Abstract
Introduction : The epidemiology of the Healthcare-Associated Infections (HAI) post-EndoArterial Interventional Radiology Procedures (EAIRP) is unknown. The objective is to test the feasibility of the nationwide hospital discharge French database, named, le Programme de Médicalisation des Systèmes d’Information (PMSI) to determine the incidence of IN post- EAIRP. The procedures selected are: Angioplasty, angioplasty with stent, embolization and thrombectomy. Subjects and methods: Denominator: patients with at least one stay including the code "trans/arterial route" of the French Common Classification of Medical Acts. Numerator: cases of HAIs according to the International Classification of Diseases in its French version, Tenth Revision. The study was approved by the French National Commission for Data Protection and Liberties. Results: 460,461 patients included in 692 centers from 2010 to 2013. 9,227 (2.01%) infections within 3 months of an EAIRP. Mortality 2.79% without HAI, versus 9.77% with HAI (P <0.001). Conclusion: Measuring the incidence of HAI secondary to an EAIRP with the PMSI is feasible. The HAI appears to be associated with excess mortality. The causal link between HAI and death deserves to be deepened. Comparisons with databases from other countries are necessary.
Highlights
Worldwide, around 7 million patients undergo EAIRP and these percutaneous Interventional procedures are expected to escalate further in coming years[1].The EAIRP encompasses a range of procedures and techniques wide
The Key for prevention and the effective fight against of healthcareassociated infections (HAIs), is surveillance of these Healthcare-Associated Infections (HAI) [7]. monitoring is often laborintensive and time-consuming [8], rare the studies have estimated the prevalence of HAIs post-EAIRP
The objective of this study is to test the feasibility of the nationwide hospital discharge French database (PMSI) to determine the incidence of HealthcareAssociated Infections (HAI) post- EAIRP
Summary
Around 7 million patients undergo EAIRP and these percutaneous Interventional procedures are expected to escalate further in coming years[1]. The EAIRP encompasses a range of procedures and techniques wide. It includes, diagnostic angiography, placement of an arterial closure device, angioplasty, angioplasty with a stent, thrombolysis, chemoembolization and embolization, placement in place of a terminal graft, intrahepatic transjugular portosystemic shunt and uterine artery embolization [2]. EAIRP, as a surgical activity, is confronted at a real risk of infection, which varies according the use or not of an established medical device and whether to the general state of patient[3]. Our insights is limited about the infectious complications post-EAIRP[4][5][6]. The Key for prevention and the effective fight against of healthcareassociated infections (HAIs), is surveillance of these HAIs [7]. monitoring is often laborintensive and time-consuming [8], rare the studies have estimated the prevalence of HAIs post-EAIRP
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