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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Main Authors: Claire Leboucher (Author), Cécile Blein (Author), Valérie Machuron (Author), Kelly Benyounes (Author), Katell Le lay (Author), Aurélie Millier (Author), Romain Supiot (Author), François Raffi (Author)
Format: Book
Published: Taylor & Francis Group, 2023-12-01T00:00:00Z.
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Summary: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.
Item Description:10.1080/20016689.2022.2160328
2001-6689