Search

Your search keyword '"F. Linval"' showing total 10 results
Start Over Author "F. Linval"
10 results on '"F. Linval"'

1. Differential Effect of Targeted Temperature Management Between 32 °C and 36 °C Following Cardiac Arrest According to Initial Severity of Illness

Author

Jean Baptiste Lascarrou, Florence Dumas, Wulfran Bougouin, Stephane Legriel, Nadia Aissaoui, Nicolas Deye, Frankie Beganton, Lionel Lamhaut, Daniel Jost, Antoine Vieillard-Baron, Graham Nichol, Eloi Marijon, Xavier Jouven, Alain Cariou, F. Adnet, J.M. Agostinucci, N. Aissaoui-Balanant, V. Algalarrondo, F. Alla, C. Alonso, W. Amara, D. Annane, C. Antoine, P. Aubry, E. Azoulay, F. Beganton, C. Billon, W. Bougouin, J. Boutet, C. Bruel, P. Bruneval, A. Cariou, P. Carli, E. Casalino, C. Cerf, A. Chaib, B. Cholley, Y. Cohen, A. Combes, J.M. Coulaud, D. Da Silva, V. Das, A. Demoule, I. Denjoy, N. Deye, J.L. Diehl, S. Dinanian, L. Domanski, D. Dreyfuss, J.L. Dubois-Rande, F. Dumas, J. Duranteau, J.P. Empana, F. Extramiana, J.Y. Fagon, M. Fartoukh, F. Fieux, E. Gandjbakhch, G. Geri, B. Guidet, F. Halimi, P. Henry, P. Jabre, L. Joseph, D. Jost, X. Jouven, N. Karam, J. Lacotte, K. Lahlou-Laforet, L. Lamhaut, A. Lanceleur, O. Langeron, T. Lavergne, E. Lecarpentier, A. Leenhardt, N. Lellouche, V. Lemiale, F. Lemoine, F. Linval, T. Loeb, B. Ludes, C.E. Luyt, N. Mansencal, N. Mansouri, E. Marijon, E. Maury, V. Maxime, B. Megarbane, A. Mekontso-Dessap, H. Mentec, J.P. Mira, X. Monnet, K. Narayanan, N. Ngoyi, M.C. Perier, O. Piot, P. Plaisance, B. Plaud, I. Plu, J.H. Raphalen, M. Raux, F. Revaux, J.D. Ricard, C. Richard, B. Riou, F. Roussin, F. Santoli, F. Schortgen, T. Sharshar, G. Sideris, C. Spaulding, J.L. Teboul, J.F. Timsit, J.P. Tourtier, P. Tuppin, C. Ursat, O. Varenne, A. Vieillard-Baron, S. Voicu, K. Wahbi, and V. Waldmann

Subjects
Pulmonary and Respiratory Medicine, Cardiology and Cardiovascular Medicine, Critical Care and Intensive Care Medicine
Published
2023
Full Text
View/download PDF

2. Sudden Cardiac Arrest in Young Women

Author

Orianne Weizman, Ardalan Sharifzadehgan, Wulfran Bougouin, Kumar Narayanan, Noémie Tence, Florence Dumas, Victor Waldmann, Lionel Lamhaut, Daniel Jost, Karim Wahbi, Olivier Varenne, Rodrigue Garcia, Nicole Karam, Alain Cariou, Xavier Jouven, Eloi Marijon, JM Agostinucci, V Algalarrondo, F Alla, C Alonso, W Amara, D Annane, C Antoine, P Aubry, E Azoulay, F Beganton, D Benhamou, C Billon, W Bougouin, J Boutet, C Bruel, P Bruneval, A Cariou, P Carli, E Casalino, C Cerf, A Chaib, B Cholley, Y Cohen, A Combes, JM Coulaud, M Crahes, D Da Silva, V Das, A Demoule, I Denjoy, N Deye, G Dhonneur, JL Diehl, S Dinanian, L Domanski, D Dreyfuss, D Duboc, JL Dubois-Rande, F Dumas, JP Empana, F Extramiana, M Fartoukh, F Fieux, M Gabbas, E Gandjbakhch, G Geri, B Guidet, F Halimi, P Henry, F Hidden Lucet, P Jabre, L Jacob, L Joseph, D Jost, X Jouven, N Karam, J Lacotte, F Lapostolle, K Lahlou-Laforet, L Lamhaut, A Lanceleur, O Langeron, T Lavergne, E Lecarpentier, A Leenhardt, N Lellouche, V Lemiale, F Lemoine, F Linval, T Loeb, B Ludes, A Maltret, N Mansencal, N Mansouri, E Marijon, J Marty, E Maury, V Maxime, B Megarbane, A Mekontso-Dessap, JP Mira, X Monnet, K Narayanan, N Ngoyi, MC Perier, O Piot, P Plaisance, I Plu, M Raux, F Revaux, JD Ricard, C Richard, B Riou, F Roussin, F Santoli, F Schortgen, A Sharifzadehgan, G Sideris, C Spaulding, JL Teboul, JF Timsit, P Tuppin, C Ursat, O Varenne, A Vieillard-Baron, S Voicu, K Wahbi, and V Waldmann

Subjects
Adult, medicine.medical_specialty, Adolescent, business.industry, Sudden cardiac arrest, medicine.disease, Sudden cardiac death, Young Adult, Death, Sudden, Cardiac, Physiology (medical), Internal medicine, Cardiology, Medicine, Humans, Female, Prospective Studies, medicine.symptom, Cardiology and Cardiovascular Medicine, business
Published
2021

3. [Involuntary Psychiatric Hospitalizations: From request to a call center to hospitalization]

Author

G, Ouarad, F, Lapostolle, F, Linval, T, Petrovic, N, Laghmari, L, Goix, F, Adnet, and P-G, Reuter

Subjects
Adult, Hospitalization, Male, Humans, Female, Involuntary Treatment, Call Centers, Referral and Consultation, Retrospective Studies
Abstract

Involuntary psychiatric hospitalization (IPH) is a heavy and complex psychiatric exception measure. In the Seine-Saint-Denis department (low medical density), the evaluation of the patient in psychiatric decompensation is the responsibility of the out-of-hours general practitioners (GP) mandated by the call center. Their feeling is the non-achievement of the procedure once the patient arrives at the emergency room. We aimed to evaluate the outcome of patients following a request for IPH from these GP.We conducted a retrospective study based on all requests for IPH received during 2016 at the Seine-Saint-Denis emergency medical call center. The characteristics of the call and the patient, as well as the decisions of the regulator and the GP were collected. The decision of hospitalization in the emergency room was sought for patients referred for IPH.Of the 7541 calls for decompensation, 539 were for an IPH. These calls occurred during non-working hours in 55 % of cases. A GP was involved in more than two-thirds of the cases and requested an IPH for 240/304 (79 %) patients. Patients were male in 56 % of cases with an average age of 40 (±16) years. IPH was confirmed for 132 (61 %) patients. This rate did not differ from the 65 % reported in the literature (Z-test, P=0.26). Voluntary hospitalization was performed for 37 (17 %) other patients.The IPH rate for patients referred by GP mandated by the call center was comparable to that following the requests of the attending physicians, validating their intervention in this critical context.

Published
2020

4. Impact of Coronary Lesion Stability on the Benefit of Emergent Percutaneous Coronary Intervention After Sudden Cardiac Arrest

Author

Louis Pechmajou, Eloi Marijon, Olivier Varenne, Florence Dumas, Frankie Beganton, Daniel Jost, Lionel Lamhaut, Eric Lecarpentier, Thomas Loeb, Jean-Marc Agostinucci, Georgios Sideris, Elisabeth Riant, Pierre Baudinaud, Albert Hagege, Wulfran Bougouin, Christian Spaulding, Alain Cariou, Xavier Jouven, Nicole Karam, F Adnet, V Algalarrondo, F Alla, C Alonso, W Amara, D Annane, C Antoine, P Aubry, E Azoulay, D Benhamou, C Billon, J Boutet, C Bruel, P Bruneval, P Carli, E Casalino, C Cerf, A Chaib, B Cholley, Y Cohen, A Combes, JM Coulaud, M Crahes, D Da Silva, V Das, A Demoule, I Denjoy, C Derkenne, N Deye, G Dhonneur, JL Diehl, S Dinanian, L Domanski, D Dreyfuss, D Duboc, JL Dubois-Rande, JP Empana, F Extramiana, M Fartoukh, F Fieux, B Frattini, M Gabbas, E Gandjbakhch, G Geri, B Guidet, F Halimi, P Henry, F Hidden-Lucet, P Jabre, L Jacob, L Joseph, D Journois, J Lacotte, K Lahlou-Laforet, A Lanceleur, O Langeron, T Lavergne, A Leenhardt, N Lellouche, V Lemiale, F Lemoine, F Linval, B Ludes, A Maltret, N Mansencal, N Mansouri, J Marty, E Maury, V Maxime, B Megarbane, A Mekontso-Dessap, JP Mira, X Monnet, N Ngoyi, MC Perier, O Piot, P Plaisance, I Plu, B Prunet, M Raux, F Revaux, JD Ricard, C Richard, F Roussin, F Santoli, F Schortgen, A Sharifzadehgan, JL Teboul, JF Timsit, P Tuppin, C Ursat, A Vieillard-Baron, S Voicu, K Wahbi, V Waldmann, Paris-Centre de Recherche Cardiovasculaire (PARCC (UMR_S 970/ U970)), Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), CHU Necker - Enfants Malades [AP-HP], Hôpital Henri Mondor, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Henri Mondor-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), Hôpital Raymond Poincaré [Garches], Hôpital Avicenne [AP-HP], Hôpital Lariboisière-Fernand-Widal [APHP], Service de Réanimation Médicale et Toxicologique [Hôpital Lariboisière], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Lariboisière-Fernand-Widal [APHP], Optimisation thérapeutique en Neuropsychopharmacologie (OPTeN (UMR_S_1144 / U1144)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), and Mégarbane, Bruno

Subjects
Male, Time Factors, medicine.medical_treatment, Coronary Artery Disease, 030204 cardiovascular system & hematology, Coronary angiogram, Coronary Angiography, [SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract, Coronary artery disease, 0302 clinical medicine, [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases, Risk Factors, Hospital Mortality, Prospective Studies, Registries, Myocardial infarction, [SDV.MHEP.ME] Life Sciences [q-bio]/Human health and pathology/Emerging diseases, [SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases, Middle Aged, [SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, [SDV.TOX] Life Sciences [q-bio]/Toxicology, Treatment Outcome, [SDV.TOX]Life Sciences [q-bio]/Toxicology, [SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases, Cardiology, Female, medicine.symptom, Cardiology and Cardiovascular Medicine, Paris, Acute coronary syndrome, medicine.medical_specialty, Clinical Decision-Making, Risk Assessment, Lesion, 03 medical and health sciences, Percutaneous Coronary Intervention, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, Predictive Value of Tests, Internal medicine, medicine, Humans, Aged, business.industry, Percutaneous coronary intervention, 030208 emergency & critical care medicine, Sudden cardiac arrest, medicine.disease, Heart Arrest, Death, Sudden, Cardiac, Conventional PCI, [SDV.MHEP.PSR] Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract, Emergencies, business
Abstract

Background: Conflicting data exist regarding the benefit of urgent coronary angiogram and percutaneous coronary intervention (PCI) after sudden cardiac arrest, particularly in the absence of ST-segment elevation. We hypothesized that the type of lesions treated (stable versus unstable) influences the benefit derived from PCI. Methods: Data were taken between May 2011 and 2014 from a prospective registry enrolling all sudden cardiac arrest in Paris and suburbs (6.7 million inhabitants). Patients undergoing emergent coronary angiogram were included. Decision to perform PCI was left to the discretion of local teams. We assessed the impact of emergent PCI on survival at discharge according to whether the treated lesion was angiographically unstable or stable, and we investigated the predictive factors for unstable coronary lesions. Results: Among 9265 sudden cardiac arrests occurring during the study period, 1078 underwent emergent coronary angiogram (median age: 59.6 years, 78.3% males): 463 (42.9%) had an unstable lesion, 253 (23.5%) only stable lesions, and 362 (33.6%) no significant lesions. Emergent PCI was performed in 478 patients (91.4% of unstable and 21.7% of stable lesions). At discharge, PCI of unstable lesions was associated with twice-higher survival rate compared with untreated unstable lesions (47.9% versus 25.6%, P =0.013), while stable lesions PCI did not improve survival (25.5% versus 26.3%, P =1.00). After adjustment, PCI of unstable coronary lesions was independently associated with improved survival (odds ratio, 2.09 [95% CI, 1.42–3.09], P P =0.824). Angina, initial shockable rhythm, ST-segment elevation, and absence of known coronary artery disease were independent predictors of unstable lesions. Conclusions: Emergent PCI of unstable lesions is associated with improved survival after sudden cardiac arrest, contrary to PCI of stable lesions. Accordingly, early PCI should only be performed in patients with unstable lesions. Four factors (chest pain, ST-elevation, absence of coronary artery disease history, and shockable initial rhythm) could help identify patients with unstable lesions who would, therefore, benefit from emergent coronary angiogram.

Published
2020
Full Text
View/download PDF

5. Should We Perform an Immediate Coronary Angiogram in All Patients After Cardiac Arrest?

Author

Wulfran Bougouin, Florence Dumas, Nicole Karam, Carole Maupain, Eloi Marijon, Lionel Lamhaut, Daniel Jost, Guillaume Geri, Frankie Beganton, Olivier Varenne, Christian Spaulding, Xavier Jouven, Alain Cariou, F. Adnet, J.M. Agostinucci, N. Aissaoui-Balanant, J. Albuisson, V. Algalarrondo, F. Alla, D. Annane, C. Antoine, P. Aubry, E. Azoulay, F. Beganton, D. Benhamou, W. Bougouin, C. Bruel, A. Cariou, P. Carli, C. Cerf, A. Chaib, J. Chastre, Y. Cohen, A. Combes, C. Cornaglia, D. Da Silva, V. Das, A. Demoule, N. Deye, G. Dhonneur, J.L. Diehl, S. Dinanian, L. Domanski, D. Dreyfuss, D. Duboc, J.L. Dubois-Rande, O. Dubourg, F.X. Duchateau, F. Dumas, J.P. Empana, F. Extramiana, J.Y. Fagon, M. Fartoukh, C. Fenioux, F. Fieux, F. Fraisse, M. Gabbas, E. Gandjbakhch, B. Guidet, P. Henry, F. Hidden Lucet, P. Jabre, L. Jacob, L. Joseph, D. Jost, D. Journois, X. Jouven, N. Karam, H. Kassim, K. Lahlou-Laforet, L. Lamhaut, A. Lanceleur, O. Langeron, V. Lanoe, E. Lecarpentier, A. Leenhardt, N. Lellouche, V. Lemiale, F. Linval, T. Loeb, B. Ludes, A. Maltret, N. Mansouri, J. Mantz, E. Marijon, J. Marty, E. Maury, V. Maxime, A. Mekontso-Dessaps, J.P. Mira, X. Monnet, M.C. Perier, O. Piot, R. Pirraccchio, I. Plu, M. Raux, F. Revaux, J.D. Ricard, C. Richard, B. Riou, F. Roussin, F. Santoli, F. Schortgen, T. Sharshar, G. Sideris, C. Spaulding, J.L. Teboul, J.F. Timsit, J.P. Tourtier, P. Tuppin, C. Ursat, O. Varenne, A. Vieillard-Baron, S. Voicu, and K. Wahbi

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, Basic life support, Percutaneous coronary intervention, 030208 emergency & critical care medicine, 030204 cardiovascular system & hematology, Return of spontaneous circulation, Coronary angiogram, Logistic regression, Sudden death, 03 medical and health sciences, 0302 clinical medicine, Epinephrine, Internal medicine, medicine, Cardiology, Hospital discharge, Cardiology and Cardiovascular Medicine, business, medicine.drug
Abstract

Objectives This study sought to assess the relationship between an immediate invasive strategy and survival after an out-of-hospital cardiac arrest (OHCA) of presumed cardiac cause, according to prognosis evaluated on hospital arrival. Background An immediate coronary angiogram (CAG) may be associated with better outcome after OHCA in neurologically preserved patients but could be futile in other cases. Methods From May 2011 to May 2015, we collected data for all patients admitted in hospital after OHCA in Paris and its suburbs (France). Risk of in-hospital death was retrospectively calculated using the validated Cardiac Arrest Hospital Prognosis score, which includes age, setting, initial rhythm, durations from collapse to basic life support and from basic life support to return of spontaneous circulation, pH, and epinephrine dose. Independent predictors of survival at discharge (including immediate CAG) were assessed in multivariate logistic regression in each of the 3 pre-defined subgroups of Cardiac Arrest Hospital Prognosis score: low risk ( 200 points) for in-hospital death. Results A total of 1,410 patients were included and overall survival rate at hospital discharge was 32%. Distribution in the low-, medium-, and high-risk Cardiac Arrest Hospital Prognosis subgroups was 667 (47%), 469 (33%), and 274 patients (20%), respectively. The rate of early CAG was 86%, 66%, and 47% in the low-, medium-, and high-risk subgroups, respectively (p Conclusions In cardiac arrest patients, our results suggest that investigations regarding early CAG after OHCA should focus on patients with preserved neurological status.

Published
2018
Full Text
View/download PDF

6. [Involuntary Psychiatric Hospitalizations: From request to a call center to hospitalization].

Author

Ouarad G, Lapostolle F, Linval F, Petrovic T, Laghmari N, Goix L, Adnet F, and Reuter PG

Subjects
Adult, Female, Hospitalization, Humans, Male, Referral and Consultation, Retrospective Studies, Call Centers, Involuntary Treatment
Abstract

Background: Involuntary psychiatric hospitalization (IPH) is a heavy and complex psychiatric exception measure. In the Seine-Saint-Denis department (low medical density), the evaluation of the patient in psychiatric decompensation is the responsibility of the out-of-hours general practitioners (GP) mandated by the call center. Their feeling is the non-achievement of the procedure once the patient arrives at the emergency room. We aimed to evaluate the outcome of patients following a request for IPH from these GP., Methods: We conducted a retrospective study based on all requests for IPH received during 2016 at the Seine-Saint-Denis emergency medical call center. The characteristics of the call and the patient, as well as the decisions of the regulator and the GP were collected. The decision of hospitalization in the emergency room was sought for patients referred for IPH., Results: Of the 7541 calls for decompensation, 539 were for an IPH. These calls occurred during non-working hours in 55 % of cases. A GP was involved in more than two-thirds of the cases and requested an IPH for 240/304 (79 %) patients. Patients were male in 56 % of cases with an average age of 40 (±16) years. IPH was confirmed for 132 (61 %) patients. This rate did not differ from the 65 % reported in the literature (Z-test, P=0.26). Voluntary hospitalization was performed for 37 (17 %) other patients., Discussion: The IPH rate for patients referred by GP mandated by the call center was comparable to that following the requests of the attending physicians, validating their intervention in this critical context., (Copyright © 2021 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.)

Published
2022
Full Text
View/download PDF

7. [Impact of extreme temperatures on primary care requirement in France: the CHAUFOS Study (2010-2018).]

Author

Goix L, Petrovic T, Chanzy E, De Stefano C, Akodad H, Reuter PG, Linval F, Adnet F, and Lapostolle F

Subjects
France, Humans, Seasons, Cold Temperature adverse effects, Hot Temperature adverse effects, Primary Health Care
Abstract

Introduction: The health impact of cold and hot waves is major. Nevertheless, the respective impact of extreme high and low temperatures remains controversial., Method: The daily number of (1) patients managed by SAMU 93 dispatching centre – primary care requirement indicator, (2) Mobile Intensive Care Unit (MICU) interventions – patient severity indicator and (3) number of deaths have been recorded. Daily minimum and maximum temperatures were recorded from 2010 to 2018. The analysis covered the 10 warmest and coldest days of each year (2 × 70 days), and the 30 warmest and coldest days of the total period (2 × 30 days)., Results: Over 2,702 days, 1,513,070 patients, 89,478 MICU interventions and 7,350 deaths were analysed. Median temperature: 16.0[10.4-21.6]°C.The coldest days were associated with a significant increase in patients managed (665[609-764] vs 538[474-619]; P < 0.001), MICU interventions (35[32-39] vs 33 [28-38]; P = 0.006) and deaths (3[2-5] vs 2[1-4]; P = 0.0008) considering the 10 days of extreme temperatures in each year and a significant increase in patients managed 615[580-698] vs 542[475-627]; P < 0.001) considering the 30-day extreme of the period.The hottest days were associated with a significant decrease in patients managed (484[443-549] vs 538[474-619]; P < 0.001), MICU interventions (31[25-37] vs 33[28-38]; P = 0.006) and deaths (2[1-3] vs 2[1-4]; P = 0.0008) considering the 10 extreme days of each year and a significant decrease in patients managed (536[479-576] vs 542[475-627]; P < 0.001) considering the 30 extreme days of the period., Conclusion: Primary care requirement, number of severe patients and mortality increased significantly with extreme low of temperature.

Published
2019
Full Text
View/download PDF

8. [Impact of the Air Quality on Health - Analysis of the activity of a SAMU-Center 15 in Paris area - the IQUASS Study].

Author

Goix L, Petrovic T, Chanzy E, Reuter PG, Linval F, Adnet F, and Lapostolle F

Subjects
Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Health Resources statistics & numerical data, Humans, Infant, Infant, Newborn, Middle Aged, Paris epidemiology, Public Health, Vehicle Emissions, Young Adult, Air Pollution adverse effects, Air Pollution statistics & numerical data, Emergency Service, Hospital statistics & numerical data, Primary Health Care statistics & numerical data
Abstract

Introduction: The atmospheric pollution is a growing public health problem. The highly urbanized regions such as Paris area seem particularly exposed. However, the overall health impact is poorly documented., Objective: To investigate the influence of air quality degradation on the demand for primary care., Method: Site: medical dispatching center SAMU 93-Center 15. Related population: 1.6 million inhabitants., Data: daily number of medical regulation records (DRM) and daily air quality index (AQI) using the Airparif ® database from January 2014 to February 2017. The AQI is classified into five levels. Level 4 corresponds to the threshold of information and recommendations to reduce certain sources of polluting emissions and level 5 to the alert threshold setting up measures of restriction or suspension of the activities contributing to the pollution including vehicles circulation., Results: The analysis covered 1134 consecutive days and a total of 639,576 DRM. Average daily DRM number: 564 (507-643). IQA≥4 for 56 (5%) days and≥5 for 4 (0.4%) days. The number of DRM was very closely correlated with the IQA (R 2 =0.91); the daily median varied from 502 (494-621) for an IQA of level 1 to 650 (540-704) for an IQA≥4., Conclusion: Degradation of air quality was significantly correlated with demand for primary care. The environmental alert is also a health alert. The impact was major (DRM +30%) considering all pathologies, all the pollutants on a departmental scale., (Copyright © 2018. Published by Elsevier Masson SAS.)

Published
2018
Full Text
View/download PDF

9. Impact of a general practitioners' strike and of terrorist attacks on a call centre.

Author

Reuter PG, Orsini C, Grave M, Linval F, Akodad H, Goix L, Adnet F, and Lapostolle F

Subjects
France, Humans, Superstitions, Call Centers statistics & numerical data, Emergency Medical Services statistics & numerical data, General Practitioners, Strikes, Employee, Terrorism
Abstract

Objective: We aimed to evaluate the impact of the same-day GPs' strike and terrorist attacks on a call centre's activity., Methods: We compared the number of calls received, the number of patient's medical files (PMFs) created and the number of mobile ICU (MICU) dispatched per hour on Friday, 13 November, to the repository established on the five previous Fridays. As previously published, the variation criterion was set to an activity variation above 20% for more than 2 h., Results: On Friday, 13 November, 1745 calls were received compared with 1455 calls, on average, for the five previous Fridays. The number of calls received increased after the terrorist attacks (≤90%) and remained above the threshold for 3 h. The number of PMFs exceeded the threshold from 10:00 a.m. to 05:00 p.m., but was not affected by the attacks. The number of MICUs dispatched exceeded the threshold (>500%) in the first hour after the attacks., Conclusion: The GPs' strike and the terrorist attacks did not impact our call centre's activity in the same manner. The strike increased the number of PMFs without increasing the number of calls received. The attacks increased the number of calls received and MICU dispatched without increasing the number of PMFs. Many markers are at the disposal of call centres to evaluate the impact of healthcare events.

Published
2018
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results