Marie‐Annick Le Pogam
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View article: New ICD-11 features for coding late sequelae and chronic post-procedural conditions
New ICD-11 features for coding late sequelae and chronic post-procedural conditions Open
There are many clinical circumstances in life where people live with chronic conditions (or states) that arose from either (1) a prior clinical diagnosis (e.g. a stroke) or (2) a prior healthcare-related event or medical procedure. Unfortu…
View article: Effectiveness of a digital clinical decision support algorithm for guiding antibiotic prescribing in pediatric outpatient care in Rwanda: A pragmatic cluster non-randomized controlled trial
Effectiveness of a digital clinical decision support algorithm for guiding antibiotic prescribing in pediatric outpatient care in Rwanda: A pragmatic cluster non-randomized controlled trial Open
Background Poor adherence to clinical guidelines and diagnostic uncertainty are key contributors to antibiotic overprescription, accelerating antimicrobial resistance—a major global health threat. We developed ePOCT+, a digital clinical de…
View article: Natural Language Processing and ICD-10 Coding for Detecting Bleeding Events in Discharge Summaries: Comparative Cross-Sectional Study
Natural Language Processing and ICD-10 Coding for Detecting Bleeding Events in Discharge Summaries: Comparative Cross-Sectional Study Open
Background Bleeding adverse drug events (ADEs), particularly among older inpatients receiving antithrombotic therapy, represent a major safety concern in hospitals. These events are often underdetected by conventional rule-based systems re…
View article: Comparative inpatient care of cancer vs. non-cancer patients in Switzerland during the national COVID-19 lockdown: a nationwide interrupted time series analysis
Comparative inpatient care of cancer vs. non-cancer patients in Switzerland during the national COVID-19 lockdown: a nationwide interrupted time series analysis Open
Background The COVID-19 pandemic exerted unprecedented pressure on healthcare systems worldwide, leading governments and hospitals to postpone elective procedures to prioritize care for COVID-19 patients. Cancer patients, who often require…
View article: Effectiveness of a clinical decision support algorithm (ePOCT+) in improving quality of care for sick children in primary health facilities in Tanzania (DYNAMIC project): results from a cluster randomized trial
Effectiveness of a clinical decision support algorithm (ePOCT+) in improving quality of care for sick children in primary health facilities in Tanzania (DYNAMIC project): results from a cluster randomized trial Open
Introduction: The Integrated Management of Childhood Illness (IMCI) chartbook for managing sick children under five years improves quality of care and reduces childhood mortality. However, compliance to IMCI remains a challenge. Electronic…
View article: Incidence, Mortality, and Economic Burden of Sepsis in Switzerland, 2019–2023: A Nationwide Population-Based Analysis
Incidence, Mortality, and Economic Burden of Sepsis in Switzerland, 2019–2023: A Nationwide Population-Based Analysis Open
View article: A cluster randomized trial assessing the effect of a digital health algorithm on quality of care in Tanzania (DYNAMIC study)
A cluster randomized trial assessing the effect of a digital health algorithm on quality of care in Tanzania (DYNAMIC study) Open
Digital clinical decision support tools have contributed to improved quality of care at primary care level health facilities. However, data from real-world randomized trials are lacking. We conducted a cluster randomized, open-label trial …
View article: Self-reported perceptions of adults with diabetes regarding their care and health in the time of COVID-19 pandemic in a Swiss region: a cross-sectional study
Self-reported perceptions of adults with diabetes regarding their care and health in the time of COVID-19 pandemic in a Swiss region: a cross-sectional study Open
AIM: To assess the perceptions of adults with diabetes regarding their care and health during the COVID-19 pandemic in the canton of Vaud, Switzerland. METHODS: Cross-sectional data was analysed from the 2021 follow-up questionnaire of the…
View article: A comparative cross-sectional study of Natural Language Processing and ICD-10 Coding for detecting bleeding events in discharge summaries (Preprint)
A comparative cross-sectional study of Natural Language Processing and ICD-10 Coding for detecting bleeding events in discharge summaries (Preprint) Open
BACKGROUND Bleeding adverse drug events (ADEs), particularly among older adult patients on antithrombotic therapy, are a significant concern in hospital settings. These events often go undetected using traditional rule-based methods relyi…
View article: Quality of care when using a digital clinical decision support algorithm to manage sick children at primary care health facilities in Tanzania: a cross-sectional cluster randomized controlled trial (DYNAMIC study)
Quality of care when using a digital clinical decision support algorithm to manage sick children at primary care health facilities in Tanzania: a cross-sectional cluster randomized controlled trial (DYNAMIC study) Open
Digital clinical decision support tools have contributed to improved quality of care at primary care level health facilities. However, data from real-world randomized trials are lacking. We conducted a cluster randomized, open-label trial …
View article: Drug-drug interactions with oral anticoagulants: information consistency assessment of three commonly used online drug interactions databases in Switzerland
Drug-drug interactions with oral anticoagulants: information consistency assessment of three commonly used online drug interactions databases in Switzerland Open
Background: Toxicity or treatment failure related to drug-drug interactions (DDIs) are known to significantly affect morbidity and hospitalization rates. Despite the availability of numerous databases for DDIs identification and management…
View article: A digital health algorithm to guide antibiotic prescription in pediatric outpatient care: a cluster randomized controlled trial
A digital health algorithm to guide antibiotic prescription in pediatric outpatient care: a cluster randomized controlled trial Open
Excessive antibiotic use and antimicrobial resistance are major global public health threats. We developed ePOCT+, a digital clinical decision support algorithm in combination with C-reactive protein test, hemoglobin test, pulse oximeter a…
View article: Potentially avoidable hospitalizations and socioeconomic status in Switzerland: A small area-level analysis
Potentially avoidable hospitalizations and socioeconomic status in Switzerland: A small area-level analysis Open
View article: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals Open
The validity of the Agency for Healthcare Research and Quality’s Patient Safety Indicators (PSIs) has been established in the USA and Canada. However, these indicators are also used for hospital benchmarking and cross-country comparisons i…
View article: Facing the COVID-19 Pandemic: A Mixed-Method Analysis of Asylum Seekers’ Experiences and Worries in the Canton of Vaud, Switzerland
Facing the COVID-19 Pandemic: A Mixed-Method Analysis of Asylum Seekers’ Experiences and Worries in the Canton of Vaud, Switzerland Open
Objectives: The clinical and social burden of the COVID-19 pandemic were high among asylum seekers (ASs). We aimed to understand better ASs’ experiences of the pandemic and their sources of worries. Methods: Participants ( n = 203) complet…
View article: Sepsis awareness and knowledge amongst nurses, physicians and paramedics of a tertiary care center in Switzerland: A survey-based cross-sectional study
Sepsis awareness and knowledge amongst nurses, physicians and paramedics of a tertiary care center in Switzerland: A survey-based cross-sectional study Open
Background Sepsis is a leading cause of morbidity and mortality. Prompt recognition and management are critical to improve outcomes. Methods We conducted a survey among nurses and physicians of all adult departments of the Lausanne Univers…
View article: Antibiotic stewardship using ePOCT+, a digital health clinical decision support algorithm for paediatric outpatient care: results from the DYNAMIC Tanzania cluster randomized controlled trial
Antibiotic stewardship using ePOCT+, a digital health clinical decision support algorithm for paediatric outpatient care: results from the DYNAMIC Tanzania cluster randomized controlled trial Open
Excessive antibiotic use and antimicrobial resistance are major global public health threats. We developed ePOCT+, a digital Clinical Decision Support Algorithm in combination with C-reactive protein test, haemoglobin test, pulse oximeter …
View article: Identifying common patterns of health services use: a longitudinal study of older Swiss adults' care trajectories
Identifying common patterns of health services use: a longitudinal study of older Swiss adults' care trajectories Open
Background Population ageing puts pressure on health systems initially designed to handle acute and episodic illnesses. Segmenting an ageing population based on its healthcare utilization may enable policymakers to undertake evidence-based…
View article: Asylum Seekers’ Responses to Government COVID-19 Recommendations: A Cross-sectional Survey in a Swiss Canton
Asylum Seekers’ Responses to Government COVID-19 Recommendations: A Cross-sectional Survey in a Swiss Canton Open
View article: Sex related inequalities in the management and prognosis of acute coronary syndrome in Switzerland: cross sectional study
Sex related inequalities in the management and prognosis of acute coronary syndrome in Switzerland: cross sectional study Open
Objectives To assess the differences in the management and prognosis of acute coronary syndrome in men and women who were admitted to hospital for acute coronary syndrome. Design Cross sectional study. Setting Discharge data from Swiss hos…
View article: National Early Warning Score (NEWS) Outperforms Quick Sepsis-Related Organ Failure (qSOFA) Score for Early Detection of Sepsis in the Emergency Department
National Early Warning Score (NEWS) Outperforms Quick Sepsis-Related Organ Failure (qSOFA) Score for Early Detection of Sepsis in the Emergency Department Open
Background: Prompt recognition of sepsis is critical to improving patients’ outcomes. We compared the performance of NEWS and qSOFA scores as sepsis detection tools in patients admitted to the emergency department (ED) with suspicion of se…
View article: Coding mechanisms for diagnosis timing in the International Classification of Diseases, Version 11
Coding mechanisms for diagnosis timing in the International Classification of Diseases, Version 11 Open
View article: Automatic Detection of Adverse Drug Events in Geriatric Care: Study Proposal
Automatic Detection of Adverse Drug Events in Geriatric Care: Study Proposal Open
Background One-third of older inpatients experience adverse drug events (ADEs), which increase their mortality, morbidity, and health care use and costs. In particular, antithrombotic drugs are among the most at-risk medications for this p…
View article: Automatic detection of adverse drug events in the geriatric care: study protocol (Preprint)
Automatic detection of adverse drug events in the geriatric care: study protocol (Preprint) Open
UNSTRUCTURED Purpose: One-third of older inpatients experience adverse-drug events (ADEs), which increase their mortality and morbidity, and health care use and costs. In particular, antithrombotic drugs are among the most at-risk medicat…
View article: Early impact of the COVID-19 pandemic on in-person outpatient care utilisation: a rapid review
Early impact of the COVID-19 pandemic on in-person outpatient care utilisation: a rapid review Open
Objectives To quantitatively assess the early impact of the COVID-19 pandemic on in-person outpatient care utilisation worldwide, as well as across categories of services, types of care and medical specialties. Design Rapid review. Method …
View article: Exploring Patient Multimorbidity and Complexity Using Health Insurance Claims Data: A Cluster Analysis Approach
Exploring Patient Multimorbidity and Complexity Using Health Insurance Claims Data: A Cluster Analysis Approach Open
Background Although the trend of progressing morbidity is widely recognized, there are numerous challenges when studying multimorbidity and patient complexity. For multimorbid or complex patients, prone to fragmented care and high health c…
View article: Trust in Institutions and the COVID-19 Threat: A Cross-Sectional Study on the Public Perception of Official Recommendations and of Othering in Switzerland
Trust in Institutions and the COVID-19 Threat: A Cross-Sectional Study on the Public Perception of Official Recommendations and of Othering in Switzerland Open
Objectives: To explore how perceived disease threat and trust in institutions relate to vaccination intent, perceived effectiveness of official recommendations, and to othering strategies. Methods: We conducted a cross-sectional survey of …
View article: Development and validation of a knowledge-based score to predict Fried's frailty phenotype across multiple settings using one-year hospital discharge data: The electronic frailty score
Development and validation of a knowledge-based score to predict Fried's frailty phenotype across multiple settings using one-year hospital discharge data: The electronic frailty score Open
View article: The three-part model for coding causes and mechanisms of healthcare-related adverse events
The three-part model for coding causes and mechanisms of healthcare-related adverse events Open
View article: Sepsis Awareness at the University Hospital Level: A Survey-Based Cross-Sectional Study
Sepsis Awareness at the University Hospital Level: A Survey-Based Cross-Sectional Study Open
Background: Sepsis is a leading cause of morbidity and mortality. Prompt recognition and management are critical to improved outcomes. In 2019, the Lausanne University Hospital (LUH) launched a quality of care project aiming to improve sep…