References of "D'ORIO, Vincenzo"
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See detailThromboelastometry in trauma care: a place in the 2018 Belgian health care system?
TONGLET, Martin ULiege; Poplavsky, Jean Louis; SEIDEL, Laurence ULiege et al

in Acta Clinica Belgica (2018)

Introduction Evidence supporting the use of Thromboelastography (TEG®) and rotational thromboelastometric (ROTEM®) in the trauma setting remains limited. We present the results of a practical evaluation ... [more ▼]

Introduction Evidence supporting the use of Thromboelastography (TEG®) and rotational thromboelastometric (ROTEM®) in the trauma setting remains limited. We present the results of a practical evaluation of the potential interest of ROTEM® in the diagnosis of acute coagulopathy and the need for emergent blood product transfusion in the general trauma population of a non-trauma Belgian emergency department. Methods Extracting a convenience cohort from the initial prospective TICCS study, we performed a retrospective analysis to test the following hypothesis: ROTEM® might be helpful to discriminate trauma patients with or without acute coagulopathy. Fifty patients were included and ROTEM® results were compared to conventional coagulation tests results, blood transfusion need and outcome. Results With a negative predictive value of 97.6% and a positive predictive value of 42.9%, a strictly normal ROTEM® profile at the time of admission seems to be able to exclude the presence of acute coagulopathy. ROTEM® also seems to be accurate in identifying patients without the need for emergent blood product transfusions. Conclusion In a population of trauma patients of a Belgian general emergency department, a strictly normal coagulation profile evaluated by ROTEM® at hospital entry is associated with a normal coagulation profile evaluated by INR and fibrinogen levels and the absence of any indication of blood product transfusion. ROTEM® may be useful for preselection of trauma patients at risk for coagulopathy within the global trauma population. This, however, would need confirmation in further investigations. [less ▲]

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See detailFibrinolysis Shutdown in Severely Injured Trauma Patients: A New World to Explore.
TONGLET, Martin ULiege; D'ORIO, Vincenzo ULiege; GHUYSEN, Alexandre ULiege et al

in Journal of the American College of Surgeons (2017), 225(6), 831-832

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See detailTrauma pneumonectomy for major thoracic bleeding: when should we consider it ?
TONGLET, Martin ULiege; MOENS, Didier ULiege; D'ORIO, Vincenzo ULiege et al

in Journal of Trauma (2017)

Lettre à l'éditeur du Journal of Trauma concernant la pneumectomie totale dans le contexte d'une hémorragie thoracique incontrôlable.

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See detailPrehospital identification of trauma patients requiring transfusion: results of a retrospective study evaluating the use of the trauma induced coagulopathy clinical score (TICCS) in 33,385 patients from the TraumaRegister DGU®
TONGLET, Martin ULiege; Lefering, Rolf; Minon, Jean Marc et al

in Acta Chirurgica Belgica (2017)

Background: Identifying trauma patients that need emergent blood product transfusion is crucial. The Trauma Induced Coagulopathy Clinical Score (TICCS) is an easy-to-measure score developed to meet this ... [more ▼]

Background: Identifying trauma patients that need emergent blood product transfusion is crucial. The Trauma Induced Coagulopathy Clinical Score (TICCS) is an easy-to-measure score developed to meet this medical need. We hypothesized that TICCS would assist in identifying patients that need a transfusion in a large cohort of severe trauma patients from the TraumaRegister DGUVR (TR-DGU). Materials and methods: A total of 33,385 severe trauma patients were extracted from the TR-DGU for retrospective analysis. The TICCS was adapted for the registry structure. Blood transfusion was defined as the use of at least one unit of red blood cells (RBC) during acute hospital treatment. Results: With an area under the receiving operating curve (AUC) of 0.700 (95% CI: 0.691–0.709), the TICCS appeared to be moderately discriminant for determining the need for RBC transfusion in the trauma population of the TR-DGU. A TICCS cut-off value of 12 yielded the best trade-off between true positives and false positives. The corresponding positive predictive value and negative predictive values were 48.4% and 89.1%, respectively. Conclusion: This retrospective study confirms that the TICCS is a useful and simple score for discriminating between trauma patients with and without the need for emergent blood product transfusion. [less ▲]

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See detailLe cas clinique du mois. Embolie pulmonaire compliquée d’un œdème laryngé angioneurotique.
LOPEZ IGLESIAS, Raphaelle ULiege; CUPPENS, Benoit ULiege; ROBINET, Sébastien ULiege et al

in Revue Médicale de Liège (2017), 72(6), 275-280

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See detailLe cas clinique du mois. Embolie pulmonaire compliquee d'un oedeme larynge angioneurotique.
LOPEZ IGLESIAS, Raphaelle ULiege; CUPPENS, Benoit ULiege; ROBINET, Sébastien ULiege et al

in Revue Médicale de Liège (2017), 72(6), 275-280

Although angioneurotic oedema (AE) is a rare entity, it sometimes leads to devastating consequences. We report the case of an oro-pharyngeal angioneurotic attack following the initiation of a fibrinolysis ... [more ▼]

Although angioneurotic oedema (AE) is a rare entity, it sometimes leads to devastating consequences. We report the case of an oro-pharyngeal angioneurotic attack following the initiation of a fibrinolysis therapy by alteplase and relay by heparin in a patient with severe acute pulmonary embolism. In view of this original case, we propose to highlight the most recent elements concerning the physiopathology of this disease. [less ▲]

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See detailWhy is this urine turning blue? A uncommon alarm but a common disease.
LU, Marie Anh-Dao ULiege; GENSBURGER, Mathieu ULiege; TONGLET, Martin ULiege et al

Poster (2016, January 30)

Turning purple-blue urine is an alarming phenomenon uncommonly seen in patients with chronic urinary catheterization. Such discoloration, often misdiagnosed as haematuria, frequently causes concerns for ... [more ▼]

Turning purple-blue urine is an alarming phenomenon uncommonly seen in patients with chronic urinary catheterization. Such discoloration, often misdiagnosed as haematuria, frequently causes concerns for the nurses, the doctor, the patient and his family. [less ▲]

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See detailApport de l'échographie thoracique aux urgences : à propos d'un cas de dyspnée aiguë durant la grossesse
MARISSIAUX, Laurent ULiege; GENSBURGER, Mathieu ULiege; TROMBA, A et al

in Revue Médicale de Liège (2016), 71(7-8), 349-355

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See detailDiagnostic de l'hyperémèse cannabinoïde : le point sur le syndrome "cannabis-douche"
CUPPENS, Benoit ULiege; GENSBURGER, Mathieu ULiege; TONGLET, Martin ULiege et al

in Revue Médicale de Liège (2016), 71(12), 541-545

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See detailCognitive support for a better handoff: does it improve the quality of medical communication at shift change in an emergency department?
Gillet, Aline ULiege; GHUYSEN, Alexandre ULiege; BONHOMME, Suzanne ULiege et al

in European Journal of Emergency Medicine (2015), 22(3), 192-198

AIM: To improve the communication during shift handover in an emergency department. METHODS: We observed the handover process and analysed the discourse between physicians at shift change first, and then ... [more ▼]

AIM: To improve the communication during shift handover in an emergency department. METHODS: We observed the handover process and analysed the discourse between physicians at shift change first, and then we created two cognitive tools and tested their clinical impact on the field. We used different measures to evaluate this impact on the health care process including the frequency and type of information content communicated between physicians, duration of the handoff, physician self-evaluation of the quality of the handoff and a posthandover study of patient handling. RESULTS: Our results showed that the patient's medical history, significant test results, recommendations (treatment plan) and patient follow-up were communicated to a greater extent when the tools are used. We also found that physicians spent more time at the bedside and less time consulting medical records using these tools. CONCLUSION: The present study showed how in-depth observations and analyses of real work processes can be used to better support the quality of patient care. [less ▲]

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See detailThe Mediation Service, what interest for emergencies?
PIAZZA, Justine ULiege; BRASSEUR, Edmond ULiege; DOPPAGNE, Caroline ULiege et al

Poster (2015, January 17)

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See detailPROBLEMATIQUE DES LITS D’AVAL POUR LES ADMISSIONS VIA LES URGENCES.
VIEUJEAN, Sophie ULiege; BRASSEUR, Edmond ULiege; GHUYSEN, Alexandre ULiege et al

Poster (2015, January 17)

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