La prescription d’un traitement doit reposer autant que possible sur des donnees factuelles. Pour ce faire, le prescripteur peut s’appuyer sur les essais therapeutiques a condition qu’il en ait verifie la qualite methodologique garante de la validite interne. Celle-ci repose principalement sur le caractere controle et randomise de l’etude. Mais pour ameliorer la pratique clinique, l’essai therapeutique doit non seulement etre valide mais egalement avoir une pertinence clinique. Cela signifie que le benefice attendu doit etre cliniquement significatif et s’appliquer aux sujets vus en pratique medicale courante. Cette note aborde les points essentiels a une lecture rigoureuse d’un essai therapeutique.
{"title":"Controlled randomised trials","authors":"L. Mechtouff, P. Durieux","doi":"10.1684/STV.2021.1180","DOIUrl":"https://doi.org/10.1684/STV.2021.1180","url":null,"abstract":"La prescription d’un traitement doit reposer autant que possible sur des donnees factuelles. Pour ce faire, le prescripteur peut s’appuyer sur les essais therapeutiques a condition qu’il en ait verifie la qualite methodologique garante de la validite interne. Celle-ci repose principalement sur le caractere controle et randomise de l’etude. Mais pour ameliorer la pratique clinique, l’essai therapeutique doit non seulement etre valide mais egalement avoir une pertinence clinique. Cela signifie que le benefice attendu doit etre cliniquement significatif et s’appliquer aux sujets vus en pratique medicale courante. Cette note aborde les points essentiels a une lecture rigoureuse d’un essai therapeutique.","PeriodicalId":21376,"journal":{"name":"Sang Thrombose Vaisseaux","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49557494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benja Tahina Rafanomezantsoa, N. O. Rajaonarison, Francklin Ralaitsilanihasy, A. Ahmad
Introduction. The hemorrhagic complications of Covid-19 are little described in the literature, although it potentiates the severity of the disease. We report three cases of spontaneous hematomas occurring in patients with Covid-19. Objectives. Our objectives are to warn of these bleeding complications and to describe the aspects on imaging. Observations. The first patient presented with abdominal pain on the tenth day of the course of the SARS-CoV-2 infection. The abdominal ultrasound showed a left hypogastric hematoma, confirmed by the CT scan, responsible for bladder compression at the origin of a bilateral hydronephrosis. Surgical removal of the hematoma was performed. The second case concerned a woman with abdominal pain and a large pelvic mass. The CT scan revealed a right hypogastric hematoma compressing the urinary tract. The third patient was a man referred for a right lateral thoracic swelling, whose ultrasound confirmed a large hematoma. Conclusion. Bleeding complications with large deep or parietal hematoma may occur during the management of SARS-CoV-2 infection.
{"title":"Large spontaneous hematomas in hospitalized patients for Covid-19","authors":"Benja Tahina Rafanomezantsoa, N. O. Rajaonarison, Francklin Ralaitsilanihasy, A. Ahmad","doi":"10.1684/stv.2021.1178","DOIUrl":"https://doi.org/10.1684/stv.2021.1178","url":null,"abstract":"Introduction. The hemorrhagic complications of Covid-19 are little described in the literature, although it potentiates the severity of the disease. We report three cases of spontaneous hematomas occurring in patients with Covid-19. Objectives. Our objectives are to warn of these bleeding complications and to describe the aspects on imaging. Observations. The first patient presented with abdominal pain on the tenth day of the course of the SARS-CoV-2 infection. The abdominal ultrasound showed a left hypogastric hematoma, confirmed by the CT scan, responsible for bladder compression at the origin of a bilateral hydronephrosis. Surgical removal of the hematoma was performed. The second case concerned a woman with abdominal pain and a large pelvic mass. The CT scan revealed a right hypogastric hematoma compressing the urinary tract. The third patient was a man referred for a right lateral thoracic swelling, whose ultrasound confirmed a large hematoma. Conclusion. Bleeding complications with large deep or parietal hematoma may occur during the management of SARS-CoV-2 infection.","PeriodicalId":21376,"journal":{"name":"Sang Thrombose Vaisseaux","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49212341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Epidemiology of heart failure","authors":"Pascal de Groote","doi":"10.1684/stv.2021.1167","DOIUrl":"https://doi.org/10.1684/stv.2021.1167","url":null,"abstract":"","PeriodicalId":21376,"journal":{"name":"Sang Thrombose Vaisseaux","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49262177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephanie C. El Hajj, Morgane de Boutiny, Anne-Marie Zagdansky, P. Tchouanté
{"title":"Hemorrhagic cholecystitis","authors":"Stephanie C. El Hajj, Morgane de Boutiny, Anne-Marie Zagdansky, P. Tchouanté","doi":"10.1684/stv.2021.1173","DOIUrl":"https://doi.org/10.1684/stv.2021.1173","url":null,"abstract":"","PeriodicalId":21376,"journal":{"name":"Sang Thrombose Vaisseaux","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49626420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Pernès, R. Cohen, Sébastien Terrazzoni, Guillaume Durand-Viel
{"title":"Myocardial infarction secondary to acute total occlusion of the left main coronary artery","authors":"J. Pernès, R. Cohen, Sébastien Terrazzoni, Guillaume Durand-Viel","doi":"10.1684/stv.2021.1171","DOIUrl":"https://doi.org/10.1684/stv.2021.1171","url":null,"abstract":"","PeriodicalId":21376,"journal":{"name":"Sang Thrombose Vaisseaux","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44120302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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