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PEOPLE@HES-SO - Verzeichnis der Mitarbeitenden und Kompetenzen
PEOPLE@HES-SO - Verzeichnis der Mitarbeitenden und Kompetenzen

PEOPLE@HES-SO
Verzeichnis der Mitarbeitenden und Kompetenzen

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Santschi Valérie

Santschi Valérie

Professeure HES ordinaire

Hauptkompetenzen

Services de santé

Pratiques interprofessionnelles

Recherche clinique

Revues systématiques de littérature

Santé connectée

Adhésion au traitement du patient

Management et leadership

  • Kontakt

  • Lehre

  • Forschung

  • Publikationen

  • Konferenzen

Hauptvertrag

Professeure HES ordinaire

Telefon-Nummer: +41 21 556 44 16

Büro: Saisons-4e-431

Haute Ecole de santé La Source
Avenue Vinet 30, 1004 Lausanne, CH
HEdS La Source
Année Propédeutique Santé - Haute Ecole de la Santé La Source
  • Projet professionnel
  • Collaboration interprofessionnelle
  • Sécurité dans l'emploi des médicaments
BSc HES-SO en Soins infirmiers - HES-SO Valais-Wallis - Haute Ecole de Santé
  • Revue de la littérature
CAS en intégration des savoirs scientifiques - Haute Ecole de la Santé La Source
  • Revue de littérature et recommandations cliniques
MAS Psychologie de la santé - Université de Fribourg
  • Epidémiologie: de l'observation à la recommandation de la pratique

Abgeschlossen

Soutien à la relève féminine dans les HES

Rolle: Mitgesuchsteller/in

Financement: Swissuniversities, HES-SO, HESAV, La Source, HETLS

Description du projet :

Ce projet fait partie des projets égalité & diversité soutenus par la HES-SO dans le cadre du plan d'action égalité 2017-2020.

Les objectifs du projet sont d’accompagner, encourager et soutenir les carrières des chercheuses débutantes dans les HES, en tenant compte de la spécificité des HES, à savoir que les carrières peuvent se construire et se déployer à la fois au sein des HES, mais aussi hors des HES, par exemple dans les institutions de la santé et du social ou en entreprises. Ces carrières « duales“ (académiques et professionnelles) représentent des enjeux spécifiques pour la progression professionnelle des chercheuses débutantes. Un des objectifs de ce projet est de développer des outils d’accompagnement spécifiques pour faire en sorte que ces enjeux puissent représenter un atout et non des obstacles supplémentaires à la carrière.

Pour répondre à ces objectifs, nous avons mis sur pied un programme de mentorat et documenté cette expérience par des portraits filmés. Dans le cadre de l’appel à projet de la HES-SO, une phase pilote a porté sur les domaines santé et social, avec l’ambition de renouveler et d’étendre par la suite le programme à d’autres domaines de la HES-SO.

Forschungsteam innerhalb von HES-SO: Probst Isabelle , Santschi Valérie , Togni Carola , Akincilar-Pamukci Eylem

Durée du projet: 01.09.2019 - 15.03.2021

Url des Projektstandortes: https://mentorat-hes.ch/

Statut: Abgeschlossen

Projet MEMS® Bouton: un nouveau prototype connecté de suivi de prise médicamenteuse

Rolle: Hauptgesuchsteller/in

Financement: Chèque d'innovation, Innosuisse

Description du projet :

  • Le chèque d’innovation attribué par Innosuisse nous a permis de développer et mener «l’étude MEMS® Bouton: un nouveau prototype connecté de suivi de prise médicamenteuse» sur le terrain afin d’évaluer, durant deux semaines, un nouveau prototype de prise médicamenteuse, le bouton MEMS®, auprès de futurs utilisateurs. Plus particulièrement, nous avons pu tester la faisabilité de l’utilisation du bouton MEMS® sur le terrain, après 2 semaines d’utilisation, ainsi que la satisfaction et l’acceptabilité du bouton auprès de 10 patients et 2 pharmaciens et, ceci à l’aide de questionnaires de satisfaction. Les éventuels obstacles et problèmes techniques à l’utilisation du prototype ont été soulevés et, des améliorations proposées.

Forschungsteam innerhalb von HES-SO: Santschi Valérie , Pais Bruno

Partenaires professionnels: AARDEX S.A; Pharmacie Métro Ouchy

Durée du projet: 01.02.2020 - 31.01.2021

Statut: Abgeschlossen

Team-Based Care for Hypertension Management (TBC-HTA): A Randomized Controlled Study

Rolle: Hauptgesuchsteller/in

Financement: Fondation Bangerter et l'ASSM

Description du projet :

L’étude TBC-HTA, étude randomisée contrôlée, vise à évaluer si une prise en charge par une équipe interprofessionnelle – incluant des infirmières et des pharmaciens travaillant de manière coordonnée avec les médecins – améliore le contrôle de l’hypertension auprès de patients hypertendus non contrôlés.

Forschungsteam innerhalb von HES-SO: Santschi Valérie

Partenaires académiques: CHUV; Université de Fribourg; UQTR; Universté McGill

Partenaires professionnels: Cité générations

Durée du projet: 01.10.2014 - 29.02.2020

Statut: Abgeschlossen

Swiss-Korean project (SWISKO) to develop and integrate new health services including wearable devices into the existing DomoSafety ambient sensor system

Rolle: Mitgesuchsteller/in

Requérant(e)s: ARTORG

Financement: Innosuisse

Description du projet :

L’étude SWISKO a pour objectif d’étudier dans quelle mesure un nouvel outil technologique combinant des capteurs environnementaux et portables peut être utile dans le maintien des personnes âgées à domicile auprès de patients suivis par les soins à domicile du canton de Neuchâtel.

Forschungsteam innerhalb von HES-SO: Santschi Valérie

Partenaires académiques: ARTORG; Inselspital; Idiap

Partenaires professionnels: NOMAD; DomoSafety

Durée du projet: 01.10.2015 - 31.01.2020

Statut: Abgeschlossen

2025

Pharmacists delivering hypertension care services :
Wissenschaftlicher Artikel ArODES
A systematic review and meta-analysis of randomized controlled trials

Viktoria Gastens, Stefano Tancredi, Blanche Kiszio, Cinzia Del Giovane, T. Tsuyuki Ross, Gilles Paradis, Arnaud Chiolero, Valérie Santschi

Frontiers in Cardiovascular Medicine,  12

Link zur Publikation

2024

Primary care physician eHealth profile and care coordination :
Wissenschaftlicher Artikel ArODES
a cross-sectional study

Mathieu Jendly, Valérie Santschi, Stefano Tancredi, Arnaud Chiolero

Swiss Medical Weekly,  154, 10, 3851

Link zur Publikation

Impact of an interprofessional training on students’ attitudes toward interprofessional education
Wissenschaftlicher Artikel ArODES

Marie Guinat, Camille Greppin-Bécherraz, Liliana Staffoni, Amélia Didier, Valérie Santschi

Journal of Interprofessional Care,  2025, 39, 1, 92-102

Link zur Publikation

Zusammenfassung:

In Lausanne, Switzerland, Interprofessional Education (IPE) is embedded in the curriculum of every undergraduate healthcare student. Since 2011, five educational and healthcare institutions have implemented a short interprofessional education course to bring together 2307 undergraduates from six different disciplines (medicine, midwifery, nursing, occupational therapy, physiotherapy, medical radiology technician) between 2017 and 2020. This pre-post study aimed to explore how this course influenced students’ attitudes toward IPE using a French translation of the validated questionnaire called the “University West of England Interprofessional Questionnaire.” Students were asked to complete an online survey prior to and at the end of the IPE course to measure students’ attitudes toward interprofessional (IP) relationships and collaborative learning. A total of 942 students answered the survey between 2017 and 2020, before and after the course. Each year, students’ attitudes toward IP relationships improved after the course whereas a positive change in students’ attitudes toward IP learning was observed only in 2020. A short exposure to an IPE course could improve students’ attitudes toward IPE and, more specifically, toward IP relationships. Our findings could inform IP leaders to design repetitive, various, and longitudinal IPE experiences to balance the development of uniprofessional and interprofessional identity.

Environnement digital et santé des populations
Wissenschaftlicher Artikel ArODES

Mathieu Jendly, Valérie Santschi, Viktor Von Wyl, Arnaud Chiolero

Revue médicale suisse,  20, 870, 808-812

Link zur Publikation

Zusammenfassung:

La santé et le risque de maladies sont déterminés par l’exposition aux environnements physiques, socio-économiques et politiques, et à cela s’est ajouté l’exposition à l’environnement digital. Notre vie digitale a des implications majeures, d’une part, sur la santé des populations et son monitoring et, d’autre part, sur la prévention et les soins. Ainsi, la santé digitale (digital health), qui englobe l’utilisation d’applications de santé, d’appareils connectés, ou d’outils médicaux d’intelligence artificielle, modifie les pratiques médico-soignantes. Bien utilisée, elle pourrait faciliter les soins centrés sur le patient, interprofessionnels et guidés par les données. Cependant, sa mise en œuvre soulève d’importants craintes et enjeux éthiques en lien notamment avec la protection des données, l’équité et la relation thérapeutique.

Éviter les erreurs d’administration médicamenteuse :
Wissenschaftlicher Artikel ArODES
retour d’expérience de l’assistance du robot Pepper pour le double contrôle

Rémi Arnould, Céline Kramer, Valérie Santschi

Soins,  69, 883, 10-15

Link zur Publikation

Zusammenfassung:

La sécurité lors de l’administration médicamenteuse demeure une préoccupation majeure dans le milieu des soins infirmiers, notamment lors du calcul de doses. L’Institut et Haute école de la santé La Source, à Lausanne, en partenariat avec la société Avatarion, a mis en place un projet de codéveloppement sur le robot humanoïde Pepper en tant qu’assistant pour le double contrôle de calcul de doses. Le retour des usagers tests est positif, malgré des améliorations possibles.

Evaluating the impact of a blended interprofessional education course on students’ attitudes towards interprofessional education :
Wissenschaftlicher Artikel ArODES
a pre-post study

Marie Guinat, Liliana Staffoni, Valérie Santschi, Amélia Didier, David Gachoud, Camille Greppin-Bécherraz

BMC medical education,  2024, 24, 1, art. 204

Link zur Publikation

Zusammenfassung:

Background: Since 2011, five educational and healthcare institutions have implemented a short interprofessional education (IPE) course to bring together undergraduates from five disciplines. To meet the logistical challenges of IPE implementation, more specifically, the large number of classrooms needed to gather students together and the need for human resources to guide learning activities, a face-to-face IPE course was redesigned into a blended (online and face-to-face collaborative learning activities) IPE course. In March 2023, 183 medical, 378 nursing, 46 radiologic technology, 69 physiotherapy, and 74 occupational therapy students participated in a one-day IPE blended course to learn interprofessional team functioning and dynamics, role clarification and responsibilities of other professions, and interprofessional communication skills. This study aimed to assess students’ changes in attitudes towards IPE after being involved in a large-scale interprofessional blended learning course. Methods: A before-after study was conducted using a French translation of the validated questionnaire “University of West of England Interprofessional Questionnaire” (UWE-IP questionnaire). Students’ attitudes towards interprofessional (IP) relationships and IP learning were measured before and after the course. In March 2023, two hundred fiftysix students from five professions answered two subscales of the UWE-IP questionnaire before and after the course (response rate 34%). Results: Students’ attitudes towards IP relationships improved significantly after the course. The score on this subscale (min 8; max 24) changed from 11.18 (SD 2,67) before the course to 10,38 (SD 2,55) after the course, indicating a significant improvement in attitudes towards IP relationships (p < 0,001). More specifically, students had more positive attitudes on the item “I have a good understanding of the roles of different health and social care professionals.” and the item “I feel that I am respected by people from other health and social care disciplines.” after the course. A positive change in students’ attitudes towards IP learning was observed, but the results were not significative. Conclusion: A face-to-face IPE course redesigned as a blended course helped overcome existing challenges to implementing an IPE course. The results suggest a blended IPE course improves students’ attitudes towards interprofessionality.

2023

eHealth profile of patients with diabetes
Wissenschaftlicher Artikel ArODES

Mathieu Jendly, Valérie Santschi, Stefano Tancredi, Isabelle Konzelmann, Leila Raboud, Arnaud Chiolero

Frontiers in Public Health,  11

Link zur Publikation

An interprofessional strategy can strengthen secondary prevention
Wissenschaftlicher Artikel ArODES

Arnaud Chiolero, Valérie Santschi

BMJ,  2023, vol. 380, p. 505

Link zur Publikation

2022

How blood pressure predicts frailty transitions in older adults in a population-based cohort study :
Wissenschaftlicher Artikel ArODES
a multi-state transition model

Daniela Anker, Christian Carmeli, Marcel Zwahlen, Nicolas Rodondi, Valérie Santschi, Yves Henchoz, Christina Wolfson, Arnaud Chiolero

International Journal of Epidemiology,  2022, vol. 51, no. 4, pp. 1167-1177

Link zur Publikation

De la pratique fondée sur les preuves à l’amélioration de la qualité pour des soins de haute valeur centrés sur le patient
Wissenschaftlicher Artikel ArODES

Arnaud Chiolero, Stéphane Cullati, Stefano Tancredi, Marie Méan, Nicolas Rodondi, Laura Elena Raileanu, Valérie Santschi

Revue médicale suisse,  2022, vol. 18, no. 790, pp. 1402-1405

Link zur Publikation

Zusammenfassung:

La pratique fondée sur les preuves et l’amélioration de la qualité devraient être au cœur des soins et de la santé publique. Leur implémentation reste néanmoins insuffisante et se traduit en Suisse par une fréquence élevée de soins de faible valeur, par d’importantes variations régionales dans la pratique de certains soins et par l’absence de monitoring de la qualité pour la majorité des processus de soins. Il faut renforcer le monitoring de la qualité, notamment celle perçue par les patients, pour faciliter la mise en œuvre de soins de haute valeur et centrés sur le patient. Les données ne parlant pas toutes seules, il faut organiser le processus qui va de la production des indicateurs à la décision.

Prise en charge en équipe impliquant le pharmacien pour un meilleur contrôle de l'hypertension.
Professioneller Artikel ArODES

Valérie Santschi, Christophe Berger

pharmaJournal,  2022, vol. 5, pp. 19-21

Link zur Publikation

Zusammenfassung:

Une prise en charge interprofessionnelle incluant des pharmaciens, des infirmières et des médecins permet-elle d’améliorer le contrôle de l’hypertension auprès de patients hypertendus non contrôlés et suivis en milieu ambulatoire ? C’est ce que suggère l’étude « A Team-Based Care for Hypertension Management » conduite par le Professeur Valérie Santschi, de la Haute Ecole de la Santé La Source, en collaboration avec ses collègues du CHUV, de l’Université McGill et de l’Université du Québec, au Canada, mais aussi de Cité générations et de l’Université de Fribourg.

A systems approach towards remote health-monitoring in older adults :
Wissenschaftlicher Artikel ArODES
introducing a zero-interaction digital exhaust

Narayan Schütz, Samuel E.J. Knobel, Angela Botros, Michael Single, Bruno Pais, Valérie Santschi, Daniel Gatica-Perez, Philipp Buluschek, Prabitha Urwyler, Stephan M. Gerber, René M. Müri, Urs P. Mosimann, Hugo Saner, Tobias Nef

npj Digital Medicine,  2022, vol. 5, no. 1

Link zur Publikation

Zusammenfassung:

Using connected sensing devices to remotely monitor health is a promising way to help transition healthcare from a rather reactive to a more precision medicine oriented proactive approach, which could be particularly relevant in the face of rapid population ageing and the challenges it poses to healthcare systems. Sensor derived digital measures of health, such as digital biomarkers or digital clinical outcome assessments, may be used to monitor health status or the risk of adverse events like falls. Current research around such digital measures has largely focused on exploring the use of few individual measures obtained through mobile devices. However, especially for long-term applications in older adults, this choice of technology may not be ideal and could further add to the digital divide. Moreover, large-scale systems biology approaches, like genomics, have already proven beneficial in precision medicine, making it plausible that the same could also hold for remote-health monitoring. In this context, we introduce and describe a zero-interaction digital exhaust: a set of 1268 digital measures that cover large parts of a person’s activity, behavior and physiology. Making this approach more inclusive of older adults, we base this set entirely on contactless, zero-interaction sensing technologies. Applying the resulting digital exhaust to real-world data, we then demonstrate the possibility to create multiple ageing relevant digital clinical outcome assessments. Paired with modern machine learning, we find these assessments to be surprisingly powerful and often on-par with mobile approaches. Lastly, we highlight the possibility to discover novel digital biomarkers based on this large-scale approach.

Pharmacist interventions to improve hypertension management :
Wissenschaftlicher Artikel ArODES
protocol for a systematic review of randomised controlled trials

Viktoria Gastens, Blanche Kiszio, Cinzia Del Giovane, Ross Tsuyuki, Gilles Paradis, Arnaud Chiolero, Valérie Santschi

BMJ Open,  2022, vol. 12, no. 5, pp. 1-6

Link zur Publikation

A sensor-driven visit detection system in older adults homes :
Wissenschaftlicher Artikel ArODES
towards digital late-life depression marker extraction

Narayan Schutz, Angela Amira Botros, Sami Ben Hassen, Hugo Saner, Philippe Buluschek, Prabitha Urwyler, Bruno Pais, Valérie Santschi, Daniel Gatica-Perez, Rene M. Muri, Tobias Lukas Nef

IEEE Journal of Biomedical and Health Informatics,  2022, vol. 26, no. 4, pp. 1560-1569

Link zur Publikation

Caesarean section and obesity in young adult offspring :
Wissenschaftlicher Artikel ArODES
update of a systematic review with meta-analysis

Berenice Quecke, Yannick Graf, Adina-Mihaela Epure, Valérie Santschi, Arnaud Chiolero, Christian Carmeli, Stéphane Cullati

Obesity Reviews,  2022, vol. 23, no. 2, e13368

Link zur Publikation

Caesarean section and offspring obesity in young adulthood :
Wissenschaftlicher Artikel ArODES
letter to the editor

Stéphane Cullati, Berenike Quecke, Yannick Graf, Adina-Mihaela Epure, Valérie Santschi, Arnaud Chiolero, Cristian Carmeli

Obesity Reviews,  2022, vol. 23, no. 4

Link zur Publikation

2021

Exploiter les données du dossier médical informatisé pour améliorer la qualité des soins en ambulatoire
Wissenschaftlicher Artikel ArODES

Arnaud Chiolero, Jean-Paul Calbimonte, Gaetano Manzo, Bruno Alves, Michael Schumacher, Samuel Gaillard, Philippe Schaller, Valérie Santschi

Revue médicale suisse,  2021, vol. 17, no. 760, pp. 2056-2059

Link zur Publikation

Blood pressure control and complex health conditions in older adults: impact of recent hypertension management guidelines
Wissenschaftlicher Artikel ArODES

D. Anker, B. Santos-Eggimann, M. Zwahlen, Valérie Santschi, N. Rodondi, C. Wolfson, A. Chiolero

Journal of Human Hypertension,  2021, vol. 35, pp. 280-289

Link zur Publikation

Contrer l’infodémie et la désinformation sanitaire
Wissenschaftlicher Artikel ArODES

A. Chiolero, G. Paradis, Valérie Santschi, S. Cullati

Revue médicale suisse,  2021, vol. 17, no. 730, pp. 538-540

Link zur Publikation

Primary healthcare for a long term and sustainable vaccination strategy
Wissenschaftlicher Artikel ArODES

A. Chiolero, Stéphane Cullati, Valérie Santschi

BMJ,  2021, vol. 372, n650

Link zur Publikation

Contactless Sleep Monitoring for Early Detection of Health Deteriorations in Community-Dwelling Older Adults :
Wissenschaftlicher Artikel ArODES
exploratory Study

N. Schütz, H. Saner, A. Botros, Bruno Pais, Valérie Santschi, P. Buluscheck, D. Gatica-Perez, T. Nef

JMIR mHealth and uHealth,  2021, vol. 9, no. 6, e24666

Link zur Publikation

Nouvel outil connecté pour le suivi de la prise médicamenteuse
Professioneller Artikel ArODES

Bruno Pais, Jean-Michel Biollaz, Christophe Berger, Valérie Santschi

pharmaJournal,  2021, vol. 9, pp. 24-25

Link zur Publikation

Team-based care for improving hypertension management :
Wissenschaftlicher Artikel ArODES
A pragmatic randomized controlled trial

Valérie Santschi, Gregoire Wuerzner, Bruno Pais, Arnaud Chiolero, Philippe Schaller, Lyne Cloutier, Gilles Paradis, Michel Burnier

Frontiers in Cardiovascular Medicine,  2021, vol. 8, 760662

Link zur Publikation

2020

Evaluation of 1-Year in-Home Monitoring Technology by Home-Dwelling Older Adults, Family Caregivers, and Nurses
Wissenschaftlicher Artikel ArODES

Bruno Pais, P. Buluschek, G. DuPasquier, T. Nef, N. Schütz, H. Saner, D. Gatica-Perez, Valérie Santschi

Frontiers in Public Health,  2020, vol. 8, 518957

Link zur Publikation

High-value, data-informed, and team-based care for multimorbidity
Wissenschaftlicher Artikel ArODES

Arnaud Chiolero, Nicolas Rodondi, Valérie Santschi

The Lancet Public Health,  2020, vol. 5, no. 2, p. e84

Link zur Publikation

2019

Les guidelines internationaux incitent à une implication plus active du pharmacien
Professioneller Artikel ArODES

Daniela Anker, Ross T. Tsuyuki, Gilles Paradis, Arnaud Chiolero, Valérie Santschi

PharmaJournal,  2019, no. 11, pp. 10-11

Link zur Publikation

Zusammenfassung:

Une prise en charge interprofessionnelle de l’hypertension, en incluant explicitement le pharmacien, est pour la première fois recommandée dans les guidelines internationaux. L’évolution du contexte politique et du cadre légal en Suisse ouvre des op-portunités et des perspectives pour le pharmacien

Validity of pervasive computing based continuous physical activity assessment in community-dwelling old and oldest-old
Wissenschaftlicher Artikel ArODES

Narayan Schütz, Hugo Saner, Beatrice Rudin, Angela Botros, Bruno Pais, Valérie Santschi, Philipp Buluschek, Daniel Gatica-Perez, Prabita Urwyler, Laura Marchal-Crespo, René M. Müri, Tobias Nef

Scientific Reports,  2019, vol. 9(9662)

Link zur Publikation

Zusammenfassung:

In older adults, physical activity is crucial for healthy aging and associated with numerous health indicators and outcomes. Regular assessments of physical activity can help detect early health-related changes and manage physical activity targeted interventions. The quantification of physical activity, however, is difficult as commonly used self-reported measures are biased and rather unprecise point in time measurements. Modern alternatives are commonly based on wearable technologies which are accurate but suffer from usability and compliance issues. In this study, we assessed the potential of an unobtrusive ambient-sensor based system for continuous, long-term physical activity quantification. Towards this goal, we analysed one year of longitudinal sensor- and medical-records stemming from thirteen community-dwelling old and oldest old subjects. Based on the sensor data the daily number of room-transitions as well as the raw sensor activity were calculated. We did find the number of roomtransitions, and to some degree also the raw sensor activity, to capture numerous known associations of physical activity with cognitive, well-being and motor health indicators and outcomes. The results of this study indicate that such low-cost unobtrusive ambient-sensor systems can provide an adequate approximation of older adults’ overall physical activity, sufficient to capture relevant associations with health indicators and outcomes.

De nouvelles technologies au service du maintien à domicile des personnes âgées
Wissenschaftlicher Artikel ArODES

Bruno Pais, Philippe Buluschek, Tobias Nef, Narayan Schütz, Hugo Saner, Daniel Gatica, Valérie Santschi

Revue médicale suisse,  2019, vol. 15, pp. 1407-1411

Link zur Publikation

Zusammenfassung:

Le vieillissement de la population suisse augmente les besoins et les coûts liés à la santé. La fragilité et les maladies chroniques touchant les personnes âgées diminuent leur capacité à vivre de façon autonome. Cependant, la grande majorité d’entre eux souhaitent continuer à vivre chez eux, tout en ayant une qualité de vie et en recevant les meilleures prestations de soins. Dans ce contexte, de nouvelles technologies de santé connectée peuvent être une solution pertinente pour faciliter le maintien à domicile des personnes âgées. Nous présentons, dans cet article, les enjeux en lien avec ces technologies et, plus particulièrement, dans quelle mesure pourraient-elles contribuer au maintien à domicile des personnes âgées et être une plus-value pour les patients et les proches, mais aussi pour les médecins et les autres professionnels de santé. Enfin, les craintes et les risques associés à ces technologies et l’importance d’évaluer scientifiquement leur utilité sont discutés.

Blood pressure in relation to frailty in older adults :
Wissenschaftlicher Artikel ArODES
a population-based study

Daniela Anker, Brigitte Santos-Eggimann, Marcel Zwahlen, Valérie Santschi, Nicolas Rodondi, Christina Wolfson, Arnaud Chiolero

The Journal of Clinical Hypertension,  2019, vol. 21, no. 12, pp. 1895-1904

Link zur Publikation

Zusammenfassung:

In frail older adults, low blood pressure (BP) might be associated with worse health outcomes and hypertension management in this population is highly debated. Using data from a population‐based study of older adults, we assessed the association be‐ tween frailty and BP. We used data collected between 2014 and 2016 from 3157 participants aged between 67 and 80 years in the Lausanne cohort Lc65+. BP was measured three times at one visit, and frailty status was assessed based on Fried's phenotype model. We analyzed the cross‐sectional association between BP and frailty by computing mean systolic and diastolic BP stratified by sex, age, and frailty and by fitting regression models. The average age of the participants was 73.3 (standard deviation [SD]: 4.1) years, and 59.1% were women. 34.1% were pre‐frail, and 3.3% were frail. Mean BP was 135.1/76.3 mm Hg (SD 18.5/11.0). Age‐ and sex‐ adjusted systolic BP was on average lower by 2.8 mm Hg (95% confidence interval [CI]: 1.4‐4.2) and 6.7 mm Hg (95% CI: 3.2‐10.3) among pre‐frail and frail compared to non‐frail participants. Similar differences in mean diastolic BP across frailty sta‐ tus were found. Upon adjustment for antihypertensive treatment, the associations between frailty status and BP did not change substantially. Frail individuals had a substantially lower BP compared with non‐frail older adults. Because low BP could be detrimental among frail older patients, our findings raise questions about hyper‐ tension management in this population and stress the need for additional evidence.

Readiness to accept or refuse health information and communication technologies :
Wissenschaftlicher Artikel ArODES
a population-based survey of community-dwelling older adults

N. Abolhassani, B. Santos-Eggimann, A. Chiolero, Valérie Santschi, Y. Henchoz

International Journal of Medical Informatics,  2019, vol. 130 : 103950

Link zur Publikation

Zusammenfassung:

Introduction : the development of health information and communication technologies (HICTs) could modify thequality and cost of healthcare services delivered to an aging population. However, the acceptance of HICTs—aprerequisite for users to benefit from them—remains a challenge. This population-based study aimed to 1)explore the acceptance of HICTs by community-dwelling older adults as well as the factors associated to theoverall acceptance/refusal of HICTs; 2) identify the factors associated with confidentiality (i.e., access to dataallowed to physicians only versus to all caregivers) in the subgroup of older adults willing to accept HICTs. Methods : A total of 3195 community-dwelling 69–83 year-old members of the Lausanne cohort 65+ were in-cluded. In 2017, participantsfilled out a 9-item questionnaire to assess their acceptance of HICTs (“yes withoutreluctance”;“yes but with reluctance”;“no”). A bivariate analysis was conducted to examine gender and age differences in the acceptance of HICTs. A multivariable logistic regression was performed to model 1) acceptingall or rejecting all HICTs items; 2) willing to share HICTs items with physicians only versus all caregivers.Results:The answer“acceptance without reluctance”ranged from 26.4% to 70.4% across HICTs and was themost frequent answer to six out of nine HICT items. For every HICT item, the acceptance rate decreased acrossage categories in women. Overall, 20.2% accepted all the HICTs without reluctance and 9.9% rejected them all.Older age and a lower level of education were significantly associated with both accepting all HICTs withoutreluctance (OR = 0.78 and OR = 0.65, respectively) and rejecting all HICTs (OR = 1.54 and OR = 2.89, re-spectively). Women and participants with health vulnerability (depressive symptoms, difficulty in activities ofdaily living (ADLs)) were less likely to accept data accessibility to non-physicians. Conclusion : Acceptance of HICTs was relatively high. To deploy HICTs in the older population, demographic, socioeconomic and health profiles, alongside confidentiality concerns, should be considered.

Pharmacists to improve hypertension management :
Wissenschaftlicher Artikel ArODES
guideline concordance from North America to Europe

Daniela Anker, Ross Tusyuki, Gilles Paradis, Arnaud Chiolero, Valérie Santschi

Canadian Pharmacists Journal / Revue des Pharmaciens du Canada,  2019 [epub ahead of print]

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2018

Screening and treatment of hypertension in older adults :
Wissenschaftlicher Artikel ArODES
less is more ?

Daniela Anker, Brigitte Santos-Eggimann, Valérie Santschi, Cinzia Del Giovane, Christina Wolfson, Seven Streit, Nicolas Rodondi, Arnaud Chiolero

Public Health Reviews,  2018, vol. 39, no. 26

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Zusammenfassung:

Screening and treatment of hypertension is a cornerstone of cardiovascular disease (CVD) prevention. Hypertension causes a large proportion of cases of stroke, coronary heart disease, heart failure, and associated disability and is highly prevalent especially among older adults. On the one hand, there is robust evidence that screening and treatment of hypertension prevents CVD and decreases mortality in the middle-aged population. On the other hand, among older adults, observational studies have shown either positive, negative, or no correlation between blood pressure (BP) and cardiovascular outcomes. Furthermore, there is a lack of high quality evidence for a favorable harm-benefit balance of antihypertensive treatment among older adults, especially among the oldest-old (i.e., above the age of 80 years), because very few trials have been conducted in this population. The optimal target BP may be higher among older treated hypertensive patients than among middle-aged. In addition, among frail or multimorbid older individuals, a relatively low BP may be associated with worse outcomes, and antihypertensive treatment may cause more harm than benefit. To guide hypertension screening and treatment recommendations among older patients, additional studies are needed to determine the most efficient screening strategies, to evaluate the effect of lowering BP on CVD risk and on mortality, to determine the optimal target BP, and to better understand the relationship between BP, frailty, multimorbidity, and health outcomes.

Sodium intake and blood pressure in children with clinical conditions :
Wissenschaftlicher Artikel ArODES
a systematic review with meta-analysis

Magali Rios-Leyvraz, Clemens Bloetzer, Angeline Chatelan, Murielle Bochud, Michel Burnier, Valérie Santschi, Gilles Paradis, René Tabin, Pascal Bovet, Arnaud Chiolero

The Journal of Clinical Hypertension,  2018, vol. 21, no. 1, pp. 118-126

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Zusammenfassung:

Little is known on the effect of sodium intake on BP of children with clinical conditions. Our objective was therefore to review systematically studies that have assessed the association between sodium intake and BP in children with various clinical conditions. A systematic search of several databases was conducted and supplemented by a manual search of bibliographies and unpublished studies. Experimental and observational studies assessing the association between sodium intake and BP and involving children or adolescents between 0 and 18 years of age with any clinical condition were included. Out of the 6861 records identified, 51 full texts were reviewed, and 16 studies (10 experimental and 6 observational), involving overall 2902 children and adolescents, were included. Ten studies were conducted in children with elevated BP without identifiable cause, two in children with familial hypertension, one in children with at least one cardiovascular risk factor, one in children with chronic renal insufficiency, one in children with urolithiasis, and one in premature infants. A positive association between sodium intake and BP was found in all studies, except one. The meta‐analysis of six studies among children with elevated BP without identifiable cause revealed a difference of 6.3 mm Hg (95% CI 2.9‐9.6) and 3.5 mm Hg (95% CI 1.2‐5.7) in systolic and diastolic BP, respectively, for every additional gram of sodium intake per day. In conclusion, our results indicate that the BP response to salt is greater in children with clinical conditions, mainly hypertension, than in those without associated clinical conditions.

Self-reported hypertension as a public health surveillance tool :
Wissenschaftlicher Artikel ArODES
don't throw out the baby with the bathwater

Daniela Anker, Valérie Santschi, Arnaud Chiolero

The Journal of Clinical Hypertension,  2018, vol. 20, pp. 1215-1216

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Integrated approaches to support medication adherence :
Buchkapitel ArODES
the case of hypertension

Valérie Santschi

Updates in Hypertension and Cardiovascular Protection  (pp. 271-281). 2018,  Cham : Springer

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L’interprofessionnalité au cœur des soins.
Professioneller Artikel ArODES

Valérie Santschi

Reiso,  2018, Juin

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Trends and determinants of polypharmacy and potential drug-drug interactions at discharge from hospital between 2009–2015
Wissenschaftlicher Artikel ArODES

Nazanin Abolhassani, Julien Castioni, Valérie Santschi, Gérard Waeber, Pedro Marques-Vidal

Journal of Patient Safety,

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2017

Nurse interventions to improve medication adherence among discharged older adults
Wissenschaftlicher Artikel
a systematic review

Kiszio Blanche, Verloo Henk, Arnaud Chiolero, Thomas Kampel, Santschi Valérie

Age and ageing, 2017 , vol.  46, no  5, pp.  747-754

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2024

eHealth profile and care coordination of primary care physicians
Konferenz ArODES

M. Jendly, Valérie Santschi, Stefano Tancredi, Arnaud Chiolero

European Journal of Public Health

Link zur Konferenz

Pharmacist care for hypertension management among patients with diabetes :
Konferenz ArODES
a systematic review

V. Gastens, S. Tancredi, D. Bonnan, Blanche Kiszio, C. Del Giovane, R.T. Tsuyuki, G. Paradis, A. Chiolero, L. Guénette, Valérie Santschi

European Journal of Public Health

Link zur Konferenz

A team-based approach to manage blood pressure between community pharmacists and primary health care physicians by means of vascular age (RIESCO/TOGETHER)
Konferenz ArODES

Enrique Rodilla, Monika Aichberger, Florian Ardelt, Vicente Baixauli, Sergio Cinza, María Soledad Fernández, Luis García, Christopher Mayer, Telmo Pereira, Valérie Santschi, Thomas Weber

Journal of Hypertension

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2023

eHealth profile of patients with diabetes
Konferenz ArODES

M. Jendly, Valérie Santschi, S. Tancredi, I. Konzelmann, L. Raboud, Arnaud Chiolero

European Journal of Public Health

Link zur Konferenz

Pharmacist care in hypertension management :
Konferenz ArODES
systematic review of randomized controlled trials

V. Gastens, S. Tancredi, Blanche Kiszio, C. Del Giovane, R. Tsuyuki, G. Paradis, A. Chiolero, Valérie Santschi

European Journal of Public Health

Link zur Konferenz

Pharmacist interventions to improve hypertension management :
Konferenz ArODES
from trials to implementation

Viktoria Gastens, Stefano Tancredi, Blanche Kiszio, Cinzia Del Giovane, Ross Tsuyuki, Gilles Paradis, Arnaud Chiolero, Valérie Santschi

Pharmacy Education

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2022

Pharmacist care in hypertension management :
Konferenz ArODES
systematic review of randomized controlled trials

Viktoria Gastens, S. Tancredi, Blanche Kiszio, C. Del Giovane, R. Tsuyuki, G. Paradis, A. Chiolero, Valérie Santschi

European Journal of Public Health

Link zur Konferenz

Zusammenfassung:

Hypertension management remains a major public health challenge in primary care. Recent hypertension guidelines recommend the involvement of pharmacists for team-based care management of hypertension. Our objective is to systematically review the evidence of the impact of pharmacist care alone, or in collaboration, on BP amongst hypertensive outpatients compared with usual care. One major focus is to assess the heterogeneity in the effects of these interventions to identify which ones work best in a given healthcare setting.

2020

Team-based Care for Improving Hypertension Management Among Outpatients
Konferenz ArODES

Valérie Santschi, G. Wuerzner, B. Pais, A. Chiolero, P. Schaller, L. Cloutier, G. Paradis, M. Burnier

European Journal of Public Health

Link zur Konferenz

Team-based care intervention? :
Konferenz ArODES
views and perspectives from patients and healthcare professionals

Bruno Pais, G. Wuerzner, A. Chiolero, P. Schaller, M. Burnier, Valérie Santschi

European Journal of Public Health

Link zur Konferenz

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