Enrique Casalino

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OBJECTIVE In October 2009 the French National Authority for Health recommended that HIV testing be proposed at least once to all persons aged 15 to 70 years in all healthcare settings. We examined whether routine HIV screening with a rapid test in emergency departments (EDs) was feasible without dedicated staff, and whether newly diagnosed persons could be(More)
OBJECTIVE We aimed to determine the trends in numbers and percentages of sexually exposed persons to HIV (SE) consulting an ED for post-exposure prophylaxis (PEP), as well as predictors of condom use. STUDY DESIGN We conducted a prospective-observational study. METHODS We included all SE attendances in our Emergency Department (ED) during a seven-year(More)
PURPOSE To determine the predictive imaging (CT and/or MR) features of brain toxoplasmosis recurrences in acquired immunodeficiency syndrome. METHODS The imaging studies of patients with brain toxoplasmosis were retrospectively reviewed. Forty-three patients with significant decrease or disappearance of brain lesions under specific treatment on follow-up(More)
BACKGROUND This study aims to identify the prevalence and at-risk situations of alcohol use disorders among patients examined in the emergency department and to compare the scales commonly used to identify alcohol use disorders. METHODS We used the CAGE and AUDIT questionnaires and a structured interview, the MINI. FINDINGS Of the presenting patients,(More)
INTRODUCTION We aimed to determine the rate of preventable death in patients who died early and unexpectedly following hospital admission from the emergency department (ED). METHODS We conducted a retrospective multicenter study in four centers from the Paris metropolitan area. Inclusion criteria were medical patients who died in hospital within 72 hours(More)
BACKGROUND The benefit of ICU admission for elderly patients remains controversial. This report highlights the methodology, the feasibility of and the ethical and logistical constraints in designing and conducting a cluster-randomized trial of intensive care unit (ICU) admission for critically ill elderly patients. METHODS We designed an interventional(More)
The aim of this study was to evaluate whether recent systemic anti-inflammatory agents (AIAs) exposure in patients with sore throat managed with or without antibiotic therapy influenced the risk of peritonsillar abscess (PTA). We conducted a multicenter case–control study in 13 French university hospitals in 2009–2012 comparing patients admitted with PTA to(More)
Every year, in Europe, 1 million people suffer a traumatic brain injury (TBI). 80% of these are mild, but 10 to 15% are left, 3 months after the accident, with somatic, cognitive and behavioral disorders, often thought of as psychogenic, and therefore disregarded. Our study was aimed at early prediction of a negative course after MTBI. 55 MTBI patients were(More)
BACKGROUND Predictors of unscheduled return visits (URV), best time-frame to evaluate URV rate and clinical relationship between both visits have not yet been determined for the elderly following an ED visit. METHODS We conducted a prospective-observational study including 11,521 patients aged ≥75-years and discharged from ED (5,368 patients (53.5%)) or(More)