French hospital discharge database: data production, validity, and origins of errors in the field of severe maternal morbidity

Revue D'épidémiologie Et De Santé Publique
Anne A Chantrypour le groupe GRACE

Abstract

The organization of obstetric care in France brings all women in contact with the hospital system. Thus, hospital discharge data from the Program of Medicalization of the Information System (PMSI) constitute a potentially valuable source of information, particularly regarding rare events such as severe maternal morbidity. These data cover a large population but their quality has not been assessed in that field. Our objectives were to study the processes of production and the validity of PMSI data related to severe maternal morbidity. The study was conducted in four French tertiary teaching hospitals (Caen, Cochin [AP-HP, Paris], Grenoble and Lille). First, the organization of each step of the medical information process -production, formatting, verification and processing- was detailed in each center with a standardized form. Second, the validation study was based on the comparison of data related to severe maternal morbid events in the PMSI from these centers for 2006 and 2007, with the content of medical records which constituted the gold standard. Indicators of sensitivities and positive predictive values of PMSI were calculated. The processes of PMSI data production showed major differences between the four centers. In hosp...Continue Reading

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Jan 18, 2020·Paediatric and Perinatal Epidemiology·Katherine P Himes, Lisa M Bodnar
Jan 4, 2017·Journal of the American Medical Informatics Association : JAMIA·François DelonGuillaume Desjeux
Jul 11, 2021·Gynécologie, Obstétrique, Fertilité & Sénologie·Audrey ChevrotArnaud Fauconnier
Nov 20, 2021·Paediatric and Perinatal Epidemiology·Elodie LebretonJennifer Zeitlin

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