Latest database descriptions

The objective is to form a multicentric cohort of 30,000 children admitted to radiology departments in France in order to describe the pattern of computerised tomography use during childhood and to estimate the dosage associated with these examinations. This cohort will later explore the iatrogenic effects of low-dosage of ionising radiation, carcinogenic and non-carcinogenic effects.

Determine the extent of everyday life accidents in France.
Identify factors associated with the occurrence and the gravity of these accidents.
Propose priority and innovative intervention programs.
Dispose of a surveillance and research tool

PMSI is a tool for medico-economic analysis of hospital activity. Its main purpose is to describe hospital activity to enable a better division of budgetary envelopes, according to the medical and economic complexity of the pathologies treated in each establishment. By its medical-administrative content, it allows to study hospital morbidity and its caring (diagnosis and actions), and the analysis of regional and interregional fluxes of hospitalizations. It's finally used as an internal management tool for some health establishments. In 2004, a systematic collection of medical information has been set up for all the health establishments, publics or privates, having an authorization for hospitalization at home activities, since the 1st of January 2005. The specific of this collection, in comparison with the ones realized in other domains of hospitalization, concern the nature of the information collected: caring methods, main and associated, Karnofsky index. These variables define the classification into homogenous caring groups (GHPC). On the other hand, a certain degree of flexibility is accorded to the establishment, concerning the PMSI for HAD data production rhythm. Indeed, the collection is not necessarily made by stay or calendar week, but by medical treatment sequence: during an hospitalization at home, each sequence of medical treatment is defined as long as a combination of three classifying variables continues; the establishments have the freedom to create one or more summaries by RPSS, to cover the duration of each sequence.

The aim of PiCADo is to provide clinical, socio-economic and technological quantitative indicators with sufficient statistical reliability, so as to refine and validate early predictors of toxicity (asthenia, anorexia, diarrhoea, fever, neutropaenia) or indeed efficacy (tumour response, progression-free survival), to demonstrate a reduction in emergency admissions and severity of chemotherapy side effects compared to matched patients receiving similar treatment for the same condition under conventional conditions.