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Master Thesis

Ablation de tachycardie ventriculaire par cathéterisme : étude médico-économique au CHU de Bordeaux

Abstract : Background: ventricular tachycardia (VT) is a major cause of sudden cardiac death (SCD). The incidence of SCD in Europa is 350 000 cases annually. The objective of this study was to analyze the cost and valuation associated with catheter ablation of ventricular tachycardia. Materials and Methods: the study included all patients with ventricular tachycardia hospitalized for catheter ablation in our center from January 2017 to Mars 2018. Procedure details and outcomes at six months were collected. Stays costs were compared to valuation accorded by the French healthcare system. Results: during study period, 117 patients were included (mean years: 60.3 yo; 85.5% of male). Noninducibility of VT was achieved in the majority of the patients (65/82; 79%). At six months follow-up after the ablation, 80% of patients did not present VT recurrence. Almost 70% of the patient stays (80/117) were loss-making for the hospital. Mean differential between cost (10 342 €) and valuation (9 503 €) were equal to – 639 € per patient. Device purchase price constituted the first item of expenditure (39.9%). Discussion - Conclusion: marketing of news devices allowed catheter ablation development during last years. A specific reimbursement by the healthcare system would permit a better valorization for centers.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02354012
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Submitted on : Thursday, November 7, 2019 - 3:33:01 PM
Last modification on : Friday, October 23, 2020 - 4:56:45 PM
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Julien Ollivier. Ablation de tachycardie ventriculaire par cathéterisme : étude médico-économique au CHU de Bordeaux. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02354012⟩

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