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Infectious complications of endoarterial interventional radiology: protocol for an observational study of a longitudinal national cohort of patients assessed in the French hospital discharge database (MOEVA study).

Authors
  • Aid Mellouk, Kaoutar1
  • Soulaymani, Abdelmajid1
  • Gao, Fei2
  • Astagneau, Pascal3, 4
  • Misset, Benoit5, 6
  • 1 Center of Doctoral Studies, Universite Ibn Tofail Kenitra Faculte des Sciences, Kenitra, Morocco. , (Morocco)
  • 2 Public Health, French School for Advanced Studies in Public Health (EHESP), Rennes, France. , (France)
  • 3 CPias, Center of Support for the Prevention of the Infections Associated with Care Paris 14, Paris 14, Île-de-France, France. , (France)
  • 4 Public Health, Pierre & Marie Curie faculty of medicine, Sorbonne universities, Paris, Île-de-France, France. , (France)
  • 5 Department of Intensive Care, Rouen University Hospital, Rouen, France. , (France)
  • 6 Rouen University, Faculty of medecine and Pharmacy, Rouen, France. , (France)
Type
Published Article
Journal
BMJ Open
Publisher
BMJ
Publication Date
Jun 03, 2019
Volume
9
Issue
6
Identifiers
DOI: 10.1136/bmjopen-2018-024181
PMID: 31164361
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Around seven million patients undergo endoarterial interventional radiology procedures (EAIRP) annually worldwide. These procedures have become part of the standard repertoire of vascular surgery. However, the healthcare-associated infections related to these procedures are relatively unknown. Prevalence and adverse outcome of infectious complication (IC) post-EAIRP may be underestimated. We aim to provide national trend estimation of EAIRP incidence and outcome in France. METHODS AND ANALYSIS: From the French Common Classification of Medical Acts, we will define four categories of EAIRP. We will collect procedures via the French nationwide hospital discharge database, called Programme de Médicalisation des Systèmes d'Information (PMSI) and derived from the Diagnosis Related Group system. Various combinations to identify the numerator will be employed according to a pre-established algorithm. Technical data wrangling tools facilitating the use of PMSI will be developed to obtain a clean and well-structured database ready for statistical analysis. This protocol will require competences in medicine, epidemiology, statistics, data processing and techniques through various stages of the study. The cohort will contain the denominator (the first act of the first stay of each patient) and the corresponding numerator (the IC which will occur during the first stay). ETHICS AND DISSEMINATION: No nominative, sensitive or personal data on patients have been collected. The study of the MOrtality and infectious complications of therapeutic EndoVAscular interventional radiology (MOEVA) study does not involve humans, and falls within the scope of the French Reference Methodology MR-004 according to 2016-41 law dated 26 January 2016 on the modernisation of the French health system. Our study involves the reuse of already recorded data, which require neither information or non-opposition of the included individuals. Access to linked ANOnymous (ANO) file in the PMSI databases was approved by the French National Commission for Data Protection and Liberties (CNIL number 1564135). The results will be disseminated through a peer-reviewed publication. © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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