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Costs associated with hospitalization in HIV-positive patients in France

dc.rights.licenseopenen_US
dc.contributor.authorDE LEOTOING, L.
dc.contributor.authorYAZDANPANAH, Y.
dc.contributor.authorFINKIELSZTEJN, L.
dc.contributor.authorCHAIZE, G.
dc.contributor.authorVAINCHTOCK, A.
dc.contributor.authorNACHBAUR, G.
dc.contributor.authorAUBIN, C.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorBONNET, Fabrice
dc.date.accessioned2020-11-02T15:21:49Z
dc.date.available2020-11-02T15:21:49Z
dc.date.issued2018-09-10
dc.identifier.issn1473-5571 (Electronic) 0269-9370 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/11587
dc.description.abstractEnOBJECTIVES: To estimate the number of patients hospitalized for HIV-related reasons in France, to describe their characteristics and to estimate hospitalization-associated costs. DESIGN: A retrospective analysis of the French hospital medical information database (Programme de medicalisation des systemes d'information en medecine, chirurgie, obstetrique et odontologie database). METHODS: Patients hospitalised with HIV in France in 2013 and 2014 were identified in the database through International Classification of Diseases, 10th revision diagnostic codes as well as comorbidities and opportunistic infections. Hospital stays for each patient were extracted over a 12-month period following the initial index hospitalization. Costing was performed from the perspective of national health insurance. Direct costs were attributed from national tariffs for medical acts and expressed in 2016 Euros. RESULTS: During the study period, 70 180 stays, including day (80%) and overnight (20%) hospitalization, of patients with HIV were identified, of which 37 477 stays (by 20 126 patients) were directly related to HIV. In patients with overnight hospitalization, an opportunistic infection was documented in 50% of patients and at least one comorbidity were identified in 85% of patients. The overall estimated total annual cost of hospital stays was &OV0556; 64 126 616 (median annual cost per patient: &OV0556; 545). The median annual per capita cost was &OV0556; 541 for day hospitalization, &OV0556; 7664 for overnight stay with comorbidities and &OV0556; 9059 for overnight stay with opportunistic infections. CONCLUSION: Most patients hospitalised with HIV in France presented an opportunistic infection or at least 1 comorbidity that contributed to costs of hospitalization. The organization of interfaces between different healthcare providers in hospital and community practice needs to be organized so that comorbidities are identified and managed optimally.
dc.language.isoENen_US
dc.subject.enMORPH3Eus
dc.title.enCosts associated with hospitalization in HIV-positive patients in France
dc.title.alternativeAIDSen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1097/qad.0000000000001907en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed29894390en_US
bordeaux.journalAIDS. Official journal of the international AIDS Societyen_US
bordeaux.page2059-2066en_US
bordeaux.volume32en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue14en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03193754
hal.version1
hal.date.transferred2021-04-10T01:43:41Z
hal.exporttrue
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