Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

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128 Maternal Intensive Care in Belgium KCE Reports 94 APPENDIX CHAPTER 4 ANNEX 1 : ORIGIN OF DATA To realize this study, the Agence Intermutualiste (AIM) disposed of two types of data: • Hospital bills of patients who were admitted to a maternity ward between 01/01/2003 and 31/12/2004; data on health care expenses between 01/01/2003 and 31/12/2005 were also provided. • Invoices prescribed drugs, (Pharmanet database) from the selected patients from 01/01/2003 to 31/12/2005. Drugs concerned are those which are reimbursed by the social security scheme for salaried workers (self-employed excluded), prescribed to non hospitalized patients at the doctor’s office (GP or any other specialty) ANNEX 2 : DATABASE CONSTRUCTION The selection of provided health care (deliveries and miscarriages) was based on the following codes. Table 1 :Deliveries Type Place Moment Code nomencl. of delivery Care provider of delivery of delivery 422225 vaginal delivery midwife Hospital stay not specified 422656 vaginal delivery midwife Home* weekday 422671 vaginal delivery midwife Day care weekday 423651 vaginal delivery midwife Home* WE or holiday 423673 vaginal delivery midwife Day care WE or holiday 423010 vaginal delivery medical doctor Ambulatory** not specified 423021 vaginal delivery medical doctor Hospital stay not specified 424012 vaginal delivery gynaecologist Ambulatory** not specified 424023 vaginal delivery gynaecologist Hospital stay not specified 424071 with embryotomy gynaecologist Ambulatory** not specified 424082 with embryotomy gynaecologist Hospital stay not specified 424093 c-section gynaecologist Ambulatory** not specified 424104 c-section gynaecologist Hospital stay not specified * Home of the patients ** Home or day care Table 2 : Miscarriages Code nomenclat. Label Place 422516 422553 423555 Follow up and care after miscarriage, from the 1st day following the miscarriage, per day with a maximum of 3 days Follow up and care after miscarriage provided the day of the miscarriage, weekday Follow up and care after miscarriage provided the day of the miscarriage, weekend or holiday ambulatory ambulatory ambulatory 424115 Obstetrical intervention for miscarriage between 4 and 6 months provided the women had been a medical follow up during the 3rd ambulatory 424126 month of pregnancy Hospital stay
KCE Reports 94 Maternal Intensive Care in Belgium 129 ANNEX 3 : MERGE OF AIM-IMA AND RCM-MKG DATABASES Table 3 : MKG/RCM : received files 2003 2004 Name of the RCM-file Class. Hospit. Day Hosp. Class. Hospit. Day Hosp. Sum File Patient : 282.983 304.035 File Hospital stays : 282.983 22.071 304.035 28.922 File Extra Stays : 282.983 22.071 304.035 28.922 File Stay ./. Specialism : 304.134 22.926 356.273 32.013 703.316 File Stay ./. Bedindex : 298.401 22.362 321.352 29.609 661.499 File Stay ./. Care unit : 353.744 23.304 396.699 32.204 792.992 File Diagnose : 797.271 45.432 895.235 68.251 1.772.110 File ICD9 procedures : 542.251 31.975 582.789 45.280 1.180.393 File INAMI procedures : 1.816.702 95.087 196.074 134.632 3.930.927 File Newborn babies : 119.369 944 120.819 779 239.583 Table 4: Merging-preparation of MKG/RCM data 2003 2004 Class. Hospit. Day Hosp. Class. Hospit. Day Hosp. 1.1 Creation of a basic databank merging RCM data in PATVERBIJF, STAYHOSP 1.2 Neutralisations 282.983 282.983 304.035 304.035 1ste neutralisation : only classical hospitalisations - 215 - 279.499 - 206 - 298.096 2de neutralisation : only records with IDnumbers - 90.788 - 354 - 106.496 - 772 1.3 Segmentation in 3 databanks (=denominator of pct linked records) 191.980 3.130 197.333 5.167 Records with age=0 --> Babies 59.700 1.177 59.119 474 Others records --> "Mothers" 132.280 1.953 138.215 4.693 Dubbles records of "mothers" 17.123 9 18.253 18 Remark : Among the MKG/RCM hospital stays, many patients are admitted and discharged during the same month and week The majority of these stays appeared to be stays from the newborns or other children. We created 3 new databases based on the age of the admitted patient: • Newborns: when the age is zero, the patient was considered to be a newborn • Mothers: the other stays were those of the mothers Merging of data • Doubles: stays with double records were kept in a separate database. The first cycle of merging was based on IMA/AIM administrative data and health care invoices. For some MKG/RCM data, one hospital admission corresponds up to 6 numbers of patients‘ identification. A merge was attempted for each ID. The merging procedure was repeated on all three MKG/RCM databases, (newborns, mothers, and doubles). The merge of the doubles was done in order to differentiate between mothers and newborns because they have the same IMA/AIM ID if the baby was not admitted directly after the birth. The first merge was realised on the exact match of the admission and discharge dates. However, these dates did not always correspond exactly.
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