The burden of hospitalisations for COVID-19 in France: a study of all cases in the national insurance claims database in 2020
ABSTRACTBackground The economic consequences of the recent COVID-19 pandemic were substantial. However, direct medical costs in France have not been determined.Objective To describe patient characteristics, intensity of care, mortality, and direct medical costs in patients hospitalised for COVID-19...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Journal of Market Access & Health Policy |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/20016689.2022.2160328 |
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| author | Claire Leboucher Cécile Blein Valérie Machuron Kelly Benyounes Katell Le lay Aurélie Millier Romain Supiot François Raffi |
| author_facet | Claire Leboucher Cécile Blein Valérie Machuron Kelly Benyounes Katell Le lay Aurélie Millier Romain Supiot François Raffi |
| author_sort | Claire Leboucher |
| collection | DOAJ |
| description | ABSTRACTBackground The economic consequences of the recent COVID-19 pandemic were substantial. However, direct medical costs in France have not been determined.Objective To describe patient characteristics, intensity of care, mortality, and direct medical costs in patients hospitalised for COVID-19 infections in France.Study design A retrospective study of the French national hospital claims database for 2020.Setting Hospital care.Patients or other participants All patients hospitalised for COVID-19 in 2020 were included and classified by hospitalisation duration into acute phase and prolonged COVID-19.Intervention Stratification by intensity of care (Level 1: no or low-flow oxygen support; Level 2: non-invasive ventilation; Level 3: mechanical ventilation).Main outcome measure Cost of hospital care in 2020 Euros from a payer perspective.Results 199,455 patients were hospitalised for COVID-19 in France in 2020. 17,824 patients (8.9%) received mechanical ventilation and 32,602 patients (16.3%) died. Mean per patient cost was €5,510 ± 7,142. This cost was highest in patients receiving Level 3 care, patients aged >80 years and in those with prolonged COVID.Conclusion The economic burden of hospitalisations for COVID-19 infections in France during 2020 was substantial. The study provides robust baseline data to benchmark advances in the standard of care and to nurture epidemiological models. |
| first_indexed | 2024-03-11T11:56:28Z |
| format | Article |
| id | doaj.art-15497970cafa464081617ec53bd8ae24 |
| institution | Directory Open Access Journal |
| issn | 2001-6689 |
| language | English |
| last_indexed | 2025-03-22T04:05:38Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Market Access & Health Policy |
| spelling | doaj.art-15497970cafa464081617ec53bd8ae242024-04-28T09:30:41ZengTaylor & Francis GroupJournal of Market Access & Health Policy2001-66892023-12-0111110.1080/20016689.2022.2160328The burden of hospitalisations for COVID-19 in France: a study of all cases in the national insurance claims database in 2020Claire Leboucher0Cécile Blein1Valérie Machuron2Kelly Benyounes3Katell Le lay4Aurélie Millier5Romain Supiot6François Raffi7HEOR/RWE, Creativ-Ceutical, Paris, FranceHEOR/RWE, Creativ-Ceutical, Paris, FranceHEOR/RWE, Roche SA France, Paris, FranceHEOR/RWE, Roche SA France, Paris, FranceHEOR/RWE, Roche SA France, Paris, FranceHEOR/RWE, Creativ-Ceutical, Paris, FranceHEOR/RWE, Creativ-Ceutical, Paris, FranceService des Maladies Infectieuses et Tropicales, CHU de Nantes, Nantes, FranceABSTRACTBackground The economic consequences of the recent COVID-19 pandemic were substantial. However, direct medical costs in France have not been determined.Objective To describe patient characteristics, intensity of care, mortality, and direct medical costs in patients hospitalised for COVID-19 infections in France.Study design A retrospective study of the French national hospital claims database for 2020.Setting Hospital care.Patients or other participants All patients hospitalised for COVID-19 in 2020 were included and classified by hospitalisation duration into acute phase and prolonged COVID-19.Intervention Stratification by intensity of care (Level 1: no or low-flow oxygen support; Level 2: non-invasive ventilation; Level 3: mechanical ventilation).Main outcome measure Cost of hospital care in 2020 Euros from a payer perspective.Results 199,455 patients were hospitalised for COVID-19 in France in 2020. 17,824 patients (8.9%) received mechanical ventilation and 32,602 patients (16.3%) died. Mean per patient cost was €5,510 ± 7,142. This cost was highest in patients receiving Level 3 care, patients aged >80 years and in those with prolonged COVID.Conclusion The economic burden of hospitalisations for COVID-19 infections in France during 2020 was substantial. The study provides robust baseline data to benchmark advances in the standard of care and to nurture epidemiological models.https://www.tandfonline.com/doi/10.1080/20016689.2022.2160328CovidhospitalisationmortalitySDSintensive care |
| spellingShingle | Claire Leboucher Cécile Blein Valérie Machuron Kelly Benyounes Katell Le lay Aurélie Millier Romain Supiot François Raffi The burden of hospitalisations for COVID-19 in France: a study of all cases in the national insurance claims database in 2020 Journal of Market Access & Health Policy Covid hospitalisation mortality SDS intensive care |
| title | The burden of hospitalisations for COVID-19 in France: a study of all cases in the national insurance claims database in 2020 |
| title_full | The burden of hospitalisations for COVID-19 in France: a study of all cases in the national insurance claims database in 2020 |
| title_fullStr | The burden of hospitalisations for COVID-19 in France: a study of all cases in the national insurance claims database in 2020 |
| title_full_unstemmed | The burden of hospitalisations for COVID-19 in France: a study of all cases in the national insurance claims database in 2020 |
| title_short | The burden of hospitalisations for COVID-19 in France: a study of all cases in the national insurance claims database in 2020 |
| title_sort | burden of hospitalisations for covid 19 in france a study of all cases in the national insurance claims database in 2020 |
| topic | Covid hospitalisation mortality SDS intensive care |
| url | https://www.tandfonline.com/doi/10.1080/20016689.2022.2160328 |
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