References of "GHUYSEN, Alexandre"
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See detailCan video-assistance improve the quality of pediatric dispatcher-assisted cardiopulmonary resuscitation? (IN PROGRESS)
PETERS, Michaël ULiege; Stipulante, Samuel ULiege; Cloes, Véronique et al

in Pediatric Emergency Care (in press)

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See detailValidation of a French-language version of TeamSTEPPS® T-TPQ and T-TAQ questionnaires
Diep, Anh Nguyet ULiege; PAQUAY, Méryl ULiege; Servotte, Jean-Christophe et al

in Journal of Interprofessional Care (2021)

Teamwork training and evaluation are essential to enhance safety and quality of care. The lack of the psychometric testing of the TeamSTEPPS® Teamwork Attitudes Questionnaire (T-TAQ) and Teamwork ... [more ▼]

Teamwork training and evaluation are essential to enhance safety and quality of care. The lack of the psychometric testing of the TeamSTEPPS® Teamwork Attitudes Questionnaire (T-TAQ) and Teamwork Perceptions Questionnaire (T-TPQ) across different language and cultural settings has questioned their widespread use because such attitudes and perceptions are highly subjective and context-bound. The present study aims to translate the T-TAQ and T-TPQ into the French language and validate the psycho- metric properties of the two questionnaires in a public health context. A forward-backward translation process, panel reviewing, and pilot testing in two rounds were followed to develop the French versions. Confirmatory factor analysis (CFA) and Cronbach’s alpha were used to examine the factor structure and internal consistency, whereas two-way mixed Intraclass Correlation Coefficient (ICC) was performed to assess test-retest reliability. A total of 235 healthcare professionals in the French-speaking community of Belgium completed the T-TAQ and T-TPQ. After two to four weeks, 102 participants took part in the second round. Despite good fit indices as revealed by the CFA and Cronbach’s alpha from 0.53 to 0.75 for the five dimensions of the T-TAQ and 0.76 to 0.79 for the T-TPQ, the squared correlations among the constructs were higher than the average variance extracted. Two-way mixed ICCs indicated fair to good test-retest reliability for all the five constructs of the two questionnaires, except the leadership scale of the T-TAQ. The French-language versions of the T-TAQ and T-TPQ were semantically equivalent and culturally relevant with adequate test-retest reliability as compared to the English versions. These two instruments might be used to capture the overall attitude toward teamwork and perceptions of team skills and behaviors. Yet, further research is advisable to refine the scales to establish the discriminant validity of the different dimensions and discriminative power of the instruments. [less ▲]

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See detailAdvanced triage to redirect non-urgent emergency department visits to alternative care centers: the PERSEE algorithm
GILBERT, Allison ULiege; BRASSEUR, Edmond ULiege; PETIT, Meredith ULiege et al

in Acta Clinica Belgica (2021)

Objectives: Primary care treatable visits in the Emergency Department (ED) are part of the different factors leading to the overcrowding. Their triage and diversion to alternative care centers could ... [more ▼]

Objectives: Primary care treatable visits in the Emergency Department (ED) are part of the different factors leading to the overcrowding. Their triage and diversion to alternative care centers could potentially help manage the increasing inflow provided the establishment of an advanced triage to ensure patients’ safety. We aim to suggest a new triage tool, PERSEE, and prove its feasibility, safety and performance. Methods: All self-referrals presented to the ED were triaged with the PERSEE algorithm: first, patients were classified with a five-level ED acuity scale and then evaluated by algorithms to determine their appropriate category (ED or Primary Care). Patients were eligible for a redirection if they were triaged by the acuity scale as level 3 or lower, considered as ambulatory patients and finally categorized as primary care patients. We defined appropriate redirections as patients requiring less than three emergency resources, no emergency-specific treatment and no hospitalization. Results: During the study, 1999 patients were admitted to the ED. Among those, 1333 patients were self-referred (66.9%) of whom 1167 patients were triaged as level 3 or below (58.6%) and 775 patients triaged as ambulatory (39.0%). Among the 775 patients, 200 patients were categorized as primary care treatable (10.0%) and thereby, as potentially eligible for a redirection. We noticed an error rate of 7%, sensitivity of 24.06% and specificity of 97.6%. The redirection rate reached 15% of the self-referrals. Conclusion: These results indicate that PERSEE triage could lead to a safe redirection and could be an efficient tool to reduce ED crowding provided several adjustments. [less ▲]

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See detailUsing simulation to assess patient's self-triage for unscheduled urgent care : the ODISSEE Platform
GILBERT, Allison ULiege; BRASSEUR, Edmond ULiege; François, Sophie et al

Conference (2021, April 14)

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See detailUsing simulation to assess patient's self-triage for unscheduled urgent care : the ODISSEE platform
GILBERT, Allison ULiege; BRASSEUR, Edmond ULiege; François, Sophie et al

in Advances in Simulation (2021), 6(Supplement 2),

Development of new technologies in the healthcare system is a current and exciting concern for many physicians. Management of unscheduled primary and emergency care is one of the many areas in which ... [more ▼]

Development of new technologies in the healthcare system is a current and exciting concern for many physicians. Management of unscheduled primary and emergency care is one of the many areas in which technological innovations are starting to emerge. We developed a French-language self-triage platform, called ODISSEE (Outil Décisionnel et Informatif des Structures de Soins Efficientes Exis- tantes), based on previously validated protocols for the triage of out- of-hours primary care calls. We aim to demonstrate its validity and safety as regards patients level of care needs using simulated triage.Development of new technologies in the healthcare system is a current and exciting concern for many physicians. Management of unscheduled primary and emergency care is one of the many areas in which technological innovations are starting to emerge. We developed a French-language self-triage platform, called ODISSEE (Outil Décisionnel et Informatif des Structures de Soins Efficientes Exis- tantes), based on previously validated protocols for the triage of out- of-hours primary care calls. We aim to demonstrate its validity and safety as regards patients level of care needs using simulated triage. [less ▲]

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See detailValidating a French-language version of Health Communication Assessment Tool: Content validity, test-retest reliability, interrater agreement, and implications for further development
Diep, Anh Nguyet ULiege; Servotte, Jean-Christophe; Dardenne, Nadia ULiege et al

in Advances in Simulation (2021, April 12), 6

Introduction The assessment of the communication skills of nurses in clinical settings bears both practical and educational significance. Despite the significance of communication skills to realize high ... [more ▼]

Introduction The assessment of the communication skills of nurses in clinical settings bears both practical and educational significance. Despite the significance of communication skills to realize high-quality patient-care, the development and validation of such an instrument applicable in different cultural contexts is still lacking and faces certain challenges. Additionally, the assessment of nurse-patient communication, which is dynamic and context-bounded, requires a fine-grained instrument, while not compromising the complexities of the skills under assessment. The aim of the present study was to test a French-language version of the Health Communication Assessment Tool (HCAT) (Campbell et al., 2013), on a French-speaking sample in Belgium against different measures of content relevance, validity, and reliability. Based on cognitive fluency perspective, we developed three simulated scenarios registering three levels of skill performance, including low, medium, and high demonstration. Thus, the psychometric properties of the HCAT instrument can be thoroughly examined. Methods Ten experts in communication and 52 nurse educators participated in the study. Firstly, the instrument was translated from English to French using back-translation technique. After semantic equivalence was agreed upon, the experts rated the relevance of the 22 items making up the HCAT, resulting in the removal of one culturally-irrelevant item. Subsequently, the experts and nurse educators rated the communication skills of the nurse in three scenarios. To ensure test-retest reliability, the nurse educators rated the scenarios twice within a four-week interval. The experts’ ratings were used as the gold standard when examining the reliability of the nurse educators’ ratings. Results & Discussion Exploratory and confirmatory factor analyses showed that the instrument could distinguish three aspects of communication skills, i.e. professional presentation, empathy, and trust building. Two-way random intraclass correlation coefficients (ICCs), ranging from 0.917 to 0.982, revealed that interrater agreement was excellent for consistency and absolute average-measures. However, at absolute single-measure, an ICC=0.425 suggested adequate interrater reliability for the medium-performed scenario, which decreased in low-performed (ICC=0.348) and high-performed (ICC=0.176) scenarios. Further, more than half of the items displayed poor test-retest reliability. [less ▲]

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See detailDevelopment and validation of a predictive model to determine the level of care in patients confirmed with COVID-19
Diep, Anh Nguyet ULiege; GILBERT, Allison ULiege; Saegerman, Claude ULiege et al

in Infectious Diseases (2021)

Background The COVID-19 pandemic has imposed significant challenges on hospital capacity. While mitigating unnecessary crowding in hospitals is favorable to reduce viral transmission, it is more important ... [more ▼]

Background The COVID-19 pandemic has imposed significant challenges on hospital capacity. While mitigating unnecessary crowding in hospitals is favorable to reduce viral transmission, it is more important to prevent readmissions with impaired clinical status due to initially inappropriate level of care. A validated predictive tool to assist clinical decisions for patient triage and facilitate remote stratification is of critical importance. Methods We conducted a retrospective study in patients with confirmed COVID-19 stratified into two levels of care, namely ambulatory care and hospitalization. Data on socio-demographics, clinical symptoms, and comorbidities was collected during the first (N=571) and second waves (N=174) of the pandemic in Belgium (March 2 to December 6, 2020). Univariate and multivariate logistic regressions were performed to build and validate the prediction model. Results Significant predictors of hospitalization were old age (OR=1.08, 95%CI:1.06-1.10), male gender (OR=4.41, 95%CI: 2.58-7.52), dyspnea (OR 6.11, 95%CI: 3.58-10.45), dry cough (OR 2.89, 95%CI: 1.54-5.41), wet cough (OR 4.62, 95%CI: 1.93-11.06), hypertension (OR 2.20, 95%CI: 1.17-4.16) and renal failure (OR 5.39, 95%CI: 1.00-29.00). Rhinorrhea (OR 0.43, 95%CI: 0.24-0.79) and headache (OR 0.36, 95%CI: 0.20-0.65) were negatively associated with hospitalization. A receiver operating characteristic (ROC) curve was constructed and the area under the ROC-curve was 0.931 (95% CI: 0.910-0.953) for the prediction model (first wave) and 0.895 (95% CI: 0.833-0.957) for the validated data set (second wave). Conclusion With a good discriminating power, the prediction model might identify patients who require ambulatory care or hospitalization, and support clinical decisions by Emergency Department staff and general practitioners. [less ▲]

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See detailDisaster management training in the euregio-meuse-rhine: What can we learn from each other to improve cross-border practices?
PAQUAY, Méryl ULiege; Chevalier, Sabrina ULiege; Sommer, Anja et al

in International Journal of Disaster Risk Reduction (2021)

Increasing numbers of disasters require comprehensive preparedness. Border regions are vulnerable as disasters might not halt at administrative borders. Cross-border coordination is therefore required. As ... [more ▼]

Increasing numbers of disasters require comprehensive preparedness. Border regions are vulnerable as disasters might not halt at administrative borders. Cross-border coordination is therefore required. As integral part of cross-border collaborations initiative in the Meuse–Rhine Euregio (EMR), we reviewed published evidence informing on existing initiatives dedicated to disaster education in the EMR. A search based on the PRISMA guidelines for scoping reviews was conducted to retrieve articles in the following databases: Medline, PsychInfo and Scopus. The searches were limited to English, French, Dutch and German language articles and the period between January 2010 and June 2019. No restrictions were set for the study design or the type of methodology used. A total of 18 articles met the inclusion criteria out of a total of 1771 publications. Training development was found in two studies while nine studies focused on the state of knowledge in disaster management. Seven articles referred only to technical skills, three only to non-technical skills and eight combined both types of skills. For the technical nature, Knowledge was found seven times, Skills five times and Attitudes twice. On the non-technical side, Knowledge was found three and both Skills twice and Attitudes three times. Five studies trained and assessed all the Knowledge, skills and attitudes. Most of the studies constitute inventories with descriptive reporting and very few experimental studies of quality have been carried. Non-technical skills for disaster preparedness have been well considered among the articles. Cross-border collaboration needs to be further investigated. [less ▲]

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See detailClinical decision support tool for diagnosis of COVID-19 in hospitals
Saegerman, Claude ULiege; GILBERT, Allison ULiege; Donneau, Anne-Françoise ULiege et al

in PLoS ONE (2021), 16(3 March),

Background The coronavirus infectious disease 19 (COVID-19) pandemic has resulted in significant morbidities, severe acute respiratory failures and subsequently emergency departments’ (EDs) overcrowding ... [more ▼]

Background The coronavirus infectious disease 19 (COVID-19) pandemic has resulted in significant morbidities, severe acute respiratory failures and subsequently emergency departments’ (EDs) overcrowding in a context of insufficient laboratory testing capacities. The development of decision support tools for real-time clinical diagnosis of COVID-19 is of prime importance to assist patients’ triage and allocate resources for patients at risk. Methods and principal findings From March 2 to June 15, 2020, clinical patterns of COVID-19 suspected patients at admission to the EDs of Liège University Hospital, consisting in the recording of eleven symptoms (i.e. dyspnoea, chest pain, rhinorrhoea, sore throat, dry cough, wet cough, diarrhoea, headache, myalgia, fever and anosmia) plus age and gender, were investigated during the first COVID-19 pandemic wave. Indeed, 573 SARS-CoV-2 cases confirmed by qRT-PCR before mid-June 2020, and 1579 suspected cases that were subsequently determined to be qRT-PCR negative for the detection of SARS-CoV-2 were enrolled in this study. Using multivariate binary logistic regression, two most relevant symptoms of COVID-19 were identified in addition of the age of the patient, i.e. fever (odds ratio [OR] = 3.66; 95% CI: 2.97–4.50), dry cough (OR = 1.71; 95% CI: 1.39–2.12), and patients older than 56.5 y (OR = 2.07; 95% CI: 1.67–2.58). Two additional symptoms (chest pain and sore throat) appeared significantly less associated to the confirmed COVID-19 cases with the same OR = 0.73 (95% CI: 0.56–0.94). An overall pondered (by OR) score (OPS) was calculated using all significant predictors. A receiver operating characteristic (ROC) curve was generated and the area under the ROC curve was 0.71 (95% CI: 0.68–0.73) rendering the use of the OPS to discriminate COVID-19 confirmed and unconfirmed patients. The main predictors were confirmed using both sensitivity analysis and classification tree analysis. Interestingly, a significant negative correlation was observed between the OPS and the cycle threshold (Ct values) of the qRT-PCR. Conclusion and main significance The proposed approach allows for the use of an interactive and adaptive clinical decision support tool. Using the clinical algorithm developed, a web-based user-interface was created to help nurses and clinicians from EDs with the triage of patients during the second COVID-19 wave. Copyright: © 2021 Saegerman et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. [less ▲]

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See detailDisaster medicine and virtual reality simulation: tracking down the factors impacting triage performance
PAQUAY, Méryl ULiege; GOFFOY, Jonathan ULiege; Servotte, Jean-Christophe et al

Conference (2021)

IntroductionMass Casualty Incidents (MCIs) are characterized by an imbalance between limited medical resources in view ofoverwhelming patients’ needs [1]. As a result, Emergency medicine professionals ... [more ▼]

IntroductionMass Casualty Incidents (MCIs) are characterized by an imbalance between limited medical resources in view ofoverwhelming patients’ needs [1]. As a result, Emergency medicine professionals (EMPs) have developed triagesystems to cope with such situations [2]. Environmental, emotional and social factors might impede these triage process,especially when EMPs are facing injured children [3]. Besides, the challenge of replicating complex medical conditions inMCI and providing feedback implies high logistics burden and considerable costs in human resources and timeallocation [4]. Virtual reality (VR) could offer a realistic cost-effective solution to overcome difficulties [5]. We analyzedthe socio-professional and psychological factors potentially mitigating children’s triage during a MCI using an original VRenvironment.MethodsA mixed approach study, involving both qualitative and quantitative methods, was adopted. Ten emergency residentswere immerged in two VR environments simulation: a coach accident in a tunnel and a detonation in a Grand-place. Atpre-immersion, each resident completed a sociodemographic questionnaire. Post-immersion included the Frenchadaptation of the Coping Checklist and a self-efficacy questionnaire. At each stage, participants evaluated their stress.Triage effectiveness was rated by an expert. A qualitative analysis of the debriefings was performed.Results & DiscussionFemales (11.33±0.57) obtained significantly better triage scores (p=0.03) than male (9.71±1.38). We found that the levelof stress at pre-immersion was significantly correlated with the triage scores (r=0.89; p=0.02). Participants’ self-efficacyof and previous training in MCI (p=0.11) were not correlated with triage scores. Qualitative findings revealed difficultiesin identifying deceased children, which conducted to incorrect triage, or inappropriate life-saving interventions (e.g.resuscitation). During debriefings, participants highlighted the pictorial realism leading to higher immersion and a highlevel of stress as previously reported [6]. This exploratory study about the factors influencing triage scoring reveals thatgender and stress before immersion might impact triage performance. Furthermore, our results enable further researchon educative perspectives to develop standardized practices in VR simulations. [less ▲]

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See detailAsthma and COPD Are Not Risk Factors for ICU Stay and Death in Case of SARS-CoV2 Infection
CALMES, Doriane ULiege; Graff, Sophie ULiege; MAES, Nathalie ULiege et al

in Journal of Allergy and Clinical Immunology: In Practice (2021), 9(1), 160-169

BACKGROUND: Asthmatics and patients with chronic obstructive pulmonary disease (COPD) have more severe outcomes with viral infections than people without obstructive disease. OBJECTIVE: To evaluate if ... [more ▼]

BACKGROUND: Asthmatics and patients with chronic obstructive pulmonary disease (COPD) have more severe outcomes with viral infections than people without obstructive disease. OBJECTIVE: To evaluate if obstructive diseases are risk factors for intensive care unit (ICU) stay and death due to coronavirus disease 2019 (COVID19). METHODS: We collected data from the electronic medical record from 596 adult patients hospitalized in University Hospital of Liege between March 18 and April 17, 2020, for severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) infection. We classified patients into 3 groups according to the underlying respiratory disease, present before the COVID19 pandemic. RESULTS: Among patients requiring hospitalization for COVID19, asthma and COPD accounted for 9.6% and 7.7%, respectively. The proportions of asthmatics, patients with COPD, and patients without obstructive airway disease hospitalized in the ICU were 17.5%, 19.6%, and 14%, respectively. One-third of patients with COPD died during hospitalization, whereas only 7.0% of asthmatics and 13.6% of patients without airway obstruction died due to SARS-CoV2. The multivariate analysis showed that asthma, COPD, inhaled corticosteroid treatment, and oral corticosteroid treatment were not independent risk factors for ICU admission or death. Male gender (odds ratio [OR]: 1.9; 95% confidence interval [CI]: 1.1-3.2) and obesity (OR: 8.5; 95% CI: 5.1-14.1) were predictors of ICU admission, whereas male gender (OR 1.9; 95% CI: 1.1-3.2), older age (OR: 1.9; 95% CI: 1.6-2.3), cardiopathy (OR: 1.8; 95% CI: 1.1-3.1), and immunosuppressive diseases (OR: 3.6; 95% CI: 1.5-8.4) were independent predictors of death. CONCLUSION: Asthma and COPD are not risk factors for ICU admission and death related to SARS-CoV2 infection. [less ▲]

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See detailGestion des admission aux urgences durant la pandémie de COVID-19 au sein du CHU de Liège : Apport d'un centre de tri avancé
GILBERT, Allison ULiege; PIAZZA, Justine ULiege; SZECEL, Julien ULiege et al

in Revue Médicale de Liège (2020), 75(Supplement), 11-17

résumé : La pandémie de COVID-19 a débuté au mois de mars 2020 sur le territoire belge. Elle a contraint nos institu- tions hospitalières à une série de réorganisations singulières soutenues par ... [more ▼]

résumé : La pandémie de COVID-19 a débuté au mois de mars 2020 sur le territoire belge. Elle a contraint nos institu- tions hospitalières à une série de réorganisations singulières soutenues par l’activation du Plan d’Urgence Hospitalier. Cet article a pour objet de décrire l’expérience du Centre Hospitalier Universitaire de Liège (CHU de Liège) durant la pandémie de COVID-19 et de relater l’efficience de la mise en place d’un centre de tri avancé en amont des services d’urgences pour la gestion des admissions hospitalières. Méthodes : dès le 2 Mars 2020, le CHU de Liège a mis en place une infrastructure d’accueil des patients suspects d’infection par le SARS-CoV-2. D’abord initiée au sein de l’institution hospitalière, la nécessité d’une infrastructure indépendante s’est rapidement révélée indispensable et a, dès lors, vu le jour dès la fin du mois de mars, sur les deux sites hospitaliers universitaires. Du 2 mars au 3 mai 2020, l’ensemble des données relatives aux visites au sein des centres de tri avancé ont été collectées (nombre d’ad- missions, motif des visites, examens complémentaires et évolutions cliniques). Résultats : sur la période de l’étude, 3.094 patients ont transité par les centres de tri du CHU de Liège. Cette fréquentation était constituée d’un volume global de 3.431 contacts dont 337 représentaient des réad- missions. La sensibilité et la spécificité des centres de tri en regard de la nécessité d’une hospitalisation étaient, respectivement, de 87,9 % et 93,4 %. Conclusion : notre expérience suggère une efficience optimale des centres de tri avancé, en amont des structures hospitalières tradi- tionnelles, pour orienter de manière appropriée le flux des patients suspects d’infection par le SARS-CoV-2. [less ▲]

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See detailCOVID-19 pneumonia and acute pulmonary embolism: a case report
SZECEL, Julien ULiege; GILBERT, Allison ULiege; GHUYSEN, Alexandre ULiege et al

in International Journal of Medical Reviews and Case Reports (2020)

Since December 2019, a novel coronavirus (SARS-Cov2) disease emerged in China with the evidence of multiple cases of severe pneumonia. Since then, various clinical findings and complications related to ... [more ▼]

Since December 2019, a novel coronavirus (SARS-Cov2) disease emerged in China with the evidence of multiple cases of severe pneumonia. Since then, various clinical findings and complications related to that infection have been described. Recently, studies reported various cases of thrombotic events complicating SARS-Cov2 infections. Particularly, the incidence of pulmonary embolism appears to be higher in patients with the novel coronavirus disease. In the presence of clinical and/or biological evocative findings, pulmonary embolism has to be excluded. Recent arguments tend to prone thromboprophylaxis early in specific populations. [less ▲]

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