Le coût hospitalier des événements cérébro-vasculaires associés à une fibrillation atriale en France

Hospital Cost of cerebro-vascular events associated with atrial fibrillation in France Objective : Patients with atrial fibrillation are at risk of ischemic and haemorrhagic strokes. The goal of this study was to assess the hospital cost of such events in the French context. Methods : An extraction from the National Discharge Abstract Database (PMSI) was performed for year 2014. Selected patients were patients who had experienced an ischemic or haemorrhagic stroke and with a related diagnosis of atrial fibrillation. Patients who had experienced a hospital admission for atrial fibrillation in the two preceding years were also included. Consecutive admissions in acute care, rehabilitation centres and information on admissions to nursing homes was collected during the next twelve months after the initial event date. Results : Average one year cost for an ischemic stroke for a patient with atrial fibrillation was € 14,789 and € 15,736 for a haemorrhagic stroke. Rehabilitation costs were respectively 40% and 34% of the total cost. Costs for patients with no handicap, a moderate handicap or totally dependent were respectively € 7,277, € 30,293 and € 15,736 for an ischemic stroke ; after a haemorrhagic stroke, costs were respectively € 9,628, € 33,610 and € 22,559. One year mortality was respectively 26% and 46%. Conclusion : Results confirm the importance of cost of events after the initial event. They allow to populate cost-effectiveness analyses of their prevention for patients with atrial fibrillation. Link to the article

DE POUVOURVILLE, G. and KARAM, P. (2019). Le coût hospitalier des événements cérébro-vasculaires associés à une fibrillation atriale en France. Journal de Gestion et d'Économie de la Santé, 37(5), pp. 399-409.