La recherche au service de la performance en Santé
U.INSERM 1290 - La recherche au service de la performance en Santé
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Université Claude Bernard Lyon 1
U.INSERM 1290 - La recherche au service de la performance en Santé

Actualités du laboratoire Hesper

Patients' productivity losses and informal care costs related to ischemic stroke: a French population-based study

Barral M, Rabier H, Termoz A, Serrier H, Colin C, Haesebaert J, Derex L, Nighoghossian N, Schott A-M, Viprey M, 

Stroke69 Study Group. Patients’ productivity losses and informal care costs related to ischemic stroke: a French population-based study. Eur J Neurol 2021;28:548–557.

Background and purpose: 

Large societal costs of stroke should not be ignored. We aimed to estimate patients' productivity losses and informal care costs during the first year after ischemic stroke.

https://pubmed.ncbi.nlm.nih.gov/33047452/

Short and long-term impact of four sets of actions on acute ischemic stroke management in Rhône County, a population based before-and-after prospective study.

 

Schott AM, Termoz A, Viprey M, Tazarourte K, Vecchia CD, Bravant E, Perreton N, Nighoghossian N, Cakmak S, Meyran S, Ducreux B, Pidoux C, Bony T, Douplat M, Potinet V, Sigal A, Xue Y, Derex L, Haesebaert J. 

Short and long-term impact of four sets of actions on acute ischemic stroke management in Rhône County, a population based before-and-after prospective study. BMC Health Serv Res 2021;21:12.

Background :

Optimizing access to recanalization therapies in acute ischemic stroke patients is crucial. Our aim was to measure the short and long term effectiveness, at the acute phase and 1 year after stroke, of four sets of actions implemented in the Rhône County.

https://bmchealthservres.biomedcentral.com/articles/

Standardized healthcare pathway in intrauterine growth restriction and minimum evidence-based care

Atallah A, Butin M, Moret S, Claris O, Massoud M, Gaucherand P, Doret-Dion M. 

Standardized healthcare pathway in intrauterine growth restriction and minimum evidence-based care. J Gynecol Obstet Hum Reprod 2021;50:101998.

Introduction: Fetal growth restricted fetuses are less likely to receive evidence-based care; a previous work demonstrated an improvement in neonatal prognosis when fetuses with intrauterine growth restriction (IUGR) received minimum evidence based-care.

Objective: The objective of the study was to evaluate the impact of a standardized healthcare pathway on the implementation of the recommended clinical practice in the antenatal management of IUGR fetuses, in comparison to a traditional pathway. The quality of the implementation of practice has been defined whether or not minimum evidence-based care (MEC), defined according to the recommendations of the French college of gynecologists and obstetricians (CNGOF), has been implemented.

Study design: From a historical cohort of 31,052 children, born at the Femme Mère Enfant Hospital (Lyon, France) between January 1st, 2011 and December 31st, 2017, we selected the population of IUGR fetuses. We compared the rate of MEC between the IUGR fetuses followed-up in the traditional healthcare pathway versus the IUGR fetuses followed-up in a standardized healthcare pathway between 2015 and 2017.

https://pubmed.ncbi.nlm.nih.gov/33221557/