Les réadmissions après résection pulmonaire en France : la base de données du PMSI

Autor: A, Moret, L, Madelaine, J, Cottenet, A, Sophie Mariet, C, Quantin, A, Bernard, P B, Pagès
Přispěvatelé: Service de chirurgie cardio-vasculaire et thoracique (CHU Dijon), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), Université de Bourgogne (UB), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Lipides - Nutrition - Cancer [Dijon - U1231] (LNC), Université de Bourgogne (UB)-Institut National de la Santé et de la Recherche Médicale (INSERM)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement, Hôpital du Bocage, Centre d'Investigation Clinique 1432 (Dijon) - Epidemiologie Clinique/Essais Cliniques (CIC-EC), Université de Bourgogne (UB)-Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut Pasteur [Paris] (IP), Université de Versailles Saint-Quentin-en-Yvelines - UFR Sciences de la santé Simone Veil (UVSQ Santé)
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Revue des Maladies Respiratoires
Revue des Maladies Respiratoires, Elsevier Masson, 2021, 38 (7), pp.673-680. ⟨10.1016/j.rmr.2021.04.009⟩
Revue des Maladies Respiratoires, 2021, 38 (7), pp.673-680. ⟨10.1016/j.rmr.2021.04.009⟩
ISSN: 0761-8425
1776-2588
DOI: 10.1016/j.rmr.2021.04.009⟩
Popis: International audience; Background: Readmission within 30 days is an indicator of the quality of care, because it often reflects post-discharge care that is not optimal. The objective of this work is to measure over time on the one hand the readmission rate and on the other hand the number of hospitals with a standardized readmission rate beyond the national average. Method: All patients with major pulmonary resection for lung cancer in France were extracted from the PMSI national database. Readmission within 30 days was defined as any new hospitalization either in the same hospital or in another establishment. Results: From January 1, 2005 to December 31, 2018, 110,603 patients were included. The 30-day all-cause readmissions rate was 24.9% (n = 27,540). Patients after pneumonectomy had a readmission rate of 37% (n = 4918) and 23% after lobectomy (n = 2684) (P < 0.0001). For the first period, we counted 10 hospitals with a standardized readmissions rate above the 99.8 limit and 10 hospitals above the 95% limit. For the second period, 8 hospitals had a standardized readmission rate above the 99.8% limit and 11 hospitals above the 95% limit. For the third period, 7 hospitals had a standardized readmission rate above the 99.8% limit and 6 hospitals above the 95% limit. Conclusion: Readmissions to hospital 30 days after major lung resection for cancer in France declined little during these three periods. Measures to prevent readmissions should be introduced.
Databáze: OpenAIRE
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