Serveur d'exploration sur la COVID en France

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Post-discharge persistent symptoms and health-related quality of life after hospitalization for COVID-19.

Identifieur interne : 000928 ( Main/Exploration ); précédent : 000927; suivant : 000929

Post-discharge persistent symptoms and health-related quality of life after hospitalization for COVID-19.

Auteurs : Eve Garrigues [France] ; Paul Janvier [France] ; Yousra Kherabi [France] ; Audrey Le Bot [France] ; Antoine Hamon [France] ; Hélène Gouze [France] ; Lucile Doucet [France] ; Sabryne Berkani [France] ; Emma Oliosi [France] ; Elise Mallart [France] ; Félix Corre [France] ; Virginie Zarrouk [France] ; Jean-Denis Moyer [France] ; Adrien Galy [France] ; Vasco Honsel [France] ; Bruno Fantin [France] ; Yann Nguyen [France]

Source :

RBID : pubmed:32853602

Abstract

OBJECTIVE

To assess post-discharge persistent symptoms and health-related quality of life (HRQoL) of patients hospitalized in a COVID-19 ward unit more than 100 days after their admission.

METHODS

All eligible patients were contacted by phone by trained physicians and were asked to answer to a dedicated questionnaire. Patients managed in hospital ward without needing intensive care were compared with those who were transferred in intensive care units (ICU).

RESULTS

We included 120 patients after a mean (±SD) of 110.9 (±11.1) days following admission. The most frequently reported persistent symptoms were fatigue (55%), dyspnoea (42%), loss of memory (34%), concentration and sleep disorders (28% and 30.8%, respectively). Comparisons between ward- and ICU patients led to no statistically significant differences regarding those symptoms. In both group, EQ-5D (mobility, self-care, pain, anxiety or depression, usual activity) was altered with a slight difference in pain in the ICU group.

CONCLUSION

Most patients requiring hospitalization for COVID-19 still have persistent symptoms. While there were few differences between HRQoL between ward and ICU patients, our findings must be confirmed in larger cohorts, including more severe patients.


DOI: 10.1016/j.jinf.2020.08.029
PubMed: 32853602
PubMed Central: PMC7445491


Affiliations:


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Le document en format XML

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<name sortKey="Fantin, Bruno" sort="Fantin, Bruno" uniqKey="Fantin B" first="Bruno" last="Fantin">Bruno Fantin</name>
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<name sortKey="Nguyen, Yann" sort="Nguyen, Yann" uniqKey="Nguyen Y" first="Yann" last="Nguyen">Yann Nguyen</name>
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<name sortKey="Kherabi, Yousra" sort="Kherabi, Yousra" uniqKey="Kherabi Y" first="Yousra" last="Kherabi">Yousra Kherabi</name>
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<name sortKey="Le Bot, Audrey" sort="Le Bot, Audrey" uniqKey="Le Bot A" first="Audrey" last="Le Bot">Audrey Le Bot</name>
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<nlm:affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</nlm:affiliation>
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<wicri:regionArea>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy</wicri:regionArea>
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<name sortKey="Hamon, Antoine" sort="Hamon, Antoine" uniqKey="Hamon A" first="Antoine" last="Hamon">Antoine Hamon</name>
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<name sortKey="Gouze, Helene" sort="Gouze, Helene" uniqKey="Gouze H" first="Hélène" last="Gouze">Hélène Gouze</name>
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<name sortKey="Berkani, Sabryne" sort="Berkani, Sabryne" uniqKey="Berkani S" first="Sabryne" last="Berkani">Sabryne Berkani</name>
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<name sortKey="Oliosi, Emma" sort="Oliosi, Emma" uniqKey="Oliosi E" first="Emma" last="Oliosi">Emma Oliosi</name>
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<name sortKey="Mallart, Elise" sort="Mallart, Elise" uniqKey="Mallart E" first="Elise" last="Mallart">Elise Mallart</name>
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<name sortKey="Corre, Felix" sort="Corre, Felix" uniqKey="Corre F" first="Félix" last="Corre">Félix Corre</name>
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<nlm:affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</nlm:affiliation>
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<wicri:regionArea>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy</wicri:regionArea>
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<name sortKey="Zarrouk, Virginie" sort="Zarrouk, Virginie" uniqKey="Zarrouk V" first="Virginie" last="Zarrouk">Virginie Zarrouk</name>
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<nlm:affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy</wicri:regionArea>
<wicri:noRegion>Clichy</wicri:noRegion>
<wicri:noRegion>Clichy</wicri:noRegion>
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<name sortKey="Moyer, Jean Denis" sort="Moyer, Jean Denis" uniqKey="Moyer J" first="Jean-Denis" last="Moyer">Jean-Denis Moyer</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Anaesthesiology and Intensive Care, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Anaesthesiology and Intensive Care, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy</wicri:regionArea>
<wicri:noRegion>Clichy</wicri:noRegion>
<wicri:noRegion>Clichy</wicri:noRegion>
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<name sortKey="Galy, Adrien" sort="Galy, Adrien" uniqKey="Galy A" first="Adrien" last="Galy">Adrien Galy</name>
<affiliation wicri:level="1">
<nlm:affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy</wicri:regionArea>
<wicri:noRegion>Clichy</wicri:noRegion>
<wicri:noRegion>Clichy</wicri:noRegion>
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<name sortKey="Honsel, Vasco" sort="Honsel, Vasco" uniqKey="Honsel V" first="Vasco" last="Honsel">Vasco Honsel</name>
<affiliation wicri:level="1">
<nlm:affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy</wicri:regionArea>
<wicri:noRegion>Clichy</wicri:noRegion>
<wicri:noRegion>Clichy</wicri:noRegion>
</affiliation>
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<name sortKey="Fantin, Bruno" sort="Fantin, Bruno" uniqKey="Fantin B" first="Bruno" last="Fantin">Bruno Fantin</name>
<affiliation wicri:level="1">
<nlm:affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy</wicri:regionArea>
<wicri:noRegion>Clichy</wicri:noRegion>
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<author>
<name sortKey="Nguyen, Yann" sort="Nguyen, Yann" uniqKey="Nguyen Y" first="Yann" last="Nguyen">Yann Nguyen</name>
<affiliation wicri:level="3">
<nlm:affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France; Centre for Epidemiology and Population Health, INSERM U1018, Villejuif, France. Electronic address: yann.nguyen2@aphp.fr.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France; Centre for Epidemiology and Population Health, INSERM U1018, Villejuif</wicri:regionArea>
<placeName>
<settlement type="city">Villejuif</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">The Journal of infection</title>
<idno type="eISSN">1532-2742</idno>
<imprint>
<date when="2020" type="published">2020</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To assess post-discharge persistent symptoms and health-related quality of life (HRQoL) of patients hospitalized in a COVID-19 ward unit more than 100 days after their admission.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>All eligible patients were contacted by phone by trained physicians and were asked to answer to a dedicated questionnaire. Patients managed in hospital ward without needing intensive care were compared with those who were transferred in intensive care units (ICU).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>We included 120 patients after a mean (±SD) of 110.9 (±11.1) days following admission. The most frequently reported persistent symptoms were fatigue (55%), dyspnoea (42%), loss of memory (34%), concentration and sleep disorders (28% and 30.8%, respectively). Comparisons between ward- and ICU patients led to no statistically significant differences regarding those symptoms. In both group, EQ-5D (mobility, self-care, pain, anxiety or depression, usual activity) was altered with a slight difference in pain in the ICU group.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>Most patients requiring hospitalization for COVID-19 still have persistent symptoms. While there were few differences between HRQoL between ward and ICU patients, our findings must be confirmed in larger cohorts, including more severe patients.</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="Publisher" Owner="NLM">
<PMID Version="1">32853602</PMID>
<DateRevised>
<Year>2020</Year>
<Month>09</Month>
<Day>13</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1532-2742</ISSN>
<JournalIssue CitedMedium="Internet">
<PubDate>
<Year>2020</Year>
<Month>Aug</Month>
<Day>25</Day>
</PubDate>
</JournalIssue>
<Title>The Journal of infection</Title>
<ISOAbbreviation>J. Infect.</ISOAbbreviation>
</Journal>
<ArticleTitle>Post-discharge persistent symptoms and health-related quality of life after hospitalization for COVID-19.</ArticleTitle>
<ELocationID EIdType="pii" ValidYN="Y">S0163-4453(20)30562-4</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jinf.2020.08.029</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess post-discharge persistent symptoms and health-related quality of life (HRQoL) of patients hospitalized in a COVID-19 ward unit more than 100 days after their admission.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">All eligible patients were contacted by phone by trained physicians and were asked to answer to a dedicated questionnaire. Patients managed in hospital ward without needing intensive care were compared with those who were transferred in intensive care units (ICU).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We included 120 patients after a mean (±SD) of 110.9 (±11.1) days following admission. The most frequently reported persistent symptoms were fatigue (55%), dyspnoea (42%), loss of memory (34%), concentration and sleep disorders (28% and 30.8%, respectively). Comparisons between ward- and ICU patients led to no statistically significant differences regarding those symptoms. In both group, EQ-5D (mobility, self-care, pain, anxiety or depression, usual activity) was altered with a slight difference in pain in the ICU group.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Most patients requiring hospitalization for COVID-19 still have persistent symptoms. While there were few differences between HRQoL between ward and ICU patients, our findings must be confirmed in larger cohorts, including more severe patients.</AbstractText>
<CopyrightInformation>Copyright © 2020. Published by Elsevier Ltd.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Garrigues</LastName>
<ForeName>Eve</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Janvier</LastName>
<ForeName>Paul</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Department of Radiology, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kherabi</LastName>
<ForeName>Yousra</ForeName>
<Initials>Y</Initials>
<AffiliationInfo>
<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Le Bot</LastName>
<ForeName>Audrey</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Hamon</LastName>
<ForeName>Antoine</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Gouze</LastName>
<ForeName>Hélène</ForeName>
<Initials>H</Initials>
<AffiliationInfo>
<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Doucet</LastName>
<ForeName>Lucile</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Berkani</LastName>
<ForeName>Sabryne</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Oliosi</LastName>
<ForeName>Emma</ForeName>
<Initials>E</Initials>
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<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Mallart</LastName>
<ForeName>Elise</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Corre</LastName>
<ForeName>Félix</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Zarrouk</LastName>
<ForeName>Virginie</ForeName>
<Initials>V</Initials>
<AffiliationInfo>
<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Moyer</LastName>
<ForeName>Jean-Denis</ForeName>
<Initials>JD</Initials>
<AffiliationInfo>
<Affiliation>Department of Anaesthesiology and Intensive Care, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Galy</LastName>
<ForeName>Adrien</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Honsel</LastName>
<ForeName>Vasco</ForeName>
<Initials>V</Initials>
<AffiliationInfo>
<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Fantin</LastName>
<ForeName>Bruno</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Nguyen</LastName>
<ForeName>Yann</ForeName>
<Initials>Y</Initials>
<AffiliationInfo>
<Affiliation>Departement of Internal Medicine, AP-HP.Nord, Beaujon Hospital, University of Paris, Clichy, France; Centre for Epidemiology and Population Health, INSERM U1018, Villejuif, France. Electronic address: yann.nguyen2@aphp.fr.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016422">Letter</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2020</Year>
<Month>08</Month>
<Day>25</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>England</Country>
<MedlineTA>J Infect</MedlineTA>
<NlmUniqueID>7908424</NlmUniqueID>
<ISSNLinking>0163-4453</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Covid-19</Keyword>
<Keyword MajorTopicYN="N">Health-related quality of life</Keyword>
<Keyword MajorTopicYN="N">Persistent symptoms</Keyword>
</KeywordList>
<CoiStatement>Declaration of Competing Interest None of the authors declared any competing interest in link with the present study.</CoiStatement>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2020</Year>
<Month>08</Month>
<Day>20</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2020</Year>
<Month>08</Month>
<Day>21</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2020</Year>
<Month>8</Month>
<Day>28</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2020</Year>
<Month>8</Month>
<Day>28</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="entrez">
<Year>2020</Year>
<Month>8</Month>
<Day>28</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<ArticleId IdType="pubmed">32853602</ArticleId>
<ArticleId IdType="pii">S0163-4453(20)30562-4</ArticleId>
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<ArticleId IdType="pmc">PMC7445491</ArticleId>
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<affiliations>
<list>
<country>
<li>France</li>
</country>
<settlement>
<li>Villejuif</li>
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<country name="France">
<noRegion>
<name sortKey="Garrigues, Eve" sort="Garrigues, Eve" uniqKey="Garrigues E" first="Eve" last="Garrigues">Eve Garrigues</name>
</noRegion>
<name sortKey="Berkani, Sabryne" sort="Berkani, Sabryne" uniqKey="Berkani S" first="Sabryne" last="Berkani">Sabryne Berkani</name>
<name sortKey="Corre, Felix" sort="Corre, Felix" uniqKey="Corre F" first="Félix" last="Corre">Félix Corre</name>
<name sortKey="Doucet, Lucile" sort="Doucet, Lucile" uniqKey="Doucet L" first="Lucile" last="Doucet">Lucile Doucet</name>
<name sortKey="Fantin, Bruno" sort="Fantin, Bruno" uniqKey="Fantin B" first="Bruno" last="Fantin">Bruno Fantin</name>
<name sortKey="Galy, Adrien" sort="Galy, Adrien" uniqKey="Galy A" first="Adrien" last="Galy">Adrien Galy</name>
<name sortKey="Gouze, Helene" sort="Gouze, Helene" uniqKey="Gouze H" first="Hélène" last="Gouze">Hélène Gouze</name>
<name sortKey="Hamon, Antoine" sort="Hamon, Antoine" uniqKey="Hamon A" first="Antoine" last="Hamon">Antoine Hamon</name>
<name sortKey="Honsel, Vasco" sort="Honsel, Vasco" uniqKey="Honsel V" first="Vasco" last="Honsel">Vasco Honsel</name>
<name sortKey="Janvier, Paul" sort="Janvier, Paul" uniqKey="Janvier P" first="Paul" last="Janvier">Paul Janvier</name>
<name sortKey="Kherabi, Yousra" sort="Kherabi, Yousra" uniqKey="Kherabi Y" first="Yousra" last="Kherabi">Yousra Kherabi</name>
<name sortKey="Le Bot, Audrey" sort="Le Bot, Audrey" uniqKey="Le Bot A" first="Audrey" last="Le Bot">Audrey Le Bot</name>
<name sortKey="Mallart, Elise" sort="Mallart, Elise" uniqKey="Mallart E" first="Elise" last="Mallart">Elise Mallart</name>
<name sortKey="Moyer, Jean Denis" sort="Moyer, Jean Denis" uniqKey="Moyer J" first="Jean-Denis" last="Moyer">Jean-Denis Moyer</name>
<name sortKey="Nguyen, Yann" sort="Nguyen, Yann" uniqKey="Nguyen Y" first="Yann" last="Nguyen">Yann Nguyen</name>
<name sortKey="Oliosi, Emma" sort="Oliosi, Emma" uniqKey="Oliosi E" first="Emma" last="Oliosi">Emma Oliosi</name>
<name sortKey="Zarrouk, Virginie" sort="Zarrouk, Virginie" uniqKey="Zarrouk V" first="Virginie" last="Zarrouk">Virginie Zarrouk</name>
</country>
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