

confiserie, pharmacie et personnes âgées

Top publications · les plus citées

Publications scientifiques (46) — classées par pathologie

Transversal24

Gériatrie16

Épidémiologie & registres2

Pédiatrie2

csDMARDs1

Lupus1

Recommandations1

Revue / méta-analyse1

Revue générale1

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