📇 Rhumatologue · CAYENNE CEDEX · (973) · Hospitalier

M Dominique LOUVEL

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3 raisons identifiées

Praticien-chercheur
10 articles scientifiques publiés — formation continue solide
Expérience confirmée
35 ans d'exercice en rhumatologie — recul clinique solide
Délais de RDV courts dans la région
59.7 rhumatos / 100 000 hab. — département bien doté

Rhumatologue

📍 CAYENNE CEDEX (973)HospitalierRPPS 10002188232

Expérience confirmée

35ans d'exercice (thèse 1991)

📊 Reconnaissance scientifique : 14/100📝 56 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

Histoplasmosis and acquired immunodeficiency syndrome: a study of prognostic factors

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2004

📚 84 citations🎯 RCR 2.90Top 17% NIH🔓 Open Access📄 PDF gratuit ↗

Prognosis of variceal and non-variceal upper gastrointestinal bleeding in already hospitalised patients: Results from a French prospective cohort

United European gastroenterology journal · 2021

📚 12 citations🎯 RCR 1.08🔓 Open Access

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AbstractObjectivesPatients who develop upper gastrointestinal bleeding (UGIB) while in hospital appear to have a poor prognosis. Our study aims at analysing the difference in outcome between in‐patients (IPs) and out‐patients presenting with variceal and non‐variceal UGIB.MethodsWe conducted a multicentre prospective study by collecting data about variceal and non‐variceal UGIB cases through 46 hospitals in France between November 2017 and October 2018. We then compared baseline demographic features, endoscopic findings and outcome between patients who developed variceal and non‐variceal UGIB on admission (OPs) and those at least 24 h after hospitalisation (IPs). Our primary end‐point was mortality and re‐bleeding rates at 6 weeks of bleeding onset.ResultsA total of 2498 UGIB cases were identified, of whom 634 (25.4%) occurred in IPs. IPs were older than OPs (72.5 vs. 67.2 years old, p < 0.001) and had a higher rate of comorbidities (38.9% vs. 26.6%, p < 0.0001). Their bleeding was more severe with a Rockall score of >5 present in 40.9% (vs. 30.3% in OPs, p < 0.0001). The 6‐week mortality rate was significantly higher in IPs when compared to OPs (21.7% vs. 8%, p < 0.0001). Prothrombin time <50% and rebleeding were the only independent predictors of mortality (p = 0.001 and 0.003, respectively). Six‐week rebleeding occurred more frequently among IPs (18.6% vs. 14.4%, p = 0.015) and predictors included female sex, active bleeding upon endoscopy and a Blatchford score >11 (p = 0.017, 0.011 and 0.008, respectively).ConclusionIPs who develop variceal and non‐variceal UGIB are more likely to be elderly with more comorbidities. They have a higher rate of mortality and rebleeding. Independent predictors of mortality were underlying coagulopathy and bleeding recurrence. An optimal bleeding management and efficient rebleeding prevention may improve outcome in these patients.

Epidemiology and medical management of body-packers in French Guiana between 2010 and 2015

Journal of the American College of Emergency Physicians open · 2022

📚 11 citations🎯 RCR 1.84🔓 Open Access📄 PDF gratuit ↗

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M Dominique LOUVEL

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

Top publications · les plus citées

Publications scientifiques (10) — classées par pathologie

Transversal4

Épidémiologie & registres3

Case report / série2

Pharmacovigilance1

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