References of "Kolh, Philippe"
     in
Bookmark and Share    
Full Text
Peer Reviewed
See detailESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC).
Regitz-Zagrosek, Vera; Blomstrom Lundqvist, Carina; Borghi, Claudio et al

in European Heart Journal (2011), 32(24), 3147-97

Detailed reference viewed: 64 (2 ULg)
Full Text
Peer Reviewed
See detailAssessing the causes inducing lengthening of hospital stays by means of the Appropriateness Evaluation Protocol.
Fontaine, Pierre ULg; Jacques, Jessica ULg; Gillain, Daniel ULg et al

in Health Policy (2011)

OBJECTIVES: The objective is to evaluate the use of the Appropriateness Evaluation Protocol (AEP) as a screening tool for determining the causes of the non-justified days to help hospitals to decrease the ... [more ▼]

OBJECTIVES: The objective is to evaluate the use of the Appropriateness Evaluation Protocol (AEP) as a screening tool for determining the causes of the non-justified days to help hospitals to decrease the length of stay while preserving the quality of care. METHODS: Three successive cross-sectional surveys were conducted from 2003 till 2005, in 23 Belgian hospitals. During this period, 10921 days were audited by means of the AEP. This study is focused on adult acute non-intensive care units. The appropriateness of each day of the sample was assessed, and for those considered as inappropriate, the reasons explaining the prolongation of the stay were investigated. RESULTS: The proportion of inappropriate days was 24.61%. There is a high variability across specialties and hospitals. Regarding inappropriate days, the analysis of causes of prolongation, globally, by bed index or by hospital, indicated clearly internal and external factors that lengthen stays. The most frequent reasons are waits for an examination (22%) and the lack of extra-hospital structures (31%). CONCLUSIONS: The use of AEP as a tool of internal audit to measure the proportion of non-justified days and their causes turns out to be possible and the obtained results has provided some accurate and useful information for the participating, and allowed them to take concrete decisions which lead to shrinking of the length of hospital stay. [less ▲]

Detailed reference viewed: 52 (17 ULg)
Full Text
Peer Reviewed
See detailPatient specific identification of the cardiac driver function in a cardiovascular system model.
Hann, C. E.; Revie, J.; Stevenson, D. et al

in Computer Methods & Programs in Biomedicine (2011)

The cardiac muscle activation or driver function, is a major determinant of cardiovascular dynamics, and is often approximated by the ratio of the left ventricle pressure to the left ventricle volume. In ... [more ▼]

The cardiac muscle activation or driver function, is a major determinant of cardiovascular dynamics, and is often approximated by the ratio of the left ventricle pressure to the left ventricle volume. In an intensive care unit, the left ventricle pressure is usually never measured, and the left ventricle volume is only measured occasionally by echocardiography, so is not available real-time. This paper develops a method for identifying the driver function based on correlates with geometrical features in the aortic pressure waveform. The method is included in an overall cardiovascular modelling approach, and is clinically validated on a porcine model of pulmonary embolism. For validation a comparison is done between the optimized parameters for a baseline model, which uses the direct measurements of the left ventricle pressure and volume, and the optimized parameters from the approximated driver function. The parameters do not significantly change between the two approaches thus showing that the patient specific approach to identifying the driver function is valid, and has potential clinically. [less ▲]

Detailed reference viewed: 16 (2 ULg)
Full Text
Peer Reviewed
See detailPorcine trial validation of model-based cardiovascular monitoring of acute pulmonary embolism
Revie, JA; Stevenson, DJ; Shaw, GM et al

in Proceedings of ANZICS 2011 (2011)

Detailed reference viewed: 16 (0 ULg)
Full Text
Peer Reviewed
See detailProcessing aortic and pulmonary artery waveforms to derive the ventricle time-varying elastance
Stevenson, D; Chase, JG; Hann, CE et al

in Proceedings of the 18th IFAC World Congress, 2011 (2011)

Detailed reference viewed: 11 (0 ULg)
Full Text
Peer Reviewed
See detailModel-based diagnosis of acute pulmonary embolism and septic shock in porcine trials
Revie, JA; Stevenson, D; Chase, JG et al

in Proceedings of the Health Research Society of Christchurch Annual Scientific Session 2011 (2011)

Detailed reference viewed: 22 (2 ULg)
Full Text
Peer Reviewed
See detailProcessing aortic and pulmonary artery waveforms to derive the ventricle time-varying elastance
Stevenson, D. J.; Hann, C. E.; Chase, G. J. et al

in IFAC Proceedings Volumes (IFAC-PapersOnline) (2011), 18(PART 1), 587-592

Time-varying elastance of the ventricles is an important metric both clinically and as an input for a previously developed cardiovascular model. However, currently time-varying elastance is not normally ... [more ▼]

Time-varying elastance of the ventricles is an important metric both clinically and as an input for a previously developed cardiovascular model. However, currently time-varying elastance is not normally available in an Intensive Care Unit (ICU) setting, as it is an invasive and ethically challenging metric to measure. A previous paper developed a method to map less invasive metrics to the driver function, enabling an estimate to be achieved without invasive measurements. This method requires reliable and accurate processing of the aortic and pulmonary artery pressure waveforms to locate the specific points that are required to estimate the driver function. This paper details the method by which these waveforms are processed, using a data set of five pigs induced with pulmonary embolism, and five pigs induced with septic shock (with haemofiltration), adding up to 88 waveforms (for each of aortic and pulmonary artery pressure), and 616 points in total to locate. 98.2% of all points were located to within 1% of their true value, 0.81% were between 1% and 5%, 0.65% were between 5% and 10%, the remaining 0.32% were below 20%.© 2011 IFAC. [less ▲]

Detailed reference viewed: 57 (0 ULg)
Full Text
Peer Reviewed
See detailESC/EAS Guidelines for the management of dyslipidaemias The Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS).
Catapano, Alberico L; Reiner, Zeljko; De Backer, Guy et al

in Atherosclerosis (2011), 217(1), 3-46

Detailed reference viewed: 41 (0 ULg)
Full Text
Peer Reviewed
See detailPerformance indicators in cardiac surgery--time for public release.
Kolh, Philippe ULg

in Interactive Cardiovascular and Thoracic Surgery (2011), 12(4), 589-90

Detailed reference viewed: 11 (0 ULg)
Peer Reviewed
See detailJoint ESC/EACTS guidelines on myocardial revascularization.
Kolh, Philippe ULg; Wijns, William

in Journal of Cardiovascular Medicine (Hagerstown, Md.) (2011), 12(4), 264-7

The Guidelines for Myocardial Revascularization of the European Society of Cardiology (ESC) and European Association for Cardio-Thoracic Surgery (EACTS) are the very first reported consensus document, by ... [more ▼]

The Guidelines for Myocardial Revascularization of the European Society of Cardiology (ESC) and European Association for Cardio-Thoracic Surgery (EACTS) are the very first reported consensus document, by a writing committee balanced between non-interventional and interventional cardiologists as well as cardiac surgeons, on this specific issue. Given the strong impact that ischaemic heart disease has on the survival and quality of life of the individual as well as the economic implications for society, the importance of the ESC/EACTS guidelines is obvious. [less ▲]

Detailed reference viewed: 29 (1 ULg)
Full Text
Peer Reviewed
See detailEditorial comment: The burden of renal failure after cardiac surgery.
Kolh, Philippe ULg

in European Journal of Cardio - Thoracic Surgery (2011), 40(3), 708-9

Detailed reference viewed: 21 (0 ULg)
Full Text
Peer Reviewed
See detailClinical detection and monitoring of acute pulmonary embolism: proof of concept of a computer-based method.
Revie, James A; Stevenson, David J; Chase, J Geoffrey et al

in Annals of Intensive Care (2011), 1(1), 33

ABSTRACT: BACKGROUND: The diagnostic ability of computer-based methods for cardiovascular system (CVS) monitoring offers significant clinical potential. This research tests the clinical applicability of a ... [more ▼]

ABSTRACT: BACKGROUND: The diagnostic ability of computer-based methods for cardiovascular system (CVS) monitoring offers significant clinical potential. This research tests the clinical applicability of a newly improved computer-based method for the proof of concept case of tracking changes in important hemodynamic indices due to the influence acute pulmonary embolism (APE). METHODS: Hemodynamic measurements from a porcine model of APE were used to validate the method. Of these measurements, only those that are clinically available or inferable were used in to identify pig-specific computer models of the CVS, including the aortic and pulmonary artery pressure, stroke volume, heart rate, global end diastolic volume, and mitral and tricuspid valve closure times. Changes in the computer-derived parameters were analyzed and compared with experimental metrics and clinical indices to assess the clinical applicability of the technique and its ability to track the disease state. RESULTS: The subject-specific computer models accurately captured the increase in pulmonary resistance (Rpul), the main cardiovascular consequence of APE, in all five pigs trials, which related well (R2 = 0.81) with the experimentally derived pulmonary vascular resistance. An increase in right ventricular contractility was identified, as expected, consistent with known reflex responses to APE. Furthermore, the modeled right ventricular expansion index (the ratio of right to left ventricular end diastolic volumes) closely followed the trends seen in the measured data (R2 = 0.92) used for validation, with sharp increases seen in the metric for the two pigs in a near-death state. These results show that the pig-specific models are capable of tracking disease-dependent changes in pulmonary resistance (afterload), right ventricular contractility (inotropy), and ventricular loading (preload) during induced APE. Continuous, accurate estimation of these fundamental metrics of cardiovascular status can help to assist clinicians with diagnosis, monitoring, and therapy-based decisions in an intensive care environment. Furthermore, because the method only uses measurements already available in the ICU, it can be implemented with no added risk to the patient and little extra cost. CONCLUSIONS: This computer-based monitoring method shows potential for real-time, continuous diagnosis and monitoring of acute CVS dysfunction in critically ill patients. [less ▲]

Detailed reference viewed: 105 (7 ULg)
Full Text
Peer Reviewed
See detailEndoscopy and Surgery: A Matter of Diagnostic Enlightenment & Therapeutic Liberty
Bertrand, Cl; Burnon, D.; Carly, B. et al

in Acta Chirurgica Belgica (2011), 111(4), 200-204

Detailed reference viewed: 17 (0 ULg)
Full Text
Peer Reviewed
See detailThe burden of postoperative delirium after vascular surgery.
Kolh, Philippe ULg

in European Journal of Vascular and Endovascular Surgery (2011), 42(6), 831-2

Detailed reference viewed: 7 (0 ULg)
Full Text
Peer Reviewed
See detailAnalysis of insurance claims after vascular surgery: a tool for quality improvement?
Kolh, Philippe ULg

in European Journal of Vascular and Endovascular Surgery (2011), 42(4), 506-7

Detailed reference viewed: 11 (0 ULg)
Full Text
Peer Reviewed
See detailESC/EAS Guidelines for the management of dyslipidaemias: the Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS).
Reiner, Zeljko; Catapano, Alberico L; De Backer, Guy et al

in European Heart Journal (2011), 32(14), 1769-818

Cardiovascular disease (CVD) due to atherosclerosis of the arterial vessel wall and to thrombosis is the foremost cause of premature mortality and of disability-adjusted life years (DALYs) in Europe, and ... [more ▼]

Cardiovascular disease (CVD) due to atherosclerosis of the arterial vessel wall and to thrombosis is the foremost cause of premature mortality and of disability-adjusted life years (DALYs) in Europe, and is also increasingly common in developing countries.1 In the European Union, the economic cost of CVD represents annually E192 billion1 in direct and indirect healthcare costs. The main clinical entities are coronary artery disease (CAD), ischaemic stroke, and peripheral arterial disease (PAD). The causes of these CVDs are multifactorial. Some of these factors relate to lifestyles, such as tobacco smoking, lack of physical activity, and dietary habits, and are thus modifiable. Other risk factors are also modifiable, such as elevated blood pressure, type 2 diabetes, and dyslipidaemias, or non-modifiable, such as age and male gender. These guidelines deal with the management of dyslipidaemias as an essential and integral part of CVD prevention. Prevention and treatment of dyslipidaemias should always be considered within the broader framework of CVD prevention, which is addressed in guidelines of the Joint European Societies' Task forces on CVD prevention in clinical practice.2 - 5 The latest version of these guidelines was published in 20075; an update will become available in 2012. These Joint ESC/European Atherosclerosis Society (EAS) guidelines on the management of dyslipidaemias are complementary to the guidelines on CVD prevention in clinical practice and address not only physicians [e.g. general practitioners (GPs) and cardiologists] interested in CVD prevention, but also specialists from lipid clinics or metabolic units who are dealing with dyslipidaemias that are more difficult to classify and treat. [less ▲]

Detailed reference viewed: 72 (2 ULg)
Full Text
Peer Reviewed
See detailStudy of six models of the instantaneous pressure-volume relationship
Lucas, Alexandra ULg; Dauby, Pierre ULg; Desaive, Thomas ULg et al

in Proceedings of the XXIIIth Congress of the ISB (2011)

Models and simulations are very useful to study interactions between anatomic structures and physical cardiac phenomena. In this work, we are interested in models of the instantaneous pressure-volume ... [more ▼]

Models and simulations are very useful to study interactions between anatomic structures and physical cardiac phenomena. In this work, we are interested in models of the instantaneous pressure-volume relationship, i.e. isochrone models. More precisely, we concentrate on the 6 models considered by Lankhaar et al. [1]. We propose a critical analysis of the work of these authors and suggest some improvement of their procedure. [1] Lankhaar J.-W. et al. Modeling the Instantaneous Pressure–Volume Relation of the Left Ventricle: A Comparison of Six Models. Annals of Biomedical Engineering, Volume 37, Number 9, 1710-1726, 2009. [less ▲]

Detailed reference viewed: 82 (8 ULg)