دورية أكاديمية
Percutaneous mitral valve repair in severe secondary mitral regurgitation: Analysis of index hospitalization and economic evaluation based on the MITRA-FR trial
| العنوان: | Percutaneous mitral valve repair in severe secondary mitral regurgitation: Analysis of index hospitalization and economic evaluation based on the MITRA-FR trial |
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| المؤلفون: | Capelle, Aude, Obadia, Jean-Francois, Iung, Bernard, Messika-Zeitoun, David, Vahanian, Alec, Guerin, Patrice, Lefèvre, Thierry, Bonnet, Guillaume, Donal, Erwan, Leurent, Guillaume, Trochu, Jean-Noël, Armoiry, Xavier |
| المساهمون: | Centre Hospitalier Universitaire de Saint-Etienne CHU Saint-Etienne (CHU ST-E), Hospices Civils de Lyon, Departement de Neurologie (HCL), Laboratoire de Recherche Vasculaire Translationnelle (LVTS (UMR_S_1148 / U1148)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Université Sorbonne Paris Nord, University of Ottawa Ottawa, Centre Hospitalier Universitaire de Nantes = Nantes University Hospital (CHU Nantes), Hôpital Privé Jacques Cartier Massy, Fibrinolyse et Pathologie Vasculaire, Université de la Méditerranée - Aix-Marseille 2-Institut National de la Santé et de la Recherche Médicale (INSERM), Laboratoire Traitement du Signal et de l'Image (LTSI), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hospitalier Universitaire de Rennes CHU Rennes = Rennes University Hospital Ponchaillou, Matériaux, ingénierie et science Villeurbanne (MATEIS), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Centre National de la Recherche Scientifique (CNRS), French Ministry of Health and Research National Program |
| المصدر: | ISSN: 1875-2136. |
| بيانات النشر: | HAL CCSD Elsevier/French Society of Cardiology |
| سنة النشر: | 2021 |
| المجموعة: | Université de Rennes 1: Publications scientifiques (HAL) |
| مصطلحات موضوعية: | Economic evaluation, French health system, Hospital, Hôpital, Percutaneous repair, Régurgitation mitrale secondaire, Réparation mitrale percutanée, Secondary mitral regurgitation, Système de santé français, Évaluation économique, [SDV.IB]Life Sciences [q-bio]/Bioengineering |
| الوصف: | International audience ; BACKGROUND: Percutaneous mitral valve repair (pMVR) is reimbursed in France for severe secondary mitral regurgitation (SMR), but French data regarding the hospitalization index stay are lacking. AIMS: Our objectives were to describe the index hospitalization stay and to evaluate the cost of hospital stay for pMVR used in SMR. METHODS: A secondary evaluation based on patients who were randomized to the intervention group of the MITRA-FR study was undertaken. The economic evaluation was conducted according to the French hospital perspective. Medical resource use was estimated using specific data collected from patients enrolled in the MITRA-FR study and non-specific data from national statistics. RESULTS: The population was represented by 144 patients who underwent pMVR at 33 French centres. There was a mean±standard deviation of 7.9±1.5 hospital staff during procedures. The mean procedure duration was 154±68 minutes and increased with the number of implanted clips. Median total length of stay was 8 days. The occurrence of a serious adverse event was not associated with an increased risk of admission to the critical care unit, but was associated with an increased length of stay. The mean total cost was 28,025±3424€, which includes 21,547€ for the cost of medical devices used during pMVR and 6478±3424€ for other costs. CONCLUSION: The cost of pMVR is substantial for patients with SMR, which advocates for further efforts to identify the patients with SMR who are likely to derive a clear clinical benefit from the procedure. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/34802961; hal-03467448; https://hal.science/hal-03467448Test; https://hal.science/hal-03467448/documentTest; https://hal.science/hal-03467448/file/Capelle%20et%20al%20-2021-Percutaneous%20mitral%20valve%20repair%20in%20severe%20secondary%20mitral%20regurgitation%20analysis%20of%20index%20hospitalisation%20and%20economic%20evaluation%20based%20on%20the%20Mitra-Fr%20trial.pdfTest; PUBMED: 34802961 |
| DOI: | 10.1016/j.acvd.2021.10.005 |
| الإتاحة: | https://doi.org/10.1016/j.acvd.2021.10.005Test https://hal.science/hal-03467448Test https://hal.science/hal-03467448/documentTest https://hal.science/hal-03467448/file/Capelle%20et%20al%20-2021-Percutaneous%20mitral%20valve%20repair%20in%20severe%20secondary%20mitral%20regurgitation%20analysis%20of%20index%20hospitalisation%20and%20economic%20evaluation%20based%20on%20the%20Mitra-Fr%20trial.pdfTest |
| حقوق: | http://creativecommons.org/licenses/by-ncTest/ ; info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.F04BE081 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.acvd.2021.10.005 |
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