Évaluation de la qualité métrologique des données du programme de médicalisation du système d’information (PMSI) en périnatalité : étude pilote réalisée dans 3 CHU

Pierron, A.; Revert, Mathilde; Goueslard, Karine; Vuagnat, Albert; Cottenet, Jonathan; Benzenine, Éric; Fresson, Jeanne; Quantin, Catherine

doi:10.1016/j.respe.2015.05.001

Cited by 32 publications

(32 citation statements)

References 16 publications

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“…The following individual risk factors were collected: single or multiple births, birth weight, GA, age at season onset, underlying medical disorders, and history of bronchiolitis and/or low respiratory tract infection (LRTI). Unlike birth weight, GA was not mandatory in standard discharge abstracts until March 1, 2009, and some maternity wards did not record GA. Multivariate regression was therefore used to impute missing completely at random data on GA (11.9%) based on gender, birth weight, and main characteristics of neonatal stay (i.e., length of hospital stay, admission to NICU, and in-hospital death) [12,13]. GA was categorized into extremely preterm (22-27 GA), very preterm (28-32 GA), moderate preterm (33-36 GA), full-term (37-41 GA), and post-term (�42 GA) [14].…”

Section: Discussionmentioning

confidence: 99%

“…Also, risk factors and outcomes were identified from administrative records and may have introduced misclassification bias. Several validation studies conducted in teaching hospitals suggest that risk factors and bronchiolitis hospitalizations are correctly recorded in the French Hospital Discharge database [12,19,20]. At the national level, we identified several administrative recording problems for perinatal care that concerned a minority of hospitals and greatly improved over the study period: multiple births with the same anonymous identifier (0.79%), missing data on birth weight (0.31%), or GA (11.9%).…”

Section: Plos Onementioning

confidence: 92%

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Risk factors for bronchiolitis hospitalization in infants: A French nationwide retrospective cohort study over four consecutive seasons (2009-2013)

et al. 2020

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Objectives Large studies are needed to update risk factors of bronchiolitis hospitalization. We performed a nationwide analysis of hospitalization rates for bronchiolitis over four consecutive bronchiolitis seasons to identify underlying medical disorders at risk of bronchiolitis hospitalization and assess their frequency. Methods Data were retrieved from the French National Hospital Discharge database. Of all infants discharged alive from maternity wards from January 2008 to December 2013 in France (N = 3,884,791), we identified four consecutive cohorts at risk of bronchiolitis during the seasons of 2009-2010 to 2012-2013. The main outcome was bronchiolitis hospitalization during a season. Individual risk factors were collected. Results Among infants, 6.0% were preterm and 2.0% had �1 chronic condition including 0.2% bronchopulmonary dysplasia (BPD) and 0.2% hemodynamically significant congenital heart disease (HS-CHD). Bronchiolitis hospitalization rates varied between seasons (min: 1.26% in 2010-2011; max: 1.48% in 2012-2013; p<0.001). Except omphalocele, the following conditions were associated with an increased risk for bronchiolitis hospitalization: solid organ (9.052; 95% CI, 4.664-17.567) and stem cell transplants (6.

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Section: Discussionmentioning

confidence: 99%

Section: Plos Onementioning

confidence: 92%

Risk factors for bronchiolitis hospitalization in infants: A French nationwide retrospective cohort study over four consecutive seasons (2009-2013)

et al. 2020

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“…In previous studies, Quantin et al compared such information from various sources and showed that it was possible to identify deliveries in mainland France with a difference of 0.3 % compared with the civil registry, which records all births in our country [ 33 ]. In a pilot study in 2012 based on 20 cases of GDM from 300 medical records [ 34 ], Pierron et al also assessed the ability of French hospital data to identify GDM and found a positive predictive value of 88.9 % [74.3–100].…”

Section: Discussionmentioning

confidence: 99%

Early cardiovascular events in women with a history of gestational diabetes mellitus

Goueslard

Cottenet

Mariet

et al. 2016

Cardiovasc Diabetol

128

103

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BackgroundThe effect of gestational diabetes mellitus (GDM) on cardiovascular diseases (CVD) is not assessed within the first 10 years postpartum, regardless of subsequent diabetes. The aim of this study was to determine the risk of CVD events related to GDM within 7 years of postpartum.MethodsThis nationwide population-based study of deliveries in 2007 and 2008 with a follow-up of 7 years was based on data from the French medico-administrative database. Two groups were formed: women with a history of GDM and women without GDM or previous diabetes. CVD included angina pectoris, myocardial infarction, stroke, heart bypass surgery, coronary angioplasty, carotid endarterectomy and fibrinolysis. Hypertensive disease was assessed separately. Determinants studied included age, obesity, subsequent diabetes mellitus and hypertensive diseases during pregnancy. Adjusted odds ratios for outcomes were calculated using multiple logistic regressions.ResultsThe hospital database recorded 1,518,990 deliveries in 2007 and 2008. Among these, 62,958 women had a history of GDM. After adjusting for age, DM, obesity and hypertensive disorders in pregnancy, GDM was significantly associated with a higher risk of CVD (adjusted Odds Ratio aOR = 1.25 [1.09–1.43]). Considering each variable in a separate model, GDM was associated with angina pectoris (aOR = 1.68 [1.29–2.20]), myocardial infarction (aOR = 1.92 [1.36–2.71]) and hypertension (aOR = 2.72 [2.58–2.88]) but not with stroke.ConclusionsA history of GDM was identified as a risk factor of CVD, especially coronary vascular diseases, within the 7 years postpartum. A lifestyle changes from postpartum onwards can be recommended and supported.

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“…It is expressed in completed gestational weeks and has been validated, 23 with a high positive predictive value. 24 For inpatient abortions and other pregnancy outcomes, the number of days after the LMP has been recorded since March 2011 22 Spontaneous abortion = death of a fetus with a gestational age < 22 weeks after the LMP and a birth weight < 500 g.…”

Section: Gestational Ages or Numbers Of Days After The Lmp Gestationalmentioning

confidence: 99%

Development of an algorithm to identify pregnancy episodes and related outcomes in health care claims databases: An application to antiepileptic drug use in 4.9 million pregnant women in France

Blotière

Weill

Dalichampt

et al. 2018

Pharmacoepidemiology and Drug

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PurposeAccess to claims databases provides an opportunity to study medication use and safety during pregnancy. We developed an algorithm to identify pregnancy episodes in the French health care databases and applied it to study antiepileptic drug (AED) use during pregnancy between 2007 and 2014.MethodsThe algorithm searched the French health care databases for discharge diagnoses and medical procedures indicative of completion of a pregnancy. To differentiate claims associated with separate pregnancies, an interval of at least 28 weeks was required between 2 consecutive pregnancies resulting in a birth and 6 weeks for terminations of pregnancy. Pregnancy outcomes were categorized into live births, stillbirths, elective abortions, therapeutic abortions, spontaneous abortions, and ectopic pregnancies. Outcome dates and gestational ages were used to calculate pregnancy start dates.ResultsAccording to our algorithm, live birth was the most common pregnancy outcome (73.9%), followed by elective abortion (17.2%), spontaneous abortion (4.2%), ectopic pregnancy (1.1%), therapeutic abortion (1.0%), and stillbirth (0.4%). These results were globally consistent with French official data. Among 7 559 701 pregnancies starting between 2007 and 2014, corresponding to 4 900 139 women, 6.7 per 1000 pregnancies were exposed to an AED. The number of pregnancies exposed to older AEDs, comprising the most teratogenic AEDs, decreased throughout the study period (−69.4%), while the use of newer AEDs increased (+73.4%).ConclusionsWe have developed an algorithm that allows identification of a large number of pregnancies and all types of pregnancy outcomes. Pregnancy outcome and start dates were accurately identified, and maternal data could be linked to neonatal data.

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Évaluation de la qualité métrologique des données du programme de médicalisation du système d’information (PMSI) en périnatalité : étude pilote réalisée dans 3 CHU

Cited by 32 publications

References 16 publications

Risk factors for bronchiolitis hospitalization in infants: A French nationwide retrospective cohort study over four consecutive seasons (2009-2013)

Risk factors for bronchiolitis hospitalization in infants: A French nationwide retrospective cohort study over four consecutive seasons (2009-2013)

Early cardiovascular events in women with a history of gestational diabetes mellitus

Development of an algorithm to identify pregnancy episodes and related outcomes in health care claims databases: An application to antiepileptic drug use in 4.9 million pregnant women in France

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