PMID- 33152321 OWN - NLM STAT- MEDLINE DCOM- 20211025 LR - 20211025 IS - 0003-4509 (Print) IS - 0003-4509 (Linking) VI - 79 IP - 3 DP - 2021 May TI - From electrophysiological exploration to management of heart arrhythmias: Economic analysis of practices in a high-volume French hospital over two different time periods. PG - 255-265 LID - S0003-4509(20)30120-6 [pii] LID - 10.1016/j.pharma.2020.10.004 [doi] AB - BACKGROUND: Medical devices (MD) used to treat arrhythmias range from electrophysiological exploration catheters to intracardiac ablation catheters, and they are continuously undergoing optimization. The inclusion of innovative MD in Diagnosis Related Groups (DRG) of the French healthcare economic system can lead to financial imbalance for health institutions. The objective of this study was to compare cost-revenue analyses for interventional heart rhythm management in a high-volume French hospital between two time periods. METHODS: For 3 months in 2014 and 3 months in 2017, all of the patients admitted to the interventional rhythmic unit with arrhythmia were included retrospectively in this monocenter study. All arrhythmias were considered. The primary clinical endpoint was the difference between the expenses and incomes, calculated for each patient. The secondary endpoint was the breakdown of costs. RESULTS: 217 patients were included. In 2014 period, the analysis revealed a deficit of 409+/-1717 euros per patient and an overall deficit for the hospital of 44,635 euros. In 2017 period, the same evaluation indicated a deficit of 446+/-1316 euros per patient and an overall deficit for the hospital of 48,210 euros. The cost of MD accounts for a significant share of total expenses. CONCLUSION: The profitability for the cardiac rhythm activity at our facility was optimized between 2014 and 2017. The reliance on ambulatory care increased. However, the reduction in the expenses incurred did not increase the profitability for the facility. It was offset by a decrease in DRG tariffs. A flowchart-type structure based on these practices analyses for rhythmic disorder treatments was developed. CI - Copyright (c) 2020 Academie Nationale de Pharmacie. Published by Elsevier Masson SAS. All rights reserved. FAU - Nativel, F AU - Nativel F AD - Pharmacy Department, University Hospital, 44093 Nantes, France. Electronic address: fabien.nativel90@gmail.com. FAU - Barge, F AU - Barge F AD - Pharmacy Department, University Hospital, 44093 Nantes, France. Electronic address: flavienba@hotmail.com. FAU - Prevost, N AU - Prevost N AD - Pharmacy Department, University Hospital, 44093 Nantes, France. Electronic address: nclprevost@gmail.com. FAU - Solnon, A AU - Solnon A AD - Cardiology Department, University Hospital, 44093 Nantes, France; Inserm UMR1087 Institut du Thorax, 44000 Nantes, France. Electronic address: aude.solnon@chu-nantes.fr. FAU - Gourraud, J B AU - Gourraud JB AD - Cardiology Department, University Hospital, 44093 Nantes, France; Inserm UMR1087 Institut du Thorax, 44000 Nantes, France. Electronic address: jeanbaptiste.gourraud@chu-nantes.fr. FAU - Probst, V AU - Probst V AD - Cardiology Department, University Hospital, 44093 Nantes, France; Inserm UMR1087 Institut du Thorax, 44000 Nantes, France. Electronic address: vincent.probst@chu-nantes.fr. FAU - Clouet, J AU - Clouet J AD - Pharmacy Department, University Hospital, 44093 Nantes, France. Electronic address: johann.clouet@univ-nantes.fr. FAU - Lande, G AU - Lande G AD - Cardiology Department, University Hospital, 44093 Nantes, France; Inserm UMR1087 Institut du Thorax, 44000 Nantes, France. Electronic address: gilles.lande@chu-nantes.fr. FAU - Grimandi, G AU - Grimandi G AD - Pharmacy Department, University Hospital, 44093 Nantes, France. Electronic address: gael.grimandi@univ-nantes.fr. LA - eng PT - Journal Article DEP - 20201102 PL - France TA - Ann Pharm Fr JT - Annales pharmaceutiques francaises JID - 2985176R SB - IM MH - *Arrhythmias, Cardiac/diagnosis/therapy MH - Costs and Cost Analysis MH - *Hospitalization MH - Hospitals MH - Humans MH - Retrospective Studies OTO - NOTNLM OT - Arrhythmia OT - Arythmies OT - Dispositifs medicaux OT - Electrophysiological exploration OT - Exploration electrophysiologique OT - Health economics OT - Medical devices OT - Micro-costing OT - Micro-couts OT - Economie de la sante EDAT- 2020/11/06 06:00 MHDA- 2021/10/26 06:00 CRDT- 2020/11/05 20:11 PHST- 2020/06/23 00:00 [received] PHST- 2020/10/09 00:00 [revised] PHST- 2020/10/13 00:00 [accepted] PHST- 2020/11/06 06:00 [pubmed] PHST- 2021/10/26 06:00 [medline] PHST- 2020/11/05 20:11 [entrez] AID - S0003-4509(20)30120-6 [pii] AID - 10.1016/j.pharma.2020.10.004 [doi] PST - ppublish SO - Ann Pharm Fr. 2021 May;79(3):255-265. doi: 10.1016/j.pharma.2020.10.004. Epub 2020 Nov 2.