Most French healthcare costs are covered by a public healthcare insurance scheme.
The French healthcare system covers both public and private hospitals which provide healthcare to every resident in the country. Our aim was to provide an up-to-date report on the epidemiology and management of sepsis and septic shock in France between 20, and to explore the temporal trends of their clinical characteristics, costs and outcomes. Unlike other systems, the PMSI includes mandatory calculations of the Simplified Acute Physiology Score II (SAPS II) severity scores and daily monitoring of organ failure supplementation. In France, the medico-economic administrative hospital database called PMSI (French acronym for “Programme de Médicalisation des Systèmes d'Information”) provides data on all hospital stays in France.
However, previous results extracted from administrative databases were quite heterogeneous, mostly because of the differences in the International Classification of Diseases (ICD) coding strategies used to define sepsis (Additional file 1: Table S1). A recent review of 27 epidemiologic studies, mostly based on North American, Australian and North European administrative databases, showed an incidence rate of sepsis cases of 270 per 100,000 person-years (95% CI, 176–412) and an in-hospital mortality rate of 26%. The Intensive Care Over Nations (ICON) Audit showed that sepsis accounts for 30% of reasons for intensive care unit (ICU) admission and is associated with a hospital mortality rate of 35%. Sepsis is one of the leading causes of death worldwide and is a major public health issue.
0 kommentar(er)
