Héloïse Torchin
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View article: Evaluation of area based socioeconomic inequalities and neonatal mortality rates in France: national population based study
Evaluation of area based socioeconomic inequalities and neonatal mortality rates in France: national population based study Open
Objective To investigate the magnitude and evolution of inequalities in neonatal mortality rates by using area based socioeconomic indices in France. Design National population based study. Setting For 2015-20, data from the French Nationa…
View article: Histological chorioamnionitis and neurodevelopment at 5 years of age among infants born very preterm: EPIPAGE-2 cohort study
Histological chorioamnionitis and neurodevelopment at 5 years of age among infants born very preterm: EPIPAGE-2 cohort study Open
Objective To assess the association between histological chorioamnionitis without maternal clinical symptoms and neurodevelopmental disabilities at age 5 years in children born very preterm. Design French national prospective population-ba…
View article: Healthcare professionals interpersonal variability and determinants of medical decision thresholds for active management of extremely preterm infants in a level 3 perinatal center in France
Healthcare professionals interpersonal variability and determinants of medical decision thresholds for active management of extremely preterm infants in a level 3 perinatal center in France Open
Background Before 26 weeks of gestational age, because extremely preterm infants (EPI) face a high risk of death or disability, management decisions may involve either active treatment or palliative care. Survival chances largely depend on…
View article: Prophylactic low-dose hydrocortisone in neonates born extremely preterm: current knowledge and future challenges
Prophylactic low-dose hydrocortisone in neonates born extremely preterm: current knowledge and future challenges Open
Summary Prophylactic administration of low-dose hydrocortisone, at replacement dosage, targets inability of extremely low gestational age neonates (ELGANs) to respond to postnatal stress due to adrenal glands immaturity and is intended to …
View article: Deep learning in medical image analysis: introduction to underlying principles and reviewer guide using diagnostic case studies in paediatrics
Deep learning in medical image analysis: introduction to underlying principles and reviewer guide using diagnostic case studies in paediatrics Open
International audience
View article: Gestational age, maternal smoking, neurological lesion and retinopathy predict strabismus at age 5.5 in preterm children
Gestational age, maternal smoking, neurological lesion and retinopathy predict strabismus at age 5.5 in preterm children Open
Aim Prematurity is a risk factor for strabismus, but the roles of intermediate factors like retinopathy of prematurity (ROP) and neurological lesions are less understood. We aimed to identify neonatal risk factors for strabismus at age 5.5…
View article: Lowering platelet-count threshold for transfusion in preterm neonates decreases the number of transfusions without increasing severe hemorrhage events
Lowering platelet-count threshold for transfusion in preterm neonates decreases the number of transfusions without increasing severe hemorrhage events Open
Thrombocytopenia is common in preterm neonates and can be associated with hemorrhage. Most platelet transfusions are prophylactic. Previously, higher platelet-count thresholds were recommended for neonates, but this recommendation has been…
View article: Screening preterm‐born infants for autistic traits may help to identify social communication difficulties at five years of age
Screening preterm‐born infants for autistic traits may help to identify social communication difficulties at five years of age Open
Aim This study compared neurodevelopmental screening questionnaires completed when preterm‐born children reached 2 years of corrected age with social communication skills at 5.5 years of age. Methods Eligible subjects were born in 2011 at …
View article: Neurodevelopment at age 5.5 years according to Ages & Stages Questionnaire at 2 years’ corrected age in children born preterm: the EPIPAGE-2 cohort study
Neurodevelopment at age 5.5 years according to Ages & Stages Questionnaire at 2 years’ corrected age in children born preterm: the EPIPAGE-2 cohort study Open
Objective To report neurodevelopment at age 5.5 years according to developmental delay screening with the Ages & Stages Questionnaire (ASQ) in late infancy in preterm-born children. Design Population-based cohort study, EPIPAGE-2. Setting …
View article: Tocolysis after preterm prelabor rupture of membranes and 5-year outcomes: a population-based cohort study
Tocolysis after preterm prelabor rupture of membranes and 5-year outcomes: a population-based cohort study Open
There was no difference in the neurodevelopmental outcomes at age 5.5 years among children with and without antenatal exposure to tocolysis after preterm prelabor rupture of membranes. To date, the health benefits of tocolytics remain unpr…
View article: Pulmonary hypertension among preterm infants born at 22 through 32 weeks gestation in France: Prevalence, survival, morbidity and management in the EPIPAGE-2 cohort study
Pulmonary hypertension among preterm infants born at 22 through 32 weeks gestation in France: Prevalence, survival, morbidity and management in the EPIPAGE-2 cohort study Open
In this population-based cohort of very preterm infants, the prevalence of PH was 6 %. PH was associated with a significant decrease of survival without severe morbidity in this population.
View article: Excessive workload and insufficient night‐shift remuneration are key elements of dissatisfaction at work for French neonatologists
Excessive workload and insufficient night‐shift remuneration are key elements of dissatisfaction at work for French neonatologists Open
Aim Neonatologists are exposed to ethical issues and unplanned emergencies that require 24‐h in‐house coverage. These elements may affect quality of life at work, which we surveyed. Methods This was a self‐administered, voluntary and anony…
View article: Mother–child separation after twin birth in a maternity unit with an appropriate level of neonatal care
Mother–child separation after twin birth in a maternity unit with an appropriate level of neonatal care Open
Objective To evaluate the mother–child separation rate in twin pregnancies delivered in maternity units offering an appropriate level of neonatal care. Methods JUMODA is a French, prospective, population‐based cohort study of twin deliveri…
View article: Intraventricular Hemorrhage in Very Preterm Children: Mortality and Neurodevelopment at Age 5
Intraventricular Hemorrhage in Very Preterm Children: Mortality and Neurodevelopment at Age 5 Open
OBJECTIVES The objectives were to describe mortality and causes of death in children with intraventricular hemorrhage (IVH) and to study neurodevelopmental outcomes. METHODS The study was a secondary analysis of the French national prospec…
View article: The introduction of digital imaging for retinopathy of prematurity screening is independently associated to higher disease detection: a real-life study
The introduction of digital imaging for retinopathy of prematurity screening is independently associated to higher disease detection: a real-life study Open
Purpose: To evaluate whether retinopathy of prematurity (ROP) diagnosis was modified after the introduction of wide-field imaging for ROP screening compared to previously used binocular indirect ophthalmoscopy (BIO) in real-life conditions…
View article: In-hospital Outcomes and Early Hemodynamic Management According to Echocardiography Use in Hypotensive Preterm Infants: A National Propensity-Matched Cohort Study
In-hospital Outcomes and Early Hemodynamic Management According to Echocardiography Use in Hypotensive Preterm Infants: A National Propensity-Matched Cohort Study Open
Background Hypotension is a common condition during the first postnatal days of very preterm infants and has been associated with an increased risk of adverse outcomes but its management remains controversial. There is a consensus to promo…
View article: Neurodevelopment at 5 Years of Age According to Early Screening for Patent Ductus Arteriosus in Extremely Preterm Infants
Neurodevelopment at 5 Years of Age According to Early Screening for Patent Ductus Arteriosus in Extremely Preterm Infants Open
International audience
View article: Systemic Steroids in Preventing Bronchopulmonary Dysplasia (BPD): Neurodevelopmental Outcome According to the Risk of BPD in the EPICE Cohort
Systemic Steroids in Preventing Bronchopulmonary Dysplasia (BPD): Neurodevelopmental Outcome According to the Risk of BPD in the EPICE Cohort Open
Background: Postnatal steroids (PNS) have been used to prevent bronchopulmonary dysplasia (BPD) in preterm infants but have potential adverse effects on neurodevelopment. These effects might be modulated by their risk of BPD. We aimed to c…
View article: Ophthalmological Impairments at Five and a Half Years after Preterm Birth: EPIPAGE-2 Cohort Study
Ophthalmological Impairments at Five and a Half Years after Preterm Birth: EPIPAGE-2 Cohort Study Open
We report the 51/2 year prevalence of visual and oculomotor impairments in preterm children born at 24–34 weeks’ gestation (WG) using the population-based cohort study EPIPAGE-2, set in France, 2011. The main outcomes were imputed prevalen…
View article: Effect of the measurement of the work of breathing on the respiratory outcome of preterms
Effect of the measurement of the work of breathing on the respiratory outcome of preterms Open
There are no validated criteria for the choice of the optimal type of noninvasive respiratory support (NRS) and most appropriate settings in preterms. The work of breathing (WOB) during oxygen (O2) alone, nasal continuous positive pressure…
View article: Mode of Delivery and Incidence of Bronchopulmonary Dysplasia: Results from the Population-Based EPICE Cohort
Mode of Delivery and Incidence of Bronchopulmonary Dysplasia: Results from the Population-Based EPICE Cohort Open
Introduction: Bronchopulmonary dysplasia (BPD) represents a tremendous disease burden following preterm birth. The strong association between compromised gas exchange after birth and BPD demands particular focus on the perinatal period. Th…
View article: Supplementary Material for: Mode of Delivery and Incidence of Bronchopulmonary Dysplasia: Results from the Population-Based EPICE Cohort
Supplementary Material for: Mode of Delivery and Incidence of Bronchopulmonary Dysplasia: Results from the Population-Based EPICE Cohort Open
Introduction: Bronchopulmonary dysplasia (BPD) represents a tremendous disease burden following preterm birth. The strong association between compromised gas exchange after birth and BPD demands particular focus on the perinatal period. Th…
View article: Antibiotic prophylaxis in preterm premature rupture of membranes at 24–31 weeks’ gestation: Perinatal and 2‐year outcomes in the EPIPAGE‐2 cohort
Antibiotic prophylaxis in preterm premature rupture of membranes at 24–31 weeks’ gestation: Perinatal and 2‐year outcomes in the EPIPAGE‐2 cohort Open
Objective To compare different antibiotic prophylaxis administered after preterm premature rupture of membranes to determine whether any were associated with differences in obstetric and/or neonatal outcomes and/or neurodevelopmental outco…
View article: Machine-Learning vs. Expert-Opinion Driven Logistic Regression Modelling for Predicting 30-Day Unplanned Rehospitalisation in Preterm Babies: A Prospective, Population-Based Study (EPIPAGE 2)
Machine-Learning vs. Expert-Opinion Driven Logistic Regression Modelling for Predicting 30-Day Unplanned Rehospitalisation in Preterm Babies: A Prospective, Population-Based Study (EPIPAGE 2) Open
Introduction: Preterm babies are a vulnerable population that experience significant short and long-term morbidity. Rehospitalisations constitute an important, potentially modifiable adverse event in this population. Improving the ability …