Koen Monsieurs

Koen Monsieurs
Universitair Ziekenhuis Antwerpen | UZA · Department of Emergency

About

56
Publications
7,665
Reads
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1,484
Citations
Citations since 2016
25 Research Items
627 Citations
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2016201720182019202020212022020406080100120140
2016201720182019202020212022020406080100120140

Publications

Publications (56)
Article
Full-text available
Objectives In the TRIAGE trial, a cluster randomised trial about diverting emergency department (ED) patients to a general practice cooperative (GPC) using a new extension to the Manchester Triage System, the difference in the proportion of patients assigned to the GPC was striking: 13.3% in the intervention group (patients were encouraged to compl...
Thesis
Full-text available
When confronted with an illness during out-of-hours care, patients can consult primary care (organised in General Practice Cooperatives, GPCs) or an Emergency Departments (EDs). Up to 40% of those who choose the ED have complaints suitable for primary care. One solution to this problem is to help patients to make this choice by triage, a quick exam...
Article
Full-text available
Background During the cluster randomised TRIAGE-trial, a nurse advised 13% of low-risk patients presenting at an emergency department in Belgium to visit the adjacent general practitioner cooperative. Patients had the right to refuse this advice. This exploratory study examines the characteristics of refusers by uncovering the determinants of non-c...
Article
Full-text available
Objectives To determine whether a new triage system safely diverts a proportion of emergency department (ED) patients to a general practitioner cooperative (GPC). Methods Unblinded randomised controlled trial with weekends serving as clusters (three intervention clusters for each control). The intervention was triage by a nurse using a new extensi...
Preprint
Full-text available
Objectives: To determine the effectiveness and safety of a tool diverting low urgency patients eligible for primary care from an emergency department (ED) to the adjacent general practitioner cooperative (GPC). Methods: Unblinded, randomised controlled trial with weekends serving as clusters (three intervention clusters for each control). The inter...
Article
Full-text available
Informed by a series of systematic reviews, scoping reviews and evidence updates from the International Liaison Committee on Resuscitation, the 2021 European Resuscitation Council Guidelines present the most up to date evidence-based guidelines for the practice of resuscitation across Europe. The guidelines cover the epidemiology of cardiac arrest;...
Article
Informed by a series of systematic reviews, scoping reviews and evidence updates from the International Liaison Committee on Resuscitation, the 2021 European Resuscitation Council Guidelines present the most up to date evidence-based guidelines for the practice of resuscitation across Europe. The guidelines cover the epidemiology of cardiac arrest;...
Preprint
BACKGROUND Growing evidence indicates that improved nurse staffing in acute hospitals is associated with lower hospital mortality. Current research is limited to studies using hospital level data or without proper adjustment for confounders which makes the translation to practice difficult. METHOD In this observational study we analysed retrospecti...
Preprint
BACKGROUND Growing evidence indicates that improved nurse staffing in acute hospitals is associated with lower hospital mortality. Current research is limited to studies using hospital level data or without proper adjustment for confounders which makes the translation to practice difficult. METHOD In this observational study we analysed retrospecti...
Preprint
BACKGROUND Growing evidence indicates that improved nurse staffing in acute hospitals is associated with lower hospital mortality. Current research is limited to studies using hospital level data or without proper adjustment for confounders which makes the translation to practice difficult. METHOD In this observational study we analysed retrospecti...
Article
Full-text available
Migratie is wereldwijd een toenemend fenomeen. Een op vijf inwoners van de huidige Belgische bevolking is geboren met een vreemde nationaliteit. Elf procent is vreemdeling en negen procent buitenlander die Belg geworden is. Bijgevolg is het niet vanzelfsprekend dat elke patiënt in de wachtzaal onze taal beheerst. De taalbarrière die zo ontstaat tus...
Article
Objective This study evaluated self-trained basic life support (BLS) skills acquired from an e-learning platform to design a complementary in-class training approach. Design In total, 41 students (15–17 years, 29 men) participated in a pilot study on self-training in BLS. After 6 weeks, a compression-only cardiopulmonary resuscitation (CPR) test a...
Article
Aim To detect and quantify gasping during cardiopulmonary resuscitation (CPR) in out-of-hospital cardiac arrest (OHCA) patients and to investigate whether gasping is associated with increased return of spontaneous circulation (ROSC). Materials and methods A prospective observational study in patients resuscitated and mechanically or manually venti...
Article
De medische basisopleiding in Vlaanderen is het laatste decennium sterk hervormd. Onder meer geïnspireerd door het zogenaamde Raamplan Artsenopleiding in Nederland (met o.a. de competenties voor een basisarts), werd overgestapt van een klassieke opleiding naar een vorming die van studenten echte basisartsen maakt.¹ Een basisarts heeft voldoende ken...
Article
Full-text available
Background: The implementation of general practitioner cooperatives (GPC) for out-of-hours (OOH) primary care, raises the question if the location of a GPC adjacent to a hospital reduces the OOH caseload of the emergency department (ED). Methods: Two natural experiments were used in this before–after study, the effect of the implementation of two G...
Article
In this review, the current knowledge of remote ischemic conditioning in ST-elevation myocardial infarction (STEMI) is summarized. Animal studies reveal a reduction in the final infarct size when the blood flow to the limbs is intermittently occluded. A growing body of evidence from human studies indicates that intermittent ischemia of the upper or...
Conference Paper
Abstract presented at the 2015 congress of the European Society for Emergency Medicine (EUSEM), Turin, Italy.
Article
Het rapport „To Err is Human” van het Institute of Medicine toonde aan dat tussen 44.000 en 98.000 patiënten jaarlijks overlijden in Amerikaanse ziekenhuizen door mogelijk vermijdbare incidenten. Geëxtrapoleerd zijn dit voor België 1.500 vermijdbare overlijdens per jaar. Een belangrijk deel hiervan kan toegeschreven worden aan suboptimale niet-tech...
Article
Full-text available
An 18-year-old male patient was admitted to our hospital because of a high impact trauma. A computed tomography scan showed massive mediastinal bleeding due to a posteriorly located rupture of the aortic arch with formation of a pseudoaneurysm. Although urgent repair was indicated, open cardiac surgery was not feasible, as this would involve full h...
Article
The International Liaison Committee on Resuscitation (ILCOR) Advisory Statement on Education and Resuscitation in 2003 included a hypothetical formula - ‘the formula for survival’ (FfS) - whereby three interactive factors, guideline quality (science), efficient education of patient caregivers (education) and a well-functioning chain of survival at...
Poster
Full-text available
Poster presentation at the annual Symposium of the Belgian Society for Emergency and disaster medicine (BeSeDiM) 2012
Article
Basic life support (BLS) is the foundation for saving lives following cardiac arrest. Fundamental aspects of BLS include immediate recognition of sudden cardiac arrest (SCA) and activation of the emergency response system, early cardiopulmonary resuscitation ( CPR ), and rapid defibrillation with an automated external defibrillator ( AED) . Initial...
Article
Based on the strategies for community defibrillation defined by a joint policy conference of ESC and ERC, we have conducted a survey to identify the current status of AED programmes in Europe. All registered visitors to the website of the ERC were contacted by e-mail and invited to participate in a web-based survey. Of the 983 usable responses, 899...

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